Abstract
Objective: To report the successful use of testicular sperm aspiration and intracytoplasmic sperm injection in the presence of an Escherichia coli–infected ejaculate that previously caused repeated embryo degeneration. Design: Case report. Setting: University medical center. Patient(s): A 38-year-old woman who did not conceive for 6 years with repeated IVF attempts. Escherichia coli was isolated from both the oocyte culture dish and her male partner’s ejaculate. Intervention(s): Testicular sperm aspiration and intracytoplasmic sperm injection followed by ET. Main Outcome Measure(s): Clinical outcome. Result(s): Establishment of a pregnancy delivered at term. Conclusion(s): Patients undergoing IVF treatment who have repeated embryo degeneration caused by bacterial infection originating in the ejaculate may be treated successfully with testicular sperm aspiration and intracytoplasmic sperm injection.
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