Micro-TESE (Microsurgical Testicular Sperm Extraction)
What is Micro-TESE?
Micro-TESE (Microsurgical Testicular Sperm Extraction) is a specialized procedure used to find sperm directly from the testicle in men who have non-obstructive azoospermia (no sperm present in the semen due to reduced sperm production).
Using a high-powered operating microscope, under deep sedation and/or regional and local anaesthesia, the surgeon carefully looks for tiny areas that may still produce sperm.
If sperm are found, they can be used for IVF with ICSI (Intracytoplasmic Sperm Injection) or frozen for future treatment.

Advantages of Micro-TESE
- Higher sperm retrieval rates compared with conventional testicular sperm extraction (TESE).
- Reduces the risk of damage to the testicle and helps preserve testicular function.
- Increases the chance of obtaining sperm for use in ICSI (Intracytoplasmic Sperm Injection) during IVF treatment.
Why is this procedure performed?
Your doctor may recommend Micro-TESE if you have:
- No sperm in the semen due to poor sperm production.
- Certain genetic or hormonal conditions affecting fertility.
- Previous unsuccessful sperm retrieval procedures.
- A plan for IVF/ICSI treatment.
Success Rates
The chance of finding sperm depends on the underlying cause of infertility and varies from patient to patient. Your fertility specialist will discuss your individual chances based on your test results.
- Sperm retrieval is not guaranteed.
- Even if sperm are retrieved, pregnancy and live birth are not guaranteed.
- Success depends on underlying testicular pathology, genetics, prior treatments, and female partner factors.
Frequently Asked Questions
Most men maintain normal testosterone levels. A temporary reduction may occur in some patients.
Yes. If sperm are found, they can usually be cryopreserved for future IVF/ICSI treatment.
Your doctor will discuss alternative fertility options based on your individual situation.
Reach us
Sharjah – Near Arab Mall (Old Al Taawun Mall), Al Taawun, Sharjah Tel: +971-6-5771822 | Mobile: +971-50-8475666
Dubai (JLT) – Near Damas Jewellery Showroom, Jumeirah Lake Towers, Dubai Tel: +971-4-5545 820 | Mobile: +971-50-5817003
