Micro-TESE — Advanced Surgical Sperm Retrieval for Azoospermia | ART Fertility Clinics

Micro-TESE is the most advanced surgical sperm retrieval technique available for men with non-obstructive azoospermia — where the testes produce little or no sperm. At ART Fertility Clinics, our microsurgeons use operating microscopes at 20–25× magnification to identify and extract the specific areas of testicular tissue where sperm production may be occurring. Micro-TESE achieves sperm retrieval in 40–60% of men where simpler techniques have failed.

reviewed Medically reviewed by Dr. Parul Katiyar , Medical Director & Senior IVF Specialist - ART Fertility Clinics, India — Last reviewed: July 2026
Micro Testicular Sperm Extraction (MICRO TESE)
60%

IVF Success Rate

What is Micro TESE for Male Infertility Treatment?

Infertility impacts men and women equally. Infertility is estimated by the World Health Organization (WHO) to affect about 1 in 6 of the world’s population at some point in their lifetime. Infertility in men is frequently caused by sperm production problems. Some men have no sperm in their ejaculate. This condition is called azoospermia.

There is still hope for these men. State-of-the-art techniques such as Micro TESE have revolutionised the management of male infertility. We provide at ART Fertility Clinics Micro TESE with excellent care, accuracy and results.

What Is Micro TESE?

Micro TESE is another term for Microscopic Testicular Sperm Extraction. It is a surgical technique which is applied to locate and to harvest sperm from the testicles.

This way, if sperm does not appear in the semen, it suggests that the testicles should still be able to make sperm. Instead of a needle or by randomly sampling tissue, doctors will pinpoint even a few live sperm cells using a strong microscope.

It’s a very targeted and technologically advanced approach, specifically developed for men with non-obstructive azoospermia (NOA). This indicates that the production of sperm is low or that it is blocked more deeply.

Who Needs Micro TESE?

Micro TESE is performed in men who:

  • Have non-obstructive azoospermia
  • Have not had successful previous sperm retrievals
  • Yet there is no sperm in the semen, but testicular biopsy shows sperm production
  • Want to attempt IVF with their sperm themselves

Sometimes men with genetic abnormalities, prior testicular traumas, or hormonal diseases are referred to take this treatment.

How Is Micro TESE Done?

It is a small surgery done under GA. Here’s a step-by-step look:

  • Anesthesia: The patient is unconscious and feels no pain.
  • Make a cut: A small cut is made on the scrotum to get to the testicle.
  • Microscopy: Performed under high power at 25x using a microscope.
  • Sperm Search: The physician seeks out the most fecund sperm-producing tubules.
  • Tissue Extraction: The tiny tissue samples are pulled from those areas.
  • Lab Testing: The tissue is transported to the lab, where embryologists hunt for viable sperm.
  • Storage or Utilization: If containing sperm, they are used for IVF-ICSI or frozen to be used at a later time.

The entire process takes 2 to 3 hours. It is more accurate in comparison with other techniques, such as TESA or the classic TESE.

What makes Micro TESE stand out from other methods?

Micro TESE is a more recent sperm retrieval technique and has several advantages than the previous ones:

Micro TESE is a more recent sperm retrieval technique and has several advantages than the previous ones
Method Description Limitation
TESA Needle aspiration May miss sperm-producing areas
Conventional TESE Random biopsy Higher tissue damage
Micro TESE Microscopic- assisted retrieval More accurate and higher sperm recovery rate
  • Less damage to the testicles
  • Higher sperm retrieval rates
  • Fewer complications
  • It can be repeated if sperm are not found first time around

What Happens After Micro TESE?

If sperm are found:

  • They are used in the context of IVF with ICSI, a technique in which an individual sperm is injected into each egg.
  • The couple go ahead with the embryo transplant.
  • Any spare sperm, if any, can be destroyed, and also frozen for future IVF.

If the search for sperm is not successful, the couple takes the donor-sperm or adoption route instead. Counseling is always available.

How Successful Is Micro TESE?

Success depends on many factors:

  • Type and cause of infertility
  • Hormonal health
  • Genetic conditions
  • Experience of the surgeon and institution

Micro TESE at ART Fertility Clinics is carried out by specialist andrologists and embryologists. The clinic is equipped with the most modern investigating tools to increase the success rates.

Is Micro TESE Painful?

Not at all. It is performed with the patient under general anesthesia. The majority of men head home later the same day. There may be:

  • Mild discomfort
  • Swelling
  • A bit of pain for a few days

Doctors recommend rest, ice and no heavy lifting for approximately 1 week. Back to work in 2-3 days for most men.

What Are the Risks?

Micro TESE is a safe but, as with all surgery, there can be some side effects:

  • Pain or bruising
  • Mild infection (rare)
  • Transient low testosterone (only in a small percent of cases~)

All of these can be controlled with proper care.

Cost of Micro TESE in India

Price for Micro TESE The price of your Micro TESE will depend on the clinic, the city and prior medical records from patient. By and large, it ranges from a few thousand rupees, and can go up depending on:

  • Surgical expertise
  • Hospital setup
  • Whether sperm freezing is included
  • Need for repeat procedures

ART Fertility Clinics provide patients with clear pricing, ethical care, and individualized care plans. The clinic is committed to scientific excellence, and it operates on patient first ideals.

Why Choose ART Fertility Clinics?

Some of the reasons you should choose ART Fertility Clinics: ART Fertility Clinic is the 1st International Fertility Center for IVF Treatment in Nigeria and in West Africa leading globally in the treatment of infertility.

  • High success rates
  • World-class labs
  • Individualized male fertility programs
  • Ethical, transparent treatment
  • Cutting edge procedures such as Micro TESE itself, ICSI and genetic screening
  • Patients are given the utmost consideration, dignity, and courtesy. Each case is different and managed scientifically and emotionally.

Conclusion

Male infertility is no longer a brick wall. With advanced techniques such as Micro TESE, it gives hope to men who have no sperm in their ejaculate to father their own children.

MicroTESE is a reliable and safe technique to get sperm in most difficult conditions. It takes skilled surgical hands, a top-notch lab and a dedicated care team.

Because, at ART Fertility Clinics, you deserve the best, the very best in science applied to fertility treatment, the world’s best team of doctors, and a best-in-class care experience.

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IVF and Infertility Specialist Dr. Parul Katiyar, Dr. Richa Jagtap, Dr. Padmavathi Ravipati
Dr. Parul Katiyar

Dr. Parul Katiyar

ART Fertility Clinics, India

Medical Director & Senior IVF Specialist - ART Fertility Clinics, India
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Dr. Richa Jagtap

Dr. Richa Jagtap

ART Fertility Clinics, India

Medical Director & Senior IVF Specialist - ART Fertility Clinics, India
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Dr. Padmavathi Ravipati

Dr. Padmavathi Ravipati

ART Fertility Clinics, India

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How Micro-TESE Works

Micro-TESE uses a surgical microscope to locate and retrieve sperm from testicular tissue, offering the best chance of fatherhood for men with severe sperm production issues.

01

Pre-Procedure Evaluation

Hormone tests and a detailed assessment confirm that Micro-TESE is the best route to retrieve sperm.

02

Anaesthesia

The procedure is carried out under general or local anaesthesia to keep you comfortable throughout.

03

Microsurgical Exploration

Using a high-powered operating microscope, the surgeon examines the testicular tissue to find healthy tubules.

04

Sperm Extraction

Only the most promising tubules are gently sampled, protecting surrounding tissue and blood supply.

05

Laboratory Retrieval

Embryologists search the tissue under the microscope to identify and isolate viable sperm for use.

06

Recovery & Next Steps

Retrieved sperm is used for ICSI or frozen, and you are guided through a short, supported recovery.

Not sure which treatment is right for you?

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People Also Asked

Micro-TESE is a surgical procedure that retrieves sperm directly from the testicles using a microscope to locate sperm-containing tissue. It is mainly used for men with non-obstructive azoospermia, where sperm production is very low or absent in the ejaculate. Retrieved sperm are used in IVF or ICSI treatments.

Micro-TESE is recommended for men with non-obstructive azoospermia, failed sperm retrieval using other methods, or severe male infertility. It helps men who would otherwise have no option to father a biological child.

The success rate of Micro-TESE varies depending on testicular function. On average, it retrieves viable sperm in 50–70% of cases, making it more effective than conventional testicular sperm extraction in severe male infertility.

Micro-TESE is performed under general or spinal anesthesia, so there is no pain during the procedure. After surgery, mild swelling, bruising, or discomfort may occur. Rare risks include bleeding, infection, or damage to testicular tissue.

The cost of Micro-TESE in India typically ranges from ₹80,000 to ₹1,50,000, depending on the fertility clinic, anesthesia type, and whether IVF or ICSI is done in combination.

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