My DH's Computer Assisted Sperm Assessment (CASA) and Semen Analysis Test Reports

Here's a copy of my DH's CASA and Semen Analysis Test Reports for reference.

The first report is of a Computer Assisted Sperm Assessment (CASA) done in Manipal Hospital Bangalore (MHB's) Advanced Andrology Laboratory in the month of Dec'12, which was 2 months prior to my DH's TESE procedure.

The next report is of a simple Semen Analysis test done in a reputed Pathological Clinic in Bangalore. It is evident that the sperm count became NIL after TESE.

Post-TESE: Excruciating pain for more than a month

Egg Retrieval (ER) process in MHB is done under General Anaesthesia (GA). Similar to Hysteroscopy, I got my Pre-Anaesthesia Check (PAC) done two days prior to the specified procedure date.

Unfortunately, even after a month of rest and recovery, my DH's pain was unbearable. He had troubling driving to work, sitting on his office chair for long hours, basically each and every activity which involved lower body movement.

So after my PAC that day, we requested Dr. Vasan S.S. to have a look at the surgery site. Even before inspecting the source of pain, he concluded it to be an internal clot and said it would heal on its own. Upon requesting him hard enough, he agreed to check. For your information, everyday at least 10 patients came to consult only him.

Turned out that the pain was caused by the sloppy suturing done during TESE a month ago. Dr. Vasan did cut out a small piece of thread but the excruciating pain continued. More about it later.

TESA or TESE: It is the doctor's call

Since the medication prescribed for my DH was doing no good, his andrologist Dr. Vasan S S decided to introduce us to the term Testicular Sperm Aspiration (TESA). TESA involves anaesthetizing the scrotum, then a very tiny needle is passed into the testicle, and sperm along with a small amount of testicular tissue is aspirated out. As per his gut feel, this process will enable him to retrieve a few good quality sperms; TESA had been proven successful in cases where no sperm was found in the Semen Analysis but sperms would be available in the testicles or the epididymis. As that was our case, we went ahead with the "needle aspiration" procedure in Feb' 13.

Although information on the internet said TESA is done under local anaesthesia, we were asked to get my DH's Pre-Anaesthesia Check (PAC) to be completed two days prior to the TESA procedure. The procedure took time and after the minor surgery got over, Dr. Vasan informed me that he had to perform a Testicular Sperm Extraction (TESE) instead. TESE involves few small incisions and taking out some tissue from inside the testicle. As you are made to sign all sorts of consent forms before the hospital performs any procedure, it is then the doctor's decision to take necessary steps to try all possible ways to achieve the objective.

They informed us of cryopreserving two vials of sperms extracted during TESE. Since the incisions and sutures were at a very delicate part of my DH's body, he was advised to take a break from work for a week with restricted movements. It was a tough and painful phase of our lives.

Now, things were supposed to unravel the next month, after my Egg Retreival (ER) process.