Male fertility in Fes

Surgical sperm retrieval in FesTesticular biopsy and epididymal aspiration, for ICSI

When semen contains no sperm (azoospermia), it is sometimes possible to retrieve sperm directly from the epididymis, by epididymal aspiration, or from the testicle, by testicular biopsy. At the Boudra Fertility Center, the first IVF center in Fes, the sperm obtained is used for ICSI or frozen for a later attempt.

Call +212 5 35 93 08 18 Book an appointment

Two techniquesEpididymal aspiration or testicular biopsy
For ICSISperm is micro-injected into the egg
Freezing possibleFor further attempts without a new procedure
On-site laboratoryImmediate analysis of the sample

How it works

Why retrieve sperm surgically?

Azoospermia means there is no sperm in the semen. It can be obstructive, when sperm is produced but cannot come out because of a blockage, or non-obstructive, when production in the testicle is very low.

In both cases, surgical retrieval may find sperm. As there are few of them, they are used for ICSI: each sperm cell is injected directly into an egg in the laboratory, during IVF.

The techniques

Epididymal aspiration and testicular biopsy

Initial tests

Semen analyses, hormone tests, ultrasound and sometimes genetic tests point to the right technique.

Epididymal aspiration

A fine needle draws fluid from the epididymis. It is mainly offered for obstructive azoospermia.

Testicular biopsy

Small pieces of tissue are taken from the testicle and examined in the laboratory for sperm.

Use

Any sperm found is used for ICSI the same day or frozen for later.

In practice

What happens during the procedure?

Retrieval is performed by a surgeon, in coordination with the center’s laboratory:

it is a day procedure, under local or general anesthesia depending on the technique
you go home the same day
mild discomfort or pain may last a few days
rare risks include bruising and infection
the laboratory gives you the result after analysing the sample

Your care

Support for the couple

Dr Najib Boudra sees the couple to explain the options, organise the retrieval and, if needed, coordinate it with the partner’s ovarian stimulation. He tells you clearly that retrieval does not always find sperm.

This care is part of the infertility work-up and assisted reproduction in Fes. To learn more about micro-injection, read ICSI and IVF: what is the difference? and couple infertility: when to see a doctor.

Contact details

Dr Najib Boudra in Fes

DoctorDr Najib Boudra, obstetrician gynecologist
SpecialtiesGynecology, obstetrics and pregnancy follow-up, ultrasound, fertility and assisted reproduction (IVF, ICSI, insemination)
AddressBoudra Fertility Center, 7 Rue Abdelkrim El Khattabi, 30000 Fes, Morocco
Phone05 35 93 08 18 (+212 5 35 93 08 18)
HoursMonday to Friday: 9 am to 6 pm
Saturday: 9 am to 1 pm
Sunday: closed

Call +212 5 35 93 08 18 Directions on Google Maps

Frequently asked questions

Your questions about surgical sperm retrieval

What is the difference between epididymal aspiration and testicular biopsy?

Epididymal aspiration uses a needle to draw fluid from the epididymis, where sperm is stored. Testicular biopsy takes small pieces of tissue from the testicle, where sperm is produced. The choice depends on the cause of azoospermia.

Is retrieval painful?

It is done under anesthesia. Afterwards, mild discomfort or pain may last a few days and is relieved with the prescribed painkillers.

Is sperm always found?

No. The chances depend mainly on the cause of azoospermia. Initial tests help estimate whether retrieval is likely to succeed.

Can retrieved sperm be frozen?

Yes. It can be frozen for a later ICSI, which may avoid a new procedure.

How do I book an appointment?

Call the secretariat on 05 35 93 08 18 (+212 5 35 93 08 18 from abroad) or write to fertilitycenter@boudrafc.com.

Where is the center?

At the Boudra Fertility Center, 7 Rue Abdelkrim El Khattabi, 30000 Fes. The center is open Monday to Friday from 9 am to 6 pm and on Saturday from 9 am to 1 pm.

Patients’ Google reviewsDr Najib Boudra, gynecologist, obstetrician and IVF centerReviews published on Google

      EXCELLENT  
   Basée sur 111 avis 
    
 
 
 
   
 
 
       Publié sur Google  
   
   Arabi Meknes 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Merci dr Najib pour ton accueil c vraiment top top et mille merci pour toutes l'équipe du cabinet je suis très satisfaite
  
 
      Publié sur Google  
   
   Elkati Driss 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Excellent gynécologue, très professionnel et à l’écoute. Il prend le temps d’expliquer et met en confiance dès la première consultation. Merci pour votre sérieux et votre bienveillance.
  
 
      Publié sur Google  
   
   Sanae Kitane 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Je remercie infinement dr Boudraa une personne adorable et médecin très compétent un grand professionnalisme écoute attentivement son patient et prend le maximum de temps pour le satisfaire sur les plans morale et soins et traitement et suivi, toute les personnes visitant dr Boudraa à es ma recommandations ont été très satisfaits en plus tout le sataf est très aceuillant je recommande vivement 👍
  
 
      Publié sur Google  
   
   Amine A 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Excellent docteur et équipe formidable  je le recommande vivement
  
 
      Publié sur Google  
   
   Meryem Ktiri 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Un médecin très compétent tjrs a l écoute
  
 
      Publié sur Google  
   
   Nouhaila Ait boukioud 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Meilleur docteur
  
 
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   aem caziro2 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Tbarkallah 3lih
  
 
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   Anas Machkour 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Franchement top ! Doux, respectueux, et il met en confiance direct
  
 
      Publié sur Google  
   
   anas el 
 
 
 
 Trustindex vérifie que la source originale de l'avis est Google. Il explique tout clairement et prend le temps de répondre aux questions. Très rassurant et humain.