Micro TESE

Micro TESE (Microsurgical Testicular Sperm Extraction)

A Precise Solution for Male Factor Infertility

At Sparsh IVF, we understand that fertility challenges affect both partners. When male infertility stems from non-obstructive azoospermia — a condition where no sperm is present in the ejaculate due to testicular production issues — Micro TESE (Microsurgical Testicular Sperm Extraction) offers a highly advanced solution.

This minimally invasive surgical technique is designed to retrieve viable sperm directly from the testicular tissue, enabling even the most complex male infertility cases to pursue biological parenthood.

What Is Micro TESE?

Micro TESE is a specialized surgical procedure used to extract sperm from men who do not have sperm in their semen due to severely impaired sperm production.

It uses an operating microscope to identify and extract tiny areas of sperm-producing tubules within the testes. These tubules are then processed in the embryology lab to isolate live, usable sperm.

Unlike traditional testicular biopsy, Micro TESE is more targeted, less damaging to testicular tissue, and offers higher success rates in finding sperm — even when standard methods fail.

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Who Needs Micro TESE?

Micro TESE is recommended for men diagnosed with:

  • Non-obstructive azoospermia (NOA)
  • Primary testicular failure
  • Very low or absent sperm production
  • Maturation arrest or Sertoli cell-only syndrome (selective cases)
  • Failed PESA/TESA or needle aspiration attempts
  • Genetic causes of infertility (e.g., Y chromosome microdeletion, Klinefelter’s syndrome — based on counseling)

It is often performed when couples plan ICSI (Intracytoplasmic Sperm Injection) as part of their fertility treatment.

How Micro TESE Works at Sparsh IVF

  • Hormonal evaluation (FSH, LH, Testosterone)
  • Scrotal ultrasound
  • Genetic counseling if necessary
  • Consent and counseling for possible outcomes
  • Performed under general anesthesia by a skilled andrologist
  • A small incision is made in the scrotum
  • A high-powered operating microscope (up to 25x magnification) helps identify seminiferous tubules likely to contain sperm
  • Selective tissue samples are taken with minimal damage to the testis
  • Extracted tissue is examined immediately
  • If live sperm are found, they are either used fresh for ICSI or cryopreserved for future IVF cycles
  • Minimal discomfort; most patients return to light activity within 2–3 days
  • Pain and swelling are managed with medication
  • Regular follow-up for wound healing

Micro TESE vs Conventional Sperm Retrieval

FeatureMicro TESEConventional TESE
MagnificationYes (microscope-guided)No
PrecisionHighRandom tissue sampling
Tissue DamageMinimalHigher risk
Sperm YieldBetter in NOA casesLower success in NOA
RecoveryFaster, less traumaMore pain/swelling

Success Rates of Micro TESE

At Sparsh IVF, Micro TESE success rates range from 40% to 60% depending on the cause and severity of azoospermia. Our results are especially strong when:

  • Patients have adequate testicular volume
  • Hormonal markers are favorable
  • No significant fibrosis or genetic deletions exist

We provide realistic expectations based on detailed diagnostics.

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Is Micro TESE Safe?

Yes. When performed by experienced surgeons in a controlled IVF setting, Micro TESE is:

  • Minimally invasive
  • Does not affect testosterone levels in most cases
  • Can be done as day-care surgery (no overnight stay)
  • Preserves the testis better than random biopsy techniques

At Sparsh IVF, we follow strict sterilization, pain control, and surgical safety protocols.

Micro TESE with ICSI: Your Best Option for Parenthood

The sperm retrieved from Micro TESE are not motile enough for natural fertilization or IUI — but are ideal for ICSI

Once sperm are extracted, we proceed with:

  • Oocyte retrieval from the female partner
  • ICSI: injecting a single live sperm into each mature egg
  • Embryo culture, freezing, and transfer as needed

This combination has enabled thousands of azoospermic men to father biological children.

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Cost of Micro TESE in India

At Sparsh IVF, we offer competitive pricing for Micro TESE surgery, with transparency and no hidden charges. The cost depends on:

  • Type of anesthesia used
  • Whether sperm are used fresh or frozen
  • IVF-ICSI cycle integration

Financial counseling and EMI options are available to support you through the journey.

Why Choose Sparsh IVF for Micro TESE?

  • Expert uro-andrologists with microsurgical training
  • Dedicated andrology OT and on-site embryology lab
  • Immediate coordination with IVF-ICSI team
  • High sperm retrieval success, even in difficult NOA cases
  • Emotional support and discreet counseling for male infertility
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A Ray of Hope, Where None Was Expected

Micro TESE has redefined what’s possible in male infertility. It offers a ray of hope for men who were once told that fathering a child wasn’t an option. At Sparsh IVF, we treat every such case with sensitivity, science, and a deep respect for your dream to become a parent.

Schedule your confidential consultation to explore whether Micro TESE is right for you.

When nature falls silent, precision steps in — bringing life forward, one microscopic step at a time.