Introduction
Male infertility is a growing concern, and one of the primary causes is the absence of sperm in the ejaculate, a condition known as azoospermia. Fortunately, advanced medical techniques like Micro TESE (Microsurgical Testicular Sperm Extraction) and TESA (Testicular Sperm Aspiration) offer hope for men facing this challenge. These procedures help retrieve sperm directly from the testes, allowing couples to pursue in vitro fertilization (IVF) and achieve parenthood.
Dr. Roshi Satija at God’s Grace IVF and Fertility Centre is a leading fertility specialist, known for her expertise in male infertility treatments, including Micro TESE and TESA. She provides personalized care, ensuring each patient receives the best possible chance of conception.

Understanding Micro TESE and TESA
What is Micro TESE?
Micro TESE is an advanced surgical technique used for sperm retrieval in men with non-obstructive azoospermia (NOA). In this procedure:
- A small incision is made in the scrotum.
- A high-powered operating microscope is used to locate areas of the testicle with viable sperm.
- Sperm is extracted and used for intracytoplasmic sperm injection (ICSI) during IVF.
Why Choose Dr. Roshi Satija? Dr. Roshi Satija is one of the best fertility specialists in Delhi for Micro TESE, ensuring precision, minimal tissue damage, and a higher success rate for sperm retrieval.
What is TESA?
TESA is a minimally invasive procedure used primarily for men with obstructive azoospermia (OA). The process involves:
- Using a fine needle to aspirate sperm directly from the testicle.
- No surgical incision is required.
- Less discomfort and quicker recovery compared to Micro TESE.
Why Choose Dr. Roshi Satija? Dr. Roshi Satija at God’s Grace IVF Center provides expert TESA procedures with high success rates and a comfortable experience for patients.
Who Needs Micro TESE or TESA?
These procedures are recommended for men who:
- Have zero sperm count due to non-obstructive or obstructive azoospermia.
- Have undergone failed sperm retrieval attempts with other techniques.
- Have a history of testicular failure or genetic disorders affecting sperm production.
- Wish to conceive despite previous unsuccessful IVF cycles.
Why Choose Dr. Roshi Satija? With years of experience handling complex male infertility cases, Dr. Roshi Satija ensures a tailored treatment plan for each patient.
Differences Between Micro TESE and TESA
Feature
Type of Procedure
- Ideal for
- Invasiveness
- Recovery Time
- Success Rate
Micro TESE
Microsurgical
- Non-Obstructive
- Azoospermia
- Surgical
- 1-2 weeks
- Higher
TESA
Needle Aspiration
- Obstructive
- Azoospermia
- Minimally Invasive
- 2-3 days
- Moderate
Procedure for Micro TESE
- Pre-Surgical Evaluation: Hormone analysis, genetic tests, and scrotal ultrasound are performed.
- Surgical Extraction: A small incision is made, and an operating microscope helps extract sperm.
- Sperm Processing: Extracted sperm is analyzed and used for IVF-ICSI.
- Post-Surgery Care: Recovery instructions are provided for optimal healing.
Why Choose Dr. Roshi Satija? Her expertise in microsurgery minimizes complications and maximizes sperm retrieval success.
Procedure for TESA
- Local Anesthesia: The area is numbed to ensure comfort.
- Sperm Aspiration: A thin needle is inserted into the testicle to extract sperm.
- Processing and Storage: Retrieved sperm is prepared for IVF or frozen for future use.
- Recovery: Patients can resume normal activities within a few days.
Post-Procedure Recovery and Care
- Pain Management: Mild pain can be managed with medication.
- Activity Restrictions: Avoid strenuous activities for a few days.
- Follow-Up Appointments: Regular check-ups ensure proper healing.
Success Rates of Micro TESE and TESA
- Micro TESE: 50-60% sperm retrieval rate in non-obstructive azoospermia cases.
- TESA: Over 80% success rate in obstructive azoospermia cases.
- Final pregnancy success depends on:
- Female partner’s egg quality.
- Overall sperm quality after retrieval.
- Expertise of the fertility specialist.
Why Choose Dr. Roshi Satija? Her high success rates and patient-centered approach make her a top choice for male infertility treatments in Delhi.
TESE/TESA
FAQ's
Is Micro TESE painful?
No, it is performed under anesthesia, ensuring a painless experience.
Can sperm retrieved from Micro TESE/TESA be frozen?
Yes, sperm can be frozen for future IVF cycles.
How soon can I resume normal activities after the procedure?
Most patients recover within a few days to two weeks, depending on the procedure.
Is there a guarantee of sperm retrieval in Micro TESE?
There is no absolute guarantee, but the procedure offers a high success rate, especially with expert care.
Can Micro TESE or TESA help in genetic infertility cases?
Yes, but genetic counseling and testing are recommended before proceeding.
IVF Specialist: Dr. Roshi Satija
For personalized care and cutting-edge solutions, consult Dr. Roshi Satija today!