TESE
At Eva IVF & Women’s Centre, we understand that male infertility is a deeply personal challenge—but it doesn’t have to be a permanent one. For men with azoospermia (absence of sperm in the ejaculate), TESE (Testicular Sperm Extraction) offers a promising solution. This advanced microsurgical procedure allows us to retrieve viable sperm directly from testicular tissue, helping many men experience the joy of fatherhood through ICSI (Intracytoplasmic Sperm Injection).
Whether caused by blockages or poor sperm production, TESE can be a lifeline for couples trying to conceive using the man’s own sperm.
What is TESE (Testicular Sperm Extraction)?
TESE is a surgical procedure performed to harvest sperm from within the testes. It is most commonly used in cases where:
• Sperm are absent in semen (azoospermia)
• Previous less invasive methods like PESA or TESA failed
• There’s a non-obstructive cause (testicles don’t release sperm into the ducts)
• A biopsy is required to assess testicular health
💡 TESE helps retrieve mature sperm even in men with extremely low sperm production—making conception with ICSI possible.
Who Should Consider TESE?
TESE is suitable for:
✔ Men diagnosed with non-obstructive azoospermia (NOA)
✔ Individuals with testicular failure or severely low sperm count
✔ Men with genetic disorders affecting sperm production (e.g., Klinefelter syndrome)
✔ Couples opting for IVF with ICSI, where sperm cannot be ejaculated
✔ Men with failed sperm retrieval via TESA or PESA
💡 Even in challenging cases, TESE can identify rare pockets of sperm that allow for fertilization.
How is TESE Performed? (Step-by-Step Breakdown)
1. Pre-Surgical Evaluation
• Hormone profile (FSH, LH, testosterone) to assess testicular function
• Scrotal ultrasound to evaluate testicular structure
• Genetic screening (if indicated)
• Thorough counseling and fertility planning with your partner
2. On the Day of the Procedure
• A small incision is made on the scrotal skin
• Testicular tissue is extracted through one or more tiny incisions in the testis
• The sample is passed to an embryologist to search for live, motile sperm under high magnification
• Sperm are either:
o Used immediately for ICSI (fresh cycle), or
o Cryopreserved for future IVF use
⏱️ Duration: 30–60 minutes
🏥 Day-care procedure – patients go home the same day
Post-Procedure Recovery
✔ Mild soreness, swelling, or bruising is common
✔ Pain medications are provided for comfort
✔ Resume light activity within 2–3 days
✔ Avoid heavy lifting or sexual activity for about 1 week
✔ Follow-up appointment to review results and fertility planning✔ Mild soreness, swelling, or bruising is common
✔ Pain medications are provided for comfort
✔ Resume light activity within 2–3 days
✔ Avoid heavy lifting or sexual activity for about 1 week
✔ Follow-up appointment to review results and fertility planning
💡 Recovery is typically quick, and complications are rare when performed by experienced surgeons.
Success Rates of TESE
📊 TESE success depends on the underlying cause of azoospermia and surgeon expertise:
• Sperm retrieval rate in non-obstructive azoospermia: 30–60%
• Nearly 100% success in obstructive azoospermia
• Pregnancy rates via ICSI using TESE sperm are comparable to those using ejaculated sperm
💡 Even a single sperm retrieved via TESE can lead to a healthy baby when used with ICSI.
Types of TESE Techniques
Depending on your condition, our experts may choose from:
💡 We tailor the technique based on your sperm production pattern and fertility goals.
TESE vs Other Sperm Retrieval Methods
💡 Our specialists will determine the most effective and least invasive option for you.
Benefits of TESE
🌟 Gives hope to men with zero sperm in ejaculate
🌟 Allows use of the man’s own sperm for conception
🌟 Safe, precise, and highly effective when performed by trained fertility surgeons
🌟 Compatible with fresh or frozen ICSI cycles
🌟 Improves psychological wellbeing for men wishing to be biological fathers
💡 TESE redefines possibilities for couples facing the toughest male fertility barriers.
Why Choose Eva IVF & Women’s Centre for TESE?
🌟 Experienced Andrology Surgeons & Fertility Experts
🌟 In-house IVF & ICSI Integration for immediate sperm utilization
🌟 State-of-the-art surgical and embryology labs
🌟 Tailored treatment plans with transparency and care
🌟 Compassionate guidance at every step of your journey
We treat more than just infertility — we restore dreams of parenthood.