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Micro TESE in Indore: Microdissection Testicular Sperm Extraction

Micro-TESE uses an operating microscope to find sperm-producing tubules in men with non-obstructive azoospermia. Learn eligibility, chances and recovery.

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In non-obstructive azoospermia, the testes produce very little sperm, often only in small patches. Microdissection testicular sperm extraction (micro-TESE) uses a high-powered operating microscope to identify and remove the tubules most likely to contain sperm, while minimising tissue damage. At Asian Navkar Hospital, Indore, micro-TESE is planned with a male infertility surgeon and our embryology team.

Who Is a Candidate?

Men with non-obstructive azoospermia after evaluation, including hormone tests and genetic tests (karyotype and Y-chromosome microdeletion). Some genetic findings, such as complete AZFa or AZFb deletions, make sperm retrieval very unlikely, so testing beforehand is important. Men with Klinefelter syndrome may still have sperm found in some cases.

The Procedure

Performed under anaesthesia, the testis is opened and examined under the microscope. Small samples are taken and checked by embryologists in real time. The procedure may take a few hours. Any sperm found can be used for ICSI, either the same or next day with the partner's egg collection, or frozen for later.

Chances and Alternatives

Sperm is found in a proportion of men with non-obstructive azoospermia; your surgeon will give a personalised estimate. If no sperm is found, options include donor sperm or adoption, discussed with counselling.

Why Families Choose Asian Navkar Hospital, Indore

  • Fertility, embryology, high-risk obstetrics and a Level 3 NICU in one hospital, so care continues after a positive pregnancy test.
  • Senior IVF team with 30+ years of clinical experience, including clinical embryologists.
  • Counselling for both partners, transparent written estimates and cashless TPA/insurance desk support where policies allow.

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Medical References

This page is for general information and does not replace a consultation. Treatment decisions are made only after an in-person evaluation by a qualified doctor at Asian Navkar Hospital, Indore.

Microsurgical Precision
Uses high-powered magnification to locate sperm-producing tissue.
Higher Retrieval Success
More effective than standard TESA in severe cases.
Minimizes Tissue Removal
Precise technique reduces unnecessary tissue extraction.
Combined With ICSI
Retrieved sperm is used for ICSI fertilization.

Is this for you?

✓ Non-obstructive azoospermia ✓ Failed standard TESA attempts ✓ Very low sperm production ✓ Severe male factor infertility

How We Treat Microdissection Testicular Sperm Extraction (M-TESE)

1
Pre-Surgical Evaluation
Hormonal and genetic assessment before the procedure.
2
Microsurgical Exploration
Using magnification to identify viable sperm-producing areas.
3
Sperm Retrieval
Careful extraction of testicular tissue containing sperm.
4
Lab Processing
Sperm is processed for use in ICSI, fresh or frozen.

Frequently Asked Questions

For non-obstructive azoospermia, micro-TESE generally has better sperm retrieval and less tissue damage.

Most men return to normal activities within a week; heavy exercise is avoided for about two weeks.

A temporary drop can occur; hormone levels are monitored.

Some centres coordinate egg collection; others freeze sperm first. Your team will plan this.

Hormone tests, scrotal ultrasound, karyotype and Y-chromosome microdeletion testing.

Dr. Vedant Jain
Dr. Vedant Jain
MBBS, MS (Obs & Gynae), DNB • Consultant IVF Specialist, Gynecologist & Embryologist
Reg. No. MP-37997 (MP Medical Council)

Dr. Vedant Jain is an IVF Consultant, Gynecologist, and Certified Embryologist at Asian Navkar Hospital, Indore. Holding post-graduate degrees including an MS and DNB in Obstetrics and Gynecology, he practises reproductive medicine at Asian Navkar Hospital. Dr. Jain specializes in advanced Assisted Reproductive Technologies (ART), complex infertility assessments, low AMH (ovarian reserve) optimization, and fertility preservation. By combining clinical gynecology with laboratory embryology, he works with couples who have had unsuccessful IVF cycles to plan further evaluation and treatment.

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