Experience of Testicular Sperm Aspiration in Intracytoplasmic Sperm Injection Cycles at Prince Rashed Bin Al-Hassan Hospital

Objective: To determine the reproductive outcome after the application of intracytoplasmic sperm injection treatment with testicular sperms obtained by fine n eedle aspiration. Methods: Between August 2005 and December 2007, a total of 55 infertile women (age 21-41 years) underwent intracytoplasmic sperm injection treatment due to male factor. All male partners (age 25-71 years) were azoospermic. Duration of infertility ranged fr om two to 17 years. The demographic, hormonal and treatment data of both male and female partner alon g with the reproductive outcome were analyzed. Results: Of the 55 male partners, 12 (21.2%) men had obstructive azoospermia, and 43 (78.8%) had nonobstructive azoospermia. After intracytoplasmic spe rm injection treatment, the fertilization and impla ntation rates were 68.8% and 21.1%, respectively. Twenty-eight of 55 (50.9%) women achieved pregnancy. Seven women of 28 (25%) had multiple pregnancy. Delivery took place in 23 women (41.8%) of which 16 (69.6%) were full-term and seven (30.4%) were preterm pregnancies (<37 weeks). Abortion occurred in five women (17.8%). No complications after the testicular fine needle aspiration procedure were encountered.