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MicroTESE and Sperm Retrieval · Microsurgical Male Fertility Surgery in Bangkok
When semen analysis shows no sperm (azoospermia), the next step is surgical sperm retrieval directly from the testis or epididymis. We offer the full range: MicroTESE (microsurgical testicular sperm extraction · gold standard for non-obstructive azoospermia), TESE, TESA, PESA, and MESA. Retrieved sperm is paired with IVF/ICSI to achieve pregnancy.
Our solutions
Why patients choose MicroTESE and Sperm Retrieval
What Our Patients Say
Male Surgery
The difference was night and day. I hadn’t felt a strong stream like that in years.
Wachirawit, 67
Male Surgery
I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.
Khom, 64
Book your consultation today.
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How to Prepare for MicroTESE and Sperm Retrieval
Hormone evaluation
FSH, LH, testosterone, prolactin, and karyotype testing before surgical retrieval · helps predict retrieval success.Genetic testing if indicated
Y-chromosome microdeletion and CFTR testing where appropriate.Coordinated IVF cycle
Female partner’s egg retrieval is timed to coincide with sperm retrieval for fresh ICSI · or sperm is frozen for later use.Pre-anesthesia assessment
Brief screening for TIVA or general anesthesia.Fast pre-surgery
No food or water for 6-8 hours before the procedure.Plan for transport home
You cannot drive yourself home after sedation or general anesthesia.
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What Happens During MicroTESE and Sperm Retrieval
Anesthesia
TIVA or general anesthesia for MicroTESE/TESE · local + sedation for PESA/TESA.Scrotal incision (MicroTESE/TESE)
Small incision opens the testis · operating microscope used for MicroTESE to identify sperm-producing tubules.Tissue sampling
Multiple targeted samples taken from areas showing engorged seminiferous tubules under microscope.On-site embryology
Samples are examined immediately by an embryologist · if sperm found, surgery stops · if not, additional sampling continues.Closure
Testis and scrotum closed with absorbable sutures · no external stitch removal needed.Recovery
Discharge same day. Scrotal support, ice, and pain medication for 5-7 days. Return to light activity in 1 week, full activity in 2-4 weeks.
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Explore Our Topics
About MicroTESE and Sperm Retrieval
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Microsurgical Andrology Team
MicroTESE outcomes depend heavily on surgeon experience and operating microscope quality · our team is trained in microsurgical male infertility procedures.
Coordinated IVF / ICSI Pairing
We work with established fertility centers in Bangkok to coordinate fresh-cycle ICSI or frozen sperm storage based on your situation.
Full Diagnostic Workup
Hormonal, genetic, and imaging evaluation before any surgical retrieval · sometimes medical management (testosterone normalization, varicocele repair) can restore sperm production without surgery.
Private, Discreet Recovery
Confidential care, WhatsApp recovery support, English-language follow-up for international fertility patients.
Frequently asked questions
What’s the difference between MicroTESE, TESE, TESA, PESA, and MESA?
TESE = open testicular sperm extraction (random samples). MicroTESE = same but with operating microscope to identify sperm-producing tubules · highest success in non-obstructive azoospermia. TESA = needle aspiration from testis. PESA = needle aspiration from epididymis (for obstructive azoospermia). MESA = microsurgical epididymal aspiration (gold standard for obstructive azoospermia).
What’s my chance of finding sperm?
Depends on the cause of azoospermia. Obstructive azoospermia: near 100% sperm retrieval with PESA/MESA. Non-obstructive azoospermia: 40-60% with MicroTESE depending on cause and prior testing.
Will I produce sperm in my ejaculate again after surgery?
Sperm retrieval doesn’t restore natural fertility. The retrieved sperm is used for IVF/ICSI. For some causes of azoospermia, treating the underlying problem (varicocele, hormone imbalance) may restore some natural sperm production.
How long is the recovery?
Light activity in 1 week, full activity in 2-4 weeks. Heavy lifting and sexual activity restricted for 2 weeks. Mild scrotal swelling and bruising for 1-2 weeks is normal.
How much does sperm retrieval cost in Bangkok?
Cost varies significantly between PESA (lowest), TESA, TESE, MESA, and MicroTESE (highest). IVF/ICSI cycle is a separate cost at the partner fertility center. Book a consultation for a personalized quote that includes coordination with your fertility cycle.
MICROSURGICAL FERTILITY OPTIONS · EVEN WHEN SEMEN IS ZERO
MICROSURGICAL FERTILITY OPTIONS ·
EVEN WHEN SEMEN IS ZERO
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