When would a testicular biopsy be performed in diagnosing male infertility?

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  1. Dr. Natan Bar-Chama
     
    Dr. Natan Bar-Chama of The Mount Sinai Medical Center answered:
    A testicular biopsy is performed when a semen analysis shows a very low number of sperm or no sperm at all. Performed in an operating room under general or regional anesthesia through a small cut in the scrotum, this test may also be done in a clinic. A small piece of tissue is removed from each testicle for microscopic evaluation. The biopsy serves two purposes: to determine the cause of infertility, and, if necessary, to retrieve sperm for assisted reproduction. Besides a semen analysis, a hormonal profile to discover the testicles’ sperm-producing abilities may be required. This will also serve to rule out other adverse conditions.
    More Related Answers from The Mount Sinai Medical Center
    A testicular biopsy is performed when a semen analysis shows a very low number of sperm or no sperm at all. Performed in an operating room under general or regional anesthesia through a small cut in the scrotum, this test may also be done in... More