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Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia)

Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia)

by Dr. Geoffrey Sher | Jun 6, 2016 | Uncategorized

Men with no sperm in their ejaculates (azoospermia), whether due to non-obstructive or obstructive (usually post-vasectomy) causes, can have their sperm accessed surgically and still propagate pregnancies. There are 2 methods by which this can be achieved. : 1) TESE...
Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia)

Why the Standard Practices for Embryo Transfers are Rapidly Shifting

by Dr. Geoffrey Sher | Jun 4, 2016 | Uncategorized

Embryo transfer (ET) is undoubtedly a rate limiting factor when it comes to IVF outcome. In fact, in my opinion, it is the single most important procedural step in IVF. Optimal performance of ET takes practice, confidence, dexterity, timing, gentility and skill. Out...
Routine Fertilization by Intracytoplasmic Sperm Injection (ICSI): An Argument in Favor.

Routine Fertilization by Intracytoplasmic Sperm Injection (ICSI): An Argument in Favor.

by Dr. Geoffrey Sher | May 26, 2016 | Uncategorized

Intracytoplasmic Sperm Injection ICSI, which began in 1992 as a treatment for severe male factor infertility, involves the direct injection of a single sperm into each egg under direct microscopic vision.Soon after the turn of the 20th century, it was reported that...
Frozen Embryo Transfer (FET) versus “Fresh” ET: How to Make the Decision

Frozen Embryo Transfer (FET) versus “Fresh” ET: How to Make the Decision

by Dr. Geoffrey Sher | May 24, 2016 | Uncategorized

Until less than a decade ago, most women undergoing IVF would have their embryos transferred to the uterus in the same cycle that the egg retrieval was performed (“Fresh” Embryo Transfer). This was because embryo cryopreservation (freezing) was a hazardous...
Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia)

PGS and Assessment of Egg/Embryo “competency”: How Timing, Process, and Methodology Can Affect Reliability

by Dr. Geoffrey Sher | May 22, 2016 | Uncategorized

About a decade ago, we, (Sher, and Keskintepe, L; et al) introduced full chromosomal karyotyping for preimplantation genetic sampling – (PGS) to assess egg/embryo “competency” for IVF. We performed and reported on 3 separate studies that served to herald...
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