What is a common management option for CBAVD-related infertility?

• A. Ovulation induction
• B. Sperm donation
• C. Donor eggs only
• D. Sperm retrieval such as TESE for ICSI

Answer: (D)

In CBAVD, the vas deferens are absent, so sperm can’t reach the semen, creating a male-factor infertility with normal testicular sperm production. The most common management is surgically retrieving sperm from the testes (TESE) or epididymis and then using those sperm with intracytoplasmic sperm injection (ICSI) to fertilize an egg. This approach uses the patient’s own sperm and bypasses the missing conduits to ejaculation, making it a practical and effective option for achieving pregnancy. Ovulation induction targets female ovulation and isn’t addressing the male-factor issue, while donor eggs would involve a different route that doesn’t use the patient’s sperm; donor sperm could be considered in other circumstances, but the typical strategy for CBAVD is retrieving sperm for ICSI.