TESE / Micro-TESE Treatment in India for Bangladesh

TESE / Micro-TESE Treatment in India for Bangladesh Patients

Facing male infertility can be a challenging journey for many couples in Bangladesh. When traditional methods haven't yielded success, the idea of advanced procedures like TESE or Micro-TESE can bring a mix of hope and uncertainty. Patients often wonder about the quality of care, specialist expertise, and the overall experience when considering treatment abroad.

Many individuals from Bangladesh choose to explore medical options in India due to its proximity, cultural familiarity, and the availability of highly specialized fertility treatments. India offers a wide network of hospitals and clinics with state-of-the-art facilities across various cities, making advanced reproductive technologies accessible to international patients seeking solutions.

India’s medical infrastructure is recognized for its robust healthcare system, housing numerous internationally accredited hospitals and a wealth of experienced fertility specialists. These medical centers are equipped with cutting-edge technology and follow global standards of patient care, ensuring comprehensive and compassionate treatment pathways for complex conditions like azoospermia.

India stands as a reliable destination for advanced male infertility treatments.

What is TESE / Micro-TESE?

TESE (Testicular Sperm Extraction) and Micro-TESE (Microdissection Testicular Sperm Extraction) are advanced surgical procedures designed to retrieve sperm directly from the testes. These techniques are primarily used for men diagnosed with azoospermia, a condition where no sperm is found in the ejaculate. TESE involves taking small tissue samples from the testis, while Micro-TESE uses a high-powered microscope to identify and extract seminiferous tubules that are more likely to contain sperm, thereby minimizing tissue damage and improving sperm retrieval rates. The retrieved sperm can then be used in assisted reproductive technologies like ICSI (Intracytoplasmic Sperm Injection) to achieve pregnancy.

What are the Types of TESE Procedures?

When is TESE / Micro-TESE Recommended?

• Diagnosis of non-obstructive azoospermia (NOA), where sperm production is impaired.
• Elevated Follicle-Stimulating Hormone (FSH) levels, indicating testicular dysfunction.
• Previous testicular biopsies showing impaired spermatogenesis or Sertoli cell-only syndrome.
• Genetic conditions such as Klinefelter syndrome or Y-chromosome microdeletions that affect sperm production.
• Prior failed attempts at sperm retrieval using less invasive methods.
• Azoospermia that is unresponsive to medical treatments.

What Pre-Treatment Evaluations are Necessary?

• Comprehensive medical history review and physical examination.
• Repeated semen analyses to confirm azoospermia.
• Hormonal profile tests including FSH, LH, testosterone, and prolactin.
• Genetic testing, such as karyotyping and Y-chromosome microdeletion analysis.
• Scrotal ultrasound to assess testicular size, structure, and rule out any obstructions.
• Consultation with an experienced urologist or fertility specialist.

How is TESE / Micro-TESE Performed?

The specific approach for TESE or Micro-TESE depends on the patient's condition, the surgeon's expertise, and the fertility clinic's facilities. Both procedures aim to extract viable sperm for future use in assisted reproduction.

What is the Recovery Process After TESE / Micro-TESE?

After a TESE or Micro-TESE procedure, patients usually experience mild discomfort, swelling, and bruising in the scrotal area, which can be managed with prescribed pain medication. Most men can return home the same day or after an overnight stay. Rest is crucial for the first few days, and strenuous activities, heavy lifting, and sexual intercourse should be avoided for several weeks to allow proper healing. Follow-up appointments with the urologist or fertility specialist are essential to monitor recovery, discuss post-operative care, and plan the next steps in the fertility journey, such as ICSI.

What are the Risks and Success Rates of TESE / Micro-TESE?

• Post-operative pain or discomfort, usually mild and manageable.
• Swelling and bruising in the scrotal area.
• Risk of infection, though rare, requiring antibiotic treatment.
• Minor bleeding or hematoma formation.
• Temporary or, in very rare cases, permanent decrease in testosterone production, potentially requiring hormone replacement.
• Failure to retrieve sperm, despite thorough search, particularly in severe cases of testicular dysfunction.

The success rate of sperm retrieval through TESE / Micro-TESE varies significantly based on the underlying cause of azoospermia, the patient's overall health, the skill of the surgical team, and the quality of the embryology laboratory. For non-obstructive azoospermia, Micro-TESE typically offers higher sperm retrieval rates, often ranging from 40% to 60%, and in some centers, even higher. However, the ultimate success of achieving a pregnancy also depends on the quality of retrieved sperm and the subsequent IVF/ICSI cycle. Long-term expectations are carefully discussed during consultations, offering realistic insights into the potential outcomes.

What is the Cost of TESE / Micro-TESE in India?

The cost of TESE or Micro-TESE in India is influenced by several factors, including the reputation and accreditation of the hospital, the experience level of the urologist or fertility specialist, the type of TESE procedure performed (conventional vs. Micro-TESE), and whether the procedure is combined with other treatments like IVF/ICSI. Other variables include diagnostic tests, anesthesia fees, hospital stay duration, and post-operative care.

Generally, the cost for TESE / Micro-TESE in India can range from approximately INR 80,000 to INR 250,000.

How Does India Support International Patients?

• Assistance with medical visa applications and necessary documentation.
• Guidance on comfortable accommodation options, from hotels to service apartments.
• Language interpreters to facilitate clear communication between patients and medical staff.
• Arrangements for local transportation, including airport transfers.
• Dedicated international patient coordinators for seamless support throughout the medical journey.
• Post-treatment follow-up and virtual consultation services.

What Documents Are Needed for Your Visit?

• Valid passport with at least six months of validity.
• Indian medical visa, specifically issued for the purpose of treatment.
• Copies of all relevant medical reports, diagnostic tests, and previous treatment summaries.
• A referral letter from your local physician or fertility specialist, if applicable.
• Proof of financial solvency to cover medical and travel expenses.

Preparing for Your TESE / Micro-TESE Procedure

• Undergo all pre-operative medical evaluations and tests as advised by the specialist.
• Make necessary travel arrangements well in advance, including flights and local transport.
• Secure suitable accommodation for the duration of your stay in India.
• Discuss any current medications with your doctor and follow instructions regarding dietary restrictions before surgery.
• Understand the full treatment plan, including potential next steps like IVF/ICSI.

Post-Treatment Care and Follow-Up

• Adhere strictly to all post-operative instructions for wound care and medication.
• Attend scheduled follow-up appointments with your urologist or fertility team in India.
• Arrange for comfortable travel back to Bangladesh after clearance from your medical team.
• Maintain communication with your Indian medical team for any queries or concerns during your recovery.
• Consider coordinating with a local physician in Bangladesh for continued aftercare and monitoring.

Ready to Explore Your Treatment Options?

Taking the step towards advanced fertility treatment can be life-changing. India offers a supportive environment with expert medical care for patients from Bangladesh seeking TESE or Micro-TESE procedures.