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Micro-TESE

Micro-TESE

What is Micro-TESE?

At Hzb Arogyam Fertility Care and Endoscopy Centre, we offer Microscopic Testicular Sperm Extraction (Micro-TESE), a specialized surgical procedure designed to retrieve sperm from the seminiferous tubules of the testicles.

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This innovative technique is specifically tailored for men diagnosed with non-obstructive azoospermia, a condition characterized by the absence of detectable sperm in the semen, often a primary cause of male infertility.

Overview

At Hzb Arogyam Fertility Care and Endoscopy Centre, Microscopic Testicular Sperm Extraction (Micro-TESE) is a specialized surgical procedure offered to patients with non-obstructive azoospermia or severe male factor infertility.

Indications for Micro-TESE

Our fertility experts recommend Micro-TESE in the following cases:​

  • Azoospermia (absence of sperm in the ejaculate)

  • Severe male factor infertility

  • Obstruction of the vas deferens due to surgical or infectious causes

  • Genetic causes, such as mutations of the cystic fibrosis gene

  • Low testosterone levels or abnormal hormone tests

  • Previous failed sperm retrieval attempts

Benefits of Micro-TESE

Micro-TESE offers several advantages, including:​

  • Higher success rates of sperm retrieval (up to 60%)

  • Minimal damage to the testicles

  • Effective solution for non-obstructive azoospermia and severe male factor infertility

Risks and Complications

While Micro-TESE is a safe procedure, potential risks and complications include

  • Bleeding and infection

  • Pain and inflammation in the scrotum

  • Testicle damage or infection

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Our experienced fertility specialists will discuss the benefits and risks of Micro-TESE with you, helping you make an informed decision about your treatment options.

Micro-TESE Procedure

  • Stage 1: Birth Control Pills or Oestrogen
    Your doctor may recommend oestrogen or birth control tablets before you begin IVF therapy. This is used to regulate the time of your menstrual cycle and prevent the growth of ovarian cysts. It enables your doctor to manage your treatment and increase the number of mature eggs collected during the egg retrieval operation.
  • Stage 2: Ovarian Stimulation
    In a normal woman, each menstrual cycle results in the production of one egg. However, several eggs are necessary for IVF. The likelihood of creating a healthy embryo improves when more than one egg is used. To boost your body's egg production, you'll be given fertility medications. You'll be prescribed injectable hormone medications during your IVF cycle to encourage all of the eggs in that cycle to develop at once and completely.
  • Stage 3: Ultrasound Examination
    To evaluate how well the medications on your ovaries are working, a vaginal ultrasound test is performed at regular intervals. If the outcome is bad, it's possible that your doctor will suggest stopping the IVF treatment cycle. You and your doctor will decide together on this.
  • Stage 4: Egg Retrieval
    The egg retrieval procedure is carried out 36 hours following your hormone IVF injections given for stimulation. Transvaginal sonography is used to help retrieve eggs from the ovaries while the patient is under general anesthesia. Your reaction to the medications will determine how many eggs are collected, and the operation lasts 15 to 30 minutes. Around two to three hours following the treatment, you can leave for home. Sometimes there may be some stomach pain and vaginal spotting, but these symptoms usually go away in a day or two.
  • Stage 5: Sperm Collection
    A sample of semen is required from your spouse. On the day the eggs are harvested, a sample of fresh semen is often taken. A previously frozen sample can also be used, though, if a fresh sample can't be made on the same day or if the spouse isn't there on the day, the eggs are collected. The sperm and the eggs will be combined by a technician in a petri dish. If it fails to result in embryos, your doctor can choose to perform ICSI.
  • Stage 6: Fertilizing the Eggs
    The eggs will be fertilized in the laboratory, either through ICSI or traditional IVF. The embryologist will check the eggs the following day to see whether they have been fertilized and then later to see if any embryos have developed further. It is possible to freeze additional well-developed embryos if there are more than three for eventual later transfer.
  • Stage 7: Embryo Culture
    The fertilized eggs (embryos) are nurtured in a controlled environment, allowing them to grow and develop.
  • Stage 8: Embryo Transfer
    This is done two, three, or five days following egg harvest. To decide if a day 3 or day 5 transfer is necessary, embryologists keep an eye on the development and viability of the embryos. The embryo is positioned in your uterus using a tiny catheter that is implanted. It takes between six and ten days for the implantation to take place if the operation is successful. A course of medicines to assist the luteal phase will be provided to you after the transfer.
  • Stage 9: Pregnancy Test
    A pregnancy blood test is carried out after two weeks following extraction. In the event that the test is positive, the patient is thought to be four weeks pregnant.

At Hzb Arogyam Fertility Care and Endoscopy Centre, Microscopic Testicular Sperm Extraction (Micro-TESE) is a surgical procedure performed to retrieve sperm from the testicles for men with little or no sperm in their ejaculate.

A microscope positioned on a surface, featuring a glass slide placed on its stage for examination.

Cost of Micro-TESE 

Microsurgical testicular sperm extraction (Micro-TESE) is a highly effective treatment for non-obstructive azoospermia and severe male infertility, with a success rate of up to 60%. The cost of Micro-TESE at our centre may vary depending on several factors, including:​

  1. Location and type of hospital

  2. Availability of advanced facilities and equipment

  3. Current medication and treatment requirements

  4. Number and frequency of follow-up visits

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​Our team of fertility experts will provide you with a personalized quote and guide you through the cost implications of Micro-TESE treatment. We strive to make our treatments accessible and affordable, while maintaining the highest standards of care and expertise.

Why Choose Arogyam IVF?

At Arogyam IVF, we offer a comprehensive range of fertility treatments, backed by a strong network, experienced doctors,

and a patient-centric approach. Here's what sets Arogyam IVF apart:​​​​

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  1. Exceptional Success Rates: Arogyam IVF has achieved remarkable success rates, thanks to our cutting-edge technology, expert doctors, and personalized care.

  2. State-of-the-Art Infrastructure: Our modern fertility clinic is equipped with the latest technology, ensuring efficient and effective treatment.

  3. Experienced Fertility Specialists: Our team of experienced fertility doctors works closely with each patient, providing expert guidance and tailored treatment plans.

  4. Personalized Fertility Treatment: We recognize that each couple's fertility journey is unique. Our personalized approach focuses on individual medical history, diagnosis, and specific needs.

  5. Comprehensive Fertility Services: Arogyam IVF offers a wide range of fertility treatments, including IVF, ICSI, IUI, Cryopreservation, and Donor Programs.

  6. Patient-Centric Care: Our dedicated team provides compassionate support and guidance throughout your fertility journey, ensuring a seamless and stress-free experience.​

Frequently Asked Question's

  • Stage 1: Birth Control Pills or Oestrogen
    Your doctor may recommend oestrogen or birth control tablets before you begin IVF therapy. This is used to regulate the time of your menstrual cycle and prevent the growth of ovarian cysts. It enables your doctor to manage your treatment and increase the number of mature eggs collected during the egg retrieval operation.
  • Stage 2: Ovarian Stimulation
    In a normal woman, each menstrual cycle results in the production of one egg. However, several eggs are necessary for IVF. The likelihood of creating a healthy embryo improves when more than one egg is used. To boost your body's egg production, you'll be given fertility medications. You'll be prescribed injectable hormone medications during your IVF cycle to encourage all of the eggs in that cycle to develop at once and completely.
  • Stage 3: Ultrasound Examination
    To evaluate how well the medications on your ovaries are working, a vaginal ultrasound test is performed at regular intervals. If the outcome is bad, it's possible that your doctor will suggest stopping the IVF treatment cycle. You and your doctor will decide together on this.
  • Stage 4: Egg Retrieval
    The egg retrieval procedure is carried out 36 hours following your hormone IVF injections given for stimulation. Transvaginal sonography is used to help retrieve eggs from the ovaries while the patient is under general anesthesia. Your reaction to the medications will determine how many eggs are collected, and the operation lasts 15 to 30 minutes. Around two to three hours following the treatment, you can leave for home. Sometimes there may be some stomach pain and vaginal spotting, but these symptoms usually go away in a day or two.
  • Stage 5: Sperm Collection
    A sample of semen is required from your spouse. On the day the eggs are harvested, a sample of fresh semen is often taken. A previously frozen sample can also be used, though, if a fresh sample can't be made on the same day or if the spouse isn't there on the day, the eggs are collected. The sperm and the eggs will be combined by a technician in a petri dish. If it fails to result in embryos, your doctor can choose to perform ICSI.
  • Stage 6: Fertilizing the Eggs
    The eggs will be fertilized in the laboratory, either through ICSI or traditional IVF. The embryologist will check the eggs the following day to see whether they have been fertilized and then later to see if any embryos have developed further. It is possible to freeze additional well-developed embryos if there are more than three for eventual later transfer.
  • Stage 7: Embryo Culture
    The fertilized eggs (embryos) are nurtured in a controlled environment, allowing them to grow and develop.
  • Stage 8: Embryo Transfer
    This is done two, three, or five days following egg harvest. To decide if a day 3 or day 5 transfer is necessary, embryologists keep an eye on the development and viability of the embryos. The embryo is positioned in your uterus using a tiny catheter that is implanted. It takes between six and ten days for the implantation to take place if the operation is successful. A course of medicines to assist the luteal phase will be provided to you after the transfer.
  • Stage 9: Pregnancy Test
    A pregnancy blood test is carried out after two weeks following extraction. In the event that the test is positive, the patient is thought to be four weeks pregnant.

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