TESE (Testicular Sperm Extraction)

What Is TESE?

TESE, or Testicular Sperm Extraction, is a medical procedure designed to extract sperm directly from the testicular tissue. It’s primarily used when sperm are either not present in the semen or cannot be retrieved through less invasive methods.

Imagine this process as finding seeds inside a tough shell. The testicles produce sperm, but due to certain issues, the sperm sometimes doesn’t make it into the semen. TESE bypasses these roadblocks and retrieves the sperm from its source.

TESE is most commonly used in conjunction with Intracytoplasmic Sperm Injection (ICSI), a form of in vitro fertilization (IVF). With ICSI, even a single sperm from TESE can fertilize an egg.

Who Needs TESE?

TESE is a suitable option for men facing specific fertility issues, including:

1. Azoospermia

Azoospermia is a condition where no sperm are present in the semen. This can occur due to:

• Non-Obstructive Azoospermia – When the testicles produce little or no sperm.
• Obstructive Azoospermia – When sperm production is normal but cannot be released due to a blockage.

2. Previous Vasectomy

Men who have undergone a vasectomy but choose not to reverse it can opt for TESE to retrieve sperm directly.

3. Severe Male Infertility

Conditions like extremely low sperm production (oligospermia) or poor-quality sperm may also require TESE as a solution.

4. Genetic Disorders or Illnesses

TESE can help men with certain genetic or medical conditions that impair natural sperm production.

If you’ve been diagnosed with one of these conditions, our team at Mamata Fertility Hospital can determine if TESE is the right choice for you.

How Does TESE Work?

TESE may sound complicated, but it’s a straightforward and relatively quick procedure. It uses small surgical techniques to collect sperm directly from the testicular tissue.

Step-by-Step Process:

1. Anesthesia: TESE is done under local or general anesthesia, depending on the case, to ensure no discomfort.
2. Tissue Biopsy: A tiny incision is made in the testicle, and a very small sample of tissue is removed. This tissue contains sperm.
3. Sperm Extraction: Embryologists process the retrieved tissue in a laboratory to isolate and collect healthy sperm.
4. Sperm Preservation or Use: The retrieved sperm can be stored for future IVF cycles or used immediately in ICSI.

This process ensures that even the smallest amount of sperm can play a role in successful fertilization. Unlike some non-surgical methods, TESE is particularly effective for men with non-obstructive azoospermia, where sperm production is limited.

TESE vs. TESA

While both TESE and TESA are techniques to retrieve sperm directly from the testicles, the two procedures differ in approach, suitability, and outcomes. Here’s a clear comparison to help you understand the key differences:

Choosing Between TESE and TESA

The choice between TESE and TESA depends on your specific condition and underlying fertility issues. While TESA is less invasive, TESE is often required when sperm retrieval requires a more targeted approach. At Mamata Fertility Hospital, our fertility specialists will guide you in selecting the best option based on your diagnosis and personal circumstance

Benefits of TESE

TESE has several incredible advantages that make it a game-changer in male infertility care:

1. Achieving Parenthood

For men who may not have viable sperm in their semen, TESE opens a gateway to biological fatherhood, something previously thought impossible in many cases.

2. Works with Advanced Technologies

TESE pairs seamlessly with ICSI, ensuring even a minimal number of sperm can lead to successful fertilization.

3. Precise and Effective

By targeting specific areas of the testicle, TESE can maximize sperm retrieval and increase the chances of success.

4. Suitable for Complex Cases

TESE is helpful not only for physical sperm blockages but also for low sperm production caused by hormonal or genetic factors.

These benefits make TESE a reliable option for couples exploring fertility treatment.

Risks and Recovery

Like any medical procedure, TESE carries some potential risks. However, it is considered extremely safe when performed by experienced specialists.

Possible Risks

• Temporary Pain or Discomfort: Mild soreness in the surgical area is common.
• Bruising or Swelling: These symptoms usually resolve within a few days.
• Rare Infection: Proper post-operative care minimizes the risk of infection.

Recovery Tips

Recovery from TESE is generally quick, and most men can return to their usual activities within a few days. Here’s how to ensure smooth healing:

• Rest for 1–2 days immediately following the procedure.
• Reduce swelling with an ice pack applied gently over the area.
• Avoid heavy lifting, cycling, or strenuous activities for at least one week.
• Wear supportive underwear to enhance comfort.

Proper aftercare and follow-up consultations with your doctor are essential to achieving the best outcomes.

Cost of TESE in Secunderabad and Hyderabad

The cost of TESE varies depending on individual circumstances and the clinic you choose. Factors like laboratory fees and associated treatments (e.g., ICSI or IVF) can influence the cost.

Estimated Costs:

• TESE Procedure Only: ₹35,000–₹70,000
• With Additional Treatments: This can range higher depending on the complexity of assisted reproductive techniques.

At Mamata Fertility Hospital, we aim to provide affordable, high-quality fertility care. We also offer transparent pricing and personalized plans tailored to your needs.

FAQs

1. Is TESE Painful?

No, the procedure is performed under anesthesia to ensure it is pain-free. Any post-procedure discomfort is mild and temporary.

2. Can TESE Be Performed Multiple Times?

Yes, TESE can be repeated if additional sperm retrieval is needed for multiple IVF attempts.

3. Is TESE the Same as TESA?

No, while both involve retrieving sperm, TESE involves removing a small tissue sample, whereas TESA is needle-based and less invasive.

4. Can TESE Be Combined with Fertility Treatments?

Absolutely, TESE is specifically designed to work alongside advanced fertility methods like ICSI.

5. How Soon Can I Return to Normal Activities After TESE?

Most men return to light activities within 1–2 days. Strenuous activities should be avoided for at least a week.

WHAT PATIENTS EXPERIENCE AT MAMATA FERTILITY?

“I had an excellent first visit to Mamata Hospitals, where I met Dr. Mamata madam and Dr. Arti. Madam and Dr cheatn The process was systematic, instilling confidence that my issues will be effectively addressed. The staff and doctors were incredibly friendly and supportive, making me feel at ease. Their professionalism and warmth have given me great confidence in their care. I look forward to sharing more about my journey in detail.”

Vishu S.N

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At Mamata Fertility Hospital in Secunderabad, we are committed to helping couples with fertility challenges achieve their dreams of parenthood. With cutting-edge procedures like TESE, personalized care, and transparent treatment plans, we strive to make fertility care accessible and effective. Contact us today to learn how we can assist you!