MESA: Something I need to tell hubster


The hubster and I are preparing for our sixth IVF process. After researching the hell out of Google on the issues we are looking at, one of the things I am really happy about is that the sperm that we have been using from hubster, obtained through a TESA is going to be destroyed and a new procedure called a MESA is going to be undertaken instead.

Now, I haven’t explained that to the hubster…. yet. He has agreed to another round of IVF, not quite knowing what he is up for.

The poor guy is having to take medication at the moment to treat a possible Ureaplasma infection, and he is also undergoing tests for his blood pressure (which was high when it was last taken), along with blood tests and urine tests. So, he is putting in his fair share, but I haven’t as yet told him that just after Christmas and before New Years Eve he will be in for a big surprise indeed!

Now, those who don’t know, TESA and MESA refer to sperm aspiration. See, the hubster had a vasectomy 18 years ago after having his two children from a previous marriage. He was so fertile, that he just needed to look at his ex-wife and they were pregnant. But, I digress, a TESA stands for a Testicular Sperm Aspiration. In a TESA, sperm are usually collected from the epididymis whereby testicular tissue is extracted through a fine needle under a local anaesthesia.

MESA on the other hand stands for Microsurgical Epididymal Sperm Aspiration. A scrotal skin incision is made, and the testis and epididymis are exposed. Using an operating microscope, a single epididymal tubule is opened and sperm are aspirated (extracted). This procedure may be performed with a general anesthetic, or a local anesthetic with intravenous sedation.

MESA has been our procedure of choice because of the ability to retrieve large numbers of sperm that may be cryopreserved (frozen) and used in future cycles. Thus, the need for future procedures is eliminated and the amount of epididymal damage limited.

I am not too sure when I will slide this little nugget of information into my conversation with the hubster. Maybe after a few drinks? Or, perhaps when we are in Amsterdam enjoying some ganja? He is sure to be nice and relaxed then!

Bwhahahahahaha (evil laugh)

 

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