Micro TESE: Procedure, Preparation, Recovery, and Success Rates
For couples who are facing the challenging problem of infertility, there are many options available these days. Of course, the treatment plan that an expert will curate for you will depend on the cause of your infertility. When male factor infertility is a contributing issue, micro TESE proves to be an excellent option.
Gone are the days when males with non-obstructive azoospermia couldn’t become biological fathers. Today, advanced surgical approaches and procedures like micro TESE have made this possible and accessible to men.
But what exactly is micro TESE? How do you prepare for it, and what is the process? What is the micro TESE success rate in India, and how is it variable? How long is the micro TESE recovery time? Each of these issues will be thoroughly addressed in the subsections that follow, assisting you in determining whether this is the most appropriate choice for you.
What is Micro TESE?
Micro TESE, or Microsurgical Testicular Sperm Extraction, is the process of retrieving sperm directly from your testicular tissue. When you face problems such as the inability to ejaculate or the absence of healthy sperm in your semen, the healthcare provider may recommend this process to you. In recent years, micro TESE has emerged as one of the most reliable methods for men who wish to be the biological father of their children.
Microsurgical Testicular Sperm Extraction aims to boost the chances of a successful pregnancy by retrieving the healthiest sperm. During the ICSI or IVF technique for conceiving, this sperm retrieval assures that there are enough sperm available to fertilize the eggs. Because of the minimally invasive nature of this technique, it can be ensured that there is minimum damage to your reproductive organs. Micro TESE is one of the most effective procedures used for those with NOA (non-obstructive azoospermia).
Understanding the Micro TESE Procedure
Before understanding the steps of this procedure, it is essential that you know which doctors will be available for your case. The micro TESE procedure team will comprise an expert urologist, an anesthesiologist, and nurses. You will be under general anesthesia in the operating room while the urologist will perform this technique. The steps include:
- A single incision will be made in the center of your scrotum with the help of a scalpel.
- Then, a few very tiny incisions are made inside the testicle to collect a small amount of tissue from there. This is called testicular biopsy.
- If required, a sample may be collected from the second testicle as well in a similar manner.
- After that, this sample is sent to a cutting-edge laboratory.
- Dissolvable stitches used to close the incisions.
- After the procedure, you will regain consciousness in a few minutes. Feeling sleepy till the anesthesia wears off is usual.
- You will be given pills and tablets for the pain if required.
What Happens to the Sample?
The lab technologist will view the fine tubes in your tissue sample under a high-powered surgical microscope. The goal is to look for sperm in your sample. If a sperm is found, it will be immediately used to fertilize the egg. If not, the sperm will be preserved using the advanced technique of cryopreservation. These can be used for IVF treatment in the future after thawing and soaking (to remove the CPA completely). The healthiest sperm from the sample may also be used for PICSI, depending on what your doctor has recommended. To confirm that there are no abnormalities in the resultant embryo, your doctor may suggest Preimplantation Genetic Testing.
How to Prepare for the Micro TESE Procedure?
Knowing the right way for micro TESE preparation is essential to ensure that you feel positive and achieve the best results possible. Firstly, you need to discuss your medical history with your doctor. The doctor will also note down your vitals, including pulse, temperature, and blood pressure.
The doctor will also perform a physical exam to check your general health before the TESE micro TESE procedure.
Here are some suggestions that you must keep in mind:
- If you have any allergies, make sure to let your doctor know about them.
- If you are consuming any prescription medicines or over-the-counter medication, inform your doctor about these as well.
- Some herbal supplements are also known to increase your risk of bleeding during the procedure. So, it is a good idea to be honest with your doctor about whatever you are taking.
- Before the micro TESE procedure, your doctor will give you specific eating and drinking instructions.
Benefits and Risks of the Micro TESE NHS Process
Benefits:
The benefits of the TESE micro TESE process include:
- Overcome the problem of non-obstructive azoospermia
- Favorable success rates
- Highest rate of sperm retrieval
- Least damage to testicles
- Have a biological child
Risks:
The risks associated with the micro TESE procedure are:
- Inability to find sperm
- Bleeding
- Risks from general anesthesia
- Infections to your skin or testicles
To minimize the risks, it is recommended that you go only to the best micro TESE doctor.
Micro TESE Recovery Time: How Soon Can One Get Back to Routine Life
The average micro TESE procedure recovery time is a week. If your job role is strenuous in nature, you may need to take an additional 2-3 days off.
During your micro TESE recovery, make sure not to perform high-intensity workouts or heavy lifting.
The different medications that your doctor will prescribe for this phase include:
- Nonsteroidal anti-inflammatory drugs
- Acetaminophen
- Prescription pain relievers or analgesics
Micro TESE vs TESE: How They Are Different
Micro TESE involves the use of a microscope, whereas TESE (Testicular Sperm Extraction) does not. Secondly, micro TESE is recommended for men with NOA (non-obstructive azoospermia). On the contrary, TESE is for males with obstructive azoospermia. Magnetic Activated Cell Sorting is usually conducted after the extraction or retrieval.
Factors Affecting the Micro TESE Success Rate: An Important Aspect of Fertility Treatments
There are numerous factors that are known to affect the micro TESE success rate in India. These include:
- Cause of azoospermia
- Germ cell maturation arrest
- Hypospermatogenesis
- Sertoli cell-only (SCO) syndrome
- Previous orchitis
- Presence of clinical varicocele
Bloom IVF: The Top Choice for Micro TESE in India, Where Unmatched Expertise is Available!
At Bloom IVF, we make use of cutting-edge technology with the help of our experts, who have years of experience. If you are looking for the best micro TESE doctor who can provide a safe and compassionate experience to you, you must choose Bloom IVF.
The most popular reason why patients across the country recommend Bloom IVF is the precision of our technique, along with the affordable micro TESE cost.
Bloom IVF specializes in offering you a variety of treatments in addition to micro TESE. These include Hysteroscopy, Ovarian Rejuvenation, and Laser Assisted Hatching.
Additionally, our specialists would be pleased to assist you with any questions you may have regarding egg donation or embryo freezing!