What is Micro-TESE?
Micro-TESE (Microsurgical Testicular Sperm Extraction) is a specialized surgical procedure used to retrieve sperm directly from the testicular tissue in men with non-obstructive azoospermia, a condition where no sperm is found in the ejaculate due to poor or absent sperm production in the testes.
Using a high-powered operating microscope, a fertility surgeon identifies and extracts tiny pockets of sperm-producing tissue that may still contain viable sperm. These sperm can then be used for fertilization through ICSI (intracytoplasmic sperm injection) during an IVF cycle.
At Zemya IVF & Fertility Clinics, we offer micro-TESE in Delhi as part of our advanced male fertility services for couples facing severe male factor infertility.
When is Micro-TESE Recommended?
Micro-TESE is typically recommended for:
- Men diagnosed with non-obstructive azoospermia (NOA)
- Men with a history of testicular failure or undescended testes
- Those who have normal hormone levels but no sperm in ejaculate
- Men who have previously failed conventional sperm retrieval techniques
- Men who do not wish to use donor sperm and want to try for biological fatherhood
- Genetic conditions like Klinefelter syndrome with possible focal sperm production
Before micro-TESE, a complete male fertility evaluation including hormone testing, scrotal ultrasound, and sometimes a testicular biopsy is performed.
Benefits of Micro-TESE
- Higher success rates of sperm retrieval compared to standard testicular aspiration techniques
- Minimally invasive and microscopically guided, reducing tissue damage
- Helps men with severe testicular failure have a chance at biological fatherhood
- Sperm retrieved can be frozen for future ICSI cycles
- Avoids the need for repeated invasive procedures
- Reduces the need for donor sperm in many cases
At Zemya IVF & Fertility Clinics, micro-TESE is performed by experienced andrologists under high-resolution magnification for optimal outcomes.
Complications and Risks of Micro-TESE
While micro-TESE is considered a safe and effective procedure, it is still a form of surgery and may carry some risks:
- Mild pain or discomfort at the surgical site
- Temporary swelling or bruising of the scrotum
- Risk of infection (rare with proper sterile technique)
- Bleeding or hematoma formation in rare cases
- May result in scar tissue if done repeatedly
- No guarantee of sperm retrieval in all cases
Proper pre-operative evaluation and post-operative care help minimize these risks. At Zemya IVF & Fertility Clinics, our surgical team follows strict protocols to ensure patient safety and comfort.
Micro-TESE Procedure – Step-by-Step
Step 01
Pre-surgical evaluation
- Detailed consultation, hormone tests (FSH, LH, testosterone), and scrotal ultrasound
- Discussion of procedure, risks, and alternatives like donor sperm
- Semen analysis confirms azoospermia across at least two samples
Step 02
Anesthesia and preparation
- Micro-TESE is typically done under local anesthesia with sedation or general anesthesia
- The procedure is outpatient, and patients can usually go home the same day
Step 03
Surgical process
- A small incision is made in the scrotum to access the testis
- Using a surgical microscope, the surgeon examines the seminiferous tubules (where sperm are produced)
- Tissue is removed only from areas with higher chances of active sperm production
- Retrieved tissue is immediately handed to the embryologist to search for live sperm
Step 04
Sperm preservation or use
- If sperm are found, they are either:
- Used immediately for ICSI, or
- Frozen for future IVF treatment
- If no sperm are found, further steps like genetic counseling or donor sperm may be discussed
Step 05
Recovery
- Light activities are allowed after 24–48 hours
- Mild swelling and discomfort are common and usually resolve within a week
- Follow-up appointments are scheduled for wound care and treatment planning
Cost of Micro-TESE and What Affects It
The cost of micro-TESE can vary depending on:
- Whether the procedure is combined with an IVF-ICSI cycle
- The need for sperm freezing and storage
- Type of anesthesia used
- Laboratory handling and on-site embryologist support
- Whether the retrieval is done fresh or in a planned cycle
- The complexity of the case (e.g., repeat surgery, coexisting health issues)
At Zemya IVF & Fertility Clinics, we offer affordable micro-TESE in Delhi, with complete transparency, pre-surgical evaluation, and personalized guidance. Every patient receives a clear treatment plan outlining medical and financial aspects before the procedure.
Why choose Zemya IVF & Fertility Clinics?
At Zemya IVF & Fertility Clinics, we design each treatment plan around your specific needs and medical history.
With over 40+ years of combined experience and more than 10,000 healthy deliveries, our team is committed to helping you achieve your dream of parenthood with skill, care, and compassion.
Here’s what makes Zemya IVF & Fertility Clinics one of the top 5 IVF and fertility centres in Delhi:
Each treatment is designed specifically around your medical history, goals, and emotional needs.
Our doctors and embryologists are internationally accredited and bring decades of hands-on fertility experience to every case.
We explain everything clearly—no hidden fees, no unnecessary procedures.
Get access to the best care at a cost that respects your budget.
From lab facilities to diagnostic equipment, we use the latest in reproductive science to increase your chances of success.
Whether you’re just starting out or seeking a second opinion, Zemya IVF & Fertility Clinics is here to guide you every step of the way, with experience you can trust, and care you can feel.
Frequently Asked Questions
Success varies, but sperm retrieval rates range from 40% to 60% depending on the underlying condition. Success is higher when focal sperm production is present.
No. The procedure is performed under anesthesia, and patients usually feel only mild discomfort afterward, which can be managed with medication.
If no sperm are retrieved, your doctor will discuss alternatives such as repeat retrieval, hormonal treatment, or using donor sperm for ICSI.
Most men resume normal activities within 2–5 days. Complete healing usually occurs within a week.
Yes, but repeated procedures may carry increased risks of scarring. Your doctor will assess whether a second attempt is worthwhile.
Yes. Sperm retrieved through micro-TESE can be successfully used for ICSI and result in healthy pregnancies.
Yes. Micro-TESE is typically done just before or during IVF-ICSI cycles, either fresh or using frozen sperm. Coordination with the female partner’s cycle is important.
