Sperm cryopreservation protocol for micro-TESE-retrieved sperm

Azoospermia is characterized by the absence of sperm in the ejaculate and is categorized into obstructive azoospermia (OA) and nonobstructive azoospermia (NOA). For men with NOA, testicular sperm extraction (TESE) is the only method to obtain sperm for assisted reproductive technology (ART). Given t...

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Main Authors: Vijay Mangoli, Evangelini Evgeni, Christine Wyns
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Asian Journal of Andrology
Subjects:
Online Access:https://journals.lww.com/10.4103/aja202466
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author Vijay Mangoli
Evangelini Evgeni
Christine Wyns
author_facet Vijay Mangoli
Evangelini Evgeni
Christine Wyns
author_sort Vijay Mangoli
collection DOAJ
description Azoospermia is characterized by the absence of sperm in the ejaculate and is categorized into obstructive azoospermia (OA) and nonobstructive azoospermia (NOA). For men with NOA, testicular sperm extraction (TESE) is the only method to obtain sperm for assisted reproductive technology (ART). Given the rarity of these sperm and the unpredictable success of subsequent retrieval attempts, cryopreservation of microdissection-TESE-obtained sperm is essential. Effective cryopreservation prevents the need for repeated surgical procedures and supports future ART attempts. After first delving into the physiological and molecular aspects of sperm cryopreservation, this review aims to examine the current methods and devices for preserving small numbers of sperm. It presents conventional freezing and vitrification techniques, evaluating their respective strengths and limitations in effectively preserving rare sperm, and compares the efficacy of using fresh versus cryopreserved testicular sperm.
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publisher Wolters Kluwer Medknow Publications
record_format Article
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spelling doaj-art-fd55a439c7bb4b0fbd54c0f527baf9ff2025-08-20T02:01:58ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622025-05-0127339239810.4103/aja202466Sperm cryopreservation protocol for micro-TESE-retrieved spermVijay MangoliEvangelini EvgeniChristine WynsAzoospermia is characterized by the absence of sperm in the ejaculate and is categorized into obstructive azoospermia (OA) and nonobstructive azoospermia (NOA). For men with NOA, testicular sperm extraction (TESE) is the only method to obtain sperm for assisted reproductive technology (ART). Given the rarity of these sperm and the unpredictable success of subsequent retrieval attempts, cryopreservation of microdissection-TESE-obtained sperm is essential. Effective cryopreservation prevents the need for repeated surgical procedures and supports future ART attempts. After first delving into the physiological and molecular aspects of sperm cryopreservation, this review aims to examine the current methods and devices for preserving small numbers of sperm. It presents conventional freezing and vitrification techniques, evaluating their respective strengths and limitations in effectively preserving rare sperm, and compares the efficacy of using fresh versus cryopreserved testicular sperm.https://journals.lww.com/10.4103/aja202466artcryopreservationmicro-tesenonobstructive azoospermiarare sperm
spellingShingle Vijay Mangoli
Evangelini Evgeni
Christine Wyns
Sperm cryopreservation protocol for micro-TESE-retrieved sperm
Asian Journal of Andrology
art
cryopreservation
micro-tese
nonobstructive azoospermia
rare sperm
title Sperm cryopreservation protocol for micro-TESE-retrieved sperm
title_full Sperm cryopreservation protocol for micro-TESE-retrieved sperm
title_fullStr Sperm cryopreservation protocol for micro-TESE-retrieved sperm
title_full_unstemmed Sperm cryopreservation protocol for micro-TESE-retrieved sperm
title_short Sperm cryopreservation protocol for micro-TESE-retrieved sperm
title_sort sperm cryopreservation protocol for micro tese retrieved sperm
topic art
cryopreservation
micro-tese
nonobstructive azoospermia
rare sperm
url https://journals.lww.com/10.4103/aja202466
work_keys_str_mv AT vijaymangoli spermcryopreservationprotocolformicroteseretrievedsperm
AT evangelinievgeni spermcryopreservationprotocolformicroteseretrievedsperm
AT christinewyns spermcryopreservationprotocolformicroteseretrievedsperm