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Male Fertility Services
Micro-TESE (Microsurgical Testicular Sperm Extraction)
A microsurgical procedure to locate and retrieve sperm from the testicle in cases of severe male-factor infertility.
What is this service?
Micro-TESE is a microsurgical technique that uses high magnification to find and remove the small areas of the testicle most likely to contain sperm for use in IVF/ICSI.
Who may need it?
- Men with non-obstructive azoospermia
- Failed conventional sperm retrieval
- Very low sperm production
- Couples requiring sperm for ICSI
Common reasons or symptoms
- No sperm produced in the ejaculate
- Previous unsuccessful TESA or TESE
- Genetic or hormonal causes of low production
What happens during consultation
- Detailed male-factor evaluation
- Hormone and genetic assessment
- Discussion of success rates and IVF/ICSI coordination
- Surgical and anesthesia planning
Tests that may be recommended
- Repeat semen analysis
- Hormone tests (FSH, LH, testosterone)
- Genetic testing (karyotype, Y-microdeletion)
- Scrotal ultrasound
Treatment options
- Micro-TESE under anesthesia
- Sperm used fresh or frozen for ICSI
- Coordination with the female partner's IVF cycle
Risks and limitations
- Standard surgical risks (bleeding, infection)
- Temporary discomfort and swelling
- Sperm may not be found in every case
Frequently asked questions
Micro-TESE uses an operating microscope to target sperm-producing areas, improving retrieval in men with very low sperm production while removing less tissue.
Retrieved sperm can be used immediately or frozen for ICSI as part of an IVF cycle.
Book a private consultation
Speak with our team to learn whether micro-tese (microsurgical testicular sperm extraction) is right for your situation.
Book Appointment