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Microepididymal sperm aspiration MESA is a surgical approach for collection of sperm when the ejaculatory tubes ducts are blocked or have been interrupted by a previous vasectomy. It's like online shopping.

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In one case , of a man who was due to be taken off life support, a team of doctors eventually denied a request to retrieve sperm, in line with regulations. More prolonged period does not yield better results.

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This is a reflex action, which means it is not consciously controlled. Inside the testes sperm is made in structures called the seminiferous tubules.

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Description: Although the functional significance of these changes remains unclear, they may facilitate sperm transit through the oviduct and provide the necessary force needed to penetrate the granulosa cell layer and zona pellucida surrounding the ovum.

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