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Having no sperm in semen (azoospermia) used to mean that men couldn’t have biological children. But with advanced medical treatments like Micro TESE, fatherhood is now possible for many men facing fertility issues. If you're wondering what Micro TESE is, how it works, its success rate in India, and the recovery process, this guide explains everything in simple terms.
What is Micro TESE?
Micro TESE (Microsurgical Testicular Sperm Extraction) is a surgical procedure where doctors extract sperm directly from the testicles. It is usually recommended for men who cannot produce healthy sperm naturally or who have a very low sperm count. The goal of this procedure is to locate and retrieve healthy sperm that can be used in fertility treatments like IVF (In Vitro Fertilization), increasing the chances of biological fatherhood.
If you are considering Micro TESE, consulting the best IVF specialist in India can help you understand the procedure, risks, and success rates, ensuring the best possible outcome for your fertility journey.
Who Needs Micro TESE?
Doctors recommend Micro TESE for men who have azoospermia, meaning there is no sperm in their semen. It is also suggested for men who have genetic or blockage-related issues due to birth defects, injuries, or previous surgeries. Those with severe oligospermia, meaning an extremely low sperm count of less than 1 million per ml, may also benefit. Additionally, men who have undergone unsuccessful sperm retrieval attempts through other methods, such as TESE, or those with unexplained infertility, may be good candidates for this procedure.
How is Micro TESE Done?
Many men worry about pain during the procedure, but Micro TESE is performed under anesthesia, making it painless. Some mild discomfort after the surgery can be managed with painkillers. The procedure follows a step-by-step process. First, the patient is given general anesthesia to ensure they remain asleep and pain-free. Then, the surgeon makes a small incision in the scrotum and uses a high-powered microscope to locate sperm-producing tubes. Once the sperm is identified, small tissue samples are extracted from both testicles. Finally, the incision is closed with tiny stitches.
What Happens After Surgery?
After the procedure, the extracted tissue samples are analyzed in a laboratory under a microscope. If sperm is found, it is frozen for future use in fertility treatments such as IVF or IUI. Patients typically receive an update on their results the next day.
How to Prepare for Micro TESE?
Before undergoing Micro TESE, patients should discuss their medical history with their doctor and undergo a physical check-up, including blood pressure and temperature measurements. It is also essential to inform the doctor about any allergies or medications being taken. Patients should follow fasting instructions provided before surgery to ensure the procedure is carried out safely.
Micro TESE Success Rate in India
Micro TESE has a success rate of approximately 60%, meaning that sperm retrieval is successful in most cases. However, some men may require multiple attempts if sperm is not found on the first try. The success of the procedure depends on several factors, including the type of azoospermia, the maturity of germ cells, previous infections, varicocele, and conditions like Sertoli cell-only syndrome.
Micro TESE Cost in India
The cost of Micro TESE varies based on factors such as location, doctor’s fees, and the complexity of the case. On average, the procedure costs between ₹50,000 and ₹75,000 or more. At Bloom IVF, high-quality treatment is offered at affordable rates, with expert doctors and modern facilities ensuring the best possible care.
Benefits & Side Effects of Micro TESE
Micro TESE provides several benefits, including helping men with non-obstructive azoospermia, improving sperm retrieval rates while minimizing damage to testicles, and increasing the chances of achieving pregnancy. Additionally, it is a minimally invasive procedure with less pain and a quick recovery period. However, some potential side effects include difficulty in finding sperm in rare cases, minor bleeding or infection risks, and mild discomfort after surgery.
TESE vs. Micro TESE: What’s the Difference?
Traditional TESE and micro-TESE differ significantly in their approach and effectiveness. TESE does not use a microscope, whereas micro-TESE employs high magnification to enhance precision. TESE is generally used for cases of obstructive azoospermia, where sperm is blocked from ejaculation, whereas Micro TESE is designed for non-obstructive azoospermia, where sperm is harder to find. Micro TESE is considered more accurate and has a higher success rate compared to TESE.
Conclusion
Micro TESE is a highly effective procedure that offers hope to men with low or no sperm count. With a high success rate and minimal risks, it has helped many couples achieve their dream of parenthood. If you're struggling with infertility, consult the fertility experts at Bloom IVF to explore your options and take the first step toward starting your family.


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