Microsurgery on the male reproductive organs
Both the Vas Deferens and Epididymis can be affected by infection or injury and may require the delicate nature of microsurgery in an attempt to restore normal function. Except for sterilisation reversal, reproductive microsurgery is an uncommon treatment for male infertility as most cases which would previously have been treated in this way can now be more effectively treated with IVF.
Microsurgery is still occasional used when there is a localized obstruction in the vas deferens following infection or trauma. It can also be used as an alternative method of sperm extraction if the vas deferens is congenitally absent
Sperm, Egg or Embryo Donation
For those unlucky couples who have either no sperm or no eggs as a results of congenital abnormality, infection disease or surgery receiving a donation of gametes (eggs or sperm) or embryos (produced through IVF) from another person will be the only way that together they can have a child. This will always involve some form of assisted conception such as artificial insemination or IVF. It may also necessitate the donor going through considerable treatment.
It is now uncommon for fertility clinics in Australia to have many people volunteering to be anonymous egg or sperm donors. There is a trend (often reinforced by legislation) to use identifiable or known donors due to the issue of genetic bewilderment - where the children produced by these treatments are demanding knowledge of heir genetic heritage. Advertising by childless couples to attract donors is common place. Many people also approach friends or relatives to be known donors. Our practice will only provide treatment using identifiable or known donors.
There are a wide range of ethical, moral and personal issues which surround such donations. Many states have laws which control, limit or prohibit such treatment. Counselling will always be necessary. Assessment by a clinical geneticist may provide considerable additional assistance.