Azoospermia, a condition where there is no sperm in the ejaculate, no longer means men cannot become biological fathers. Thanks to advanced medical procedures like Micro TESE, sperm retrieval is now possible for men facing fertility challenges.

What is Micro TESE?

Micro TESE stands for Microsurgical Testicular Sperm Extraction. It is a surgical procedure where doctors extract sperm directly from the testicles. This technique is often recommended by the best IVF specialist in India for men who cannot ejaculate or whose semen does not contain healthy sperm. 

The goal of Micro TESE is to find the healthiest sperm possible, which can then be used for fertility treatments like IVF (In Vitro Fertilization). This method has become one of the most reliable ways for men to achieve biological parenthood.

When is Micro TESE Recommended?

Doctors suggest Micro TESE for men with the following conditions:

• Azoospermia – No sperm in the ejaculate.

• Genetic Disorders – Conditions affecting sperm production or causing blockages.

• Severe Oligospermia – Extremely low sperm count (less than 1 million per milliliter).

• Failed Sperm Retrieval Attempts – If previous sperm extraction methods like TESE or biopsies were unsuccessful.

• Unexplained Infertility – When the cause of infertility is unknown, micro-TESE can help retrieve sperm.

How is the Micro TESE Procedure Done?

Many patients wonder if Micro TESE is painful. The procedure itself is not painful as it is performed under general anesthesia, but mild discomfort afterward can be managed with painkillers.

Steps of the Micro TESE Procedure:

1. The patient is given general anesthesia for comfort during the procedure.

2. The surgeon makes a small incision in the middle of the scrotum.

3. Using a high-powered surgical microscope, the testicles are examined to locate sperm-producing tubules.

4. Small tissue samples are taken from one testicle, and the process is repeated on the second testicle if necessary.

5. The incision is closed with tiny stitches.

What Happens After the Surgery?

• The tissue samples are examined under a microscope to find sperm.

• If sperm is detected, it is extracted and frozen in liquid nitrogen for future use in IVF or IUI.

• The patient usually receives an update on sperm retrieval the next day.

How to Prepare for Micro TESE

Preparation is essential for successful sperm retrieval. Follow these steps:

• Discuss your medical history with your doctor.

• The doctor will check your vitals like blood pressure and pulse.

• A physical examination will be done to assess your overall health.

• Inform your doctor about any allergies or medications you are taking.

• Follow the dietary and drinking instructions provided by your doctor before the procedure.

Success Rate of Micro TESE

Micro TESE is successful in about 60% of cases. However, multiple procedures may be needed if the goal is to use the sperm for in vitro fertilization (IVF). The success rate depends on factors such as:

• Severity of azoospermia

• Sperm cell development

• Presence of testicular conditions like varicocele or prior infections

Cost of Micro TESE in India

The cost of the Micro TESE procedure in India varies based on the clinic, doctor’s experience, and complexity of the case. The procedure typically costs between ₹50,000 to ₹75,000 or more. Clinics like Bloom IVF provide high-quality care at reasonable prices.

Benefits & Side Effects of Micro TESE

Like any medical procedure, Micro TESE has advantages and some risks.

Benefits:

• Effective for treating non-obstructive azoospermia.

• High sperm retrieval rates with minimal testicular damage.

• Increases the chances of pregnancy for couples facing infertility.

• Faster recovery with minimal pain.

Side Effects:

• Difficulty in locating sperm in some cases.

• Minor bleeding or swelling.

• Risk of infection.

• Side effects of general anesthesia.

Difference Between TESE and Micro TESE

• TESE (Testicular Sperm Extraction) does not use a microscope, whereas Micro TESE does.

• Micro TESE is recommended for non-obstructive azoospermia, where sperm production is difficult to detect.

• TESE is used for obstructive azoospermia, where sperm production is normal but cannot reach the ejaculate.

Conclusion

Micro TESE has given hope to many men struggling with infertility by offering a highly advanced sperm retrieval method. This procedure allows doctors to carefully locate and extract sperm, enabling couples to start their journey toward parenthood. If you're considering Micro TESE, consult fertility experts at Bloom IVF to explore your options and take the first step toward achieving your dream of becoming a parent.