Hormonal stimulation of spermatogenesis: a new way to treat the infertile male with non-obstructive azoospermia?

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Hormonal stimulation of spermatogenesis: a new way to treat the infertile male with non-obstructive azoospermia?

Rita J. Laursen · Helle O. Elbaek · Betina B. Povlsen · Jette Lykkegaard · Kirsten B. S. Jensen · Sandro C. Esteves · Peter Humaidan







We herein report a full-term delivery of a healthy child obtained with aid of intracytoplasmic sperm injection (ICSI) in an infertile couple with non-obstructive azoospermia (NOA) and severe endometriosis, following hormonal stimulation of spermatogenesis, cryopreservation of ejaculated spermatozoa using the cell sleeper method, and subsequently ICSI.






Conclusions

This report describes successful hormonal stimulation of spermatogenesis in a non-obstructive azoospermic male, in whom individual spermatozoa were frozen on cell sleepers. With this procedure, the couple subsequently obtained a live birth after their first ICSI embryo transfer. Although more cases are needed to draw conclusions, we suggest that the combination of male hormonal stimulation, the cell sleeper method, and ICSI treatment might give new hope for biological parenting in such couples, who would otherwise be referred to either sperm donation or adoption.
 

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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