TESE / Micro-TESE Treatment in New Delhi for Bangladesh

TESE / Micro-TESE Treatment in New Delhi for Bangladesh Patients

For many couples in Bangladesh facing male infertility, the journey to parenthood can feel challenging. When conventional methods are not enough, finding advanced solutions like TESE or Micro-TESE becomes a crucial consideration. Navigating these complex decisions, especially when looking abroad, often comes with questions about care quality and accessibility.

New Delhi has emerged as a preferred destination for specialized medical care, drawing patients from across the region. Its robust medical infrastructure, state-of-the-art fertility clinics, and concentration of highly skilled reproductive specialists offer a compelling choice for those seeking specific interventions like TESE/Micro-TESE. Patients find solace in the city's capacity to deliver intricate procedures with high precision.

Patients placing their trust in New Delhi's medical system benefit from a seamless care environment. The city's leading hospitals and fertility centers are well-versed in catering to international patients, ensuring coordinated appointments, clear communication, and support throughout their stay. This focused approach helps ensure a smoother experience from initial consultation to post-procedure follow-ups.

New Delhi provides a comprehensive and accessible option for advanced fertility treatments.

What is TESE / Micro-TESE?

TESE (Testicular Sperm Extraction) and Micro-TESE (Microsurgical Testicular Sperm Extraction) are specialized surgical procedures designed to retrieve sperm directly from the testicles. These methods are primarily used for men diagnosed with azoospermia, a condition where no sperm are found in the ejaculate. TESE involves taking small tissue samples from the testicles, which are then examined for sperm. Micro-TESE, a more advanced technique, uses a high-powered operating microscope to precisely identify and extract sperm-producing tubules, minimizing damage to surrounding testicular tissue and enhancing the chances of successful sperm retrieval. Both procedures aim to obtain sperm for use in assisted reproductive technologies like ICSI (Intracytoplasmic Sperm Injection) as part of an IVF cycle.

Types of Sperm Retrieval Procedures

When is TESE / Micro-TESE Required?

• Diagnosis of non-obstructive azoospermia, where sperm production is impaired.
• Obstructive azoospermia when other less invasive methods like PESA/TESA are unsuccessful or not suitable.
• Men with genetic conditions affecting sperm production, such as Klinefelter syndrome.
• Previous unsuccessful attempts at sperm retrieval using other techniques.
• Severe male factor infertility where ejaculated sperm is absent or non-viable.
• Preparation for an IVF/ICSI cycle to achieve pregnancy.

Pre-Treatment Evaluation for TESE / Micro-TESE

• Detailed medical history review focusing on fertility, past surgeries, and any relevant health conditions.
• Comprehensive physical examination, including a testicular examination.
• Multiple semen analyses to confirm azoospermia.
• Hormonal blood tests to assess testosterone, FSH, LH, and prolactin levels.
• Genetic testing, including karyotyping and Y-chromosome microdeletion analysis, to identify underlying causes.
• Scrotal ultrasound to evaluate testicular size, structure, and rule out any blockages or abnormalities.
• Consultation with a urologist specializing in male infertility to discuss risks, benefits, and procedural details.

How the Treatment is Performed

The specific procedure for TESE or Micro-TESE depends on the individual's condition and the specialist's recommended approach.

Recovery Process After TESE / Micro-TESE

Recovery from TESE or Micro-TESE typically involves a few days of rest. Patients may experience mild pain, swelling, and bruising in the scrotal area, which can be managed with prescribed pain medication and cold compresses. It is advisable to avoid strenuous activities, heavy lifting, and sexual intercourse for about two to four weeks following the procedure to allow for proper healing. A follow-up appointment with the urologist is usually scheduled within a week to monitor recovery and discuss the sperm retrieval results. Adhering to all post-operative instructions is vital for an optimal healing process.

Risks and Success Rates

• Pain or discomfort in the scrotum, usually manageable with medication.
• Swelling and bruising around the surgical site.
• Risk of infection, though rare with proper sterile techniques.
• Bleeding or hematoma formation within the scrotum.
• Potential for damage to testicular tissue, particularly with conventional TESE.
• Development of chronic testicular pain in a small percentage of cases.
• Failure to retrieve sperm, despite best efforts, especially in severe non-obstructive azoospermia.

The success rate for sperm retrieval with TESE and Micro-TESE varies significantly based on the underlying cause of azoospermia, the patient's age, and the skill of the surgical team. Micro-TESE generally offers higher sperm retrieval rates, ranging from 40% to 60% or even higher in select cases of non-obstructive azoospermia, compared to conventional TESE. The ultimate success, leading to pregnancy, also depends on the quality of retrieved sperm, the female partner's fertility status, and the success of subsequent IVF/ICSI cycles. Long-term expectations should be discussed thoroughly with the fertility specialist.

Cost of TESE / Micro-TESE in New Delhi

The cost of TESE or Micro-TESE in New Delhi is influenced by several factors, including the chosen hospital or fertility clinic, the specific type of procedure (TESE vs. Micro-TESE), the expertise of the surgeon, and any additional services required, such as anesthesia or pre-operative tests. New Delhi is known for offering advanced medical treatments at a fraction of the cost found in many Western countries, making it an attractive option for international patients.

Typically, the cost for TESE / Micro-TESE in New Delhi can range from INR 80,000 to INR 250,000.

Guidance for Your Medical Journey in New Delhi

• Personalized assistance with hospital selection and appointment scheduling.
• Help with travel arrangements, including visa support letters.
• Airport pick-up and drop-off services upon arrival and departure.
• Arrangements for comfortable accommodation options.
• Dedicated interpreter services for effective communication with medical staff.
• Coordination of pre-treatment evaluations and post-operative follow-ups.
• Support for local sightseeing and cultural experiences during your stay.

Required Documents for Your Visit

• Valid passport and medical visa for India.
• All previous medical records, test results, and diagnostic reports related to your fertility condition.
• Referral letter from your local doctor, if available.
• Proof of address in Bangladesh.
• Any previous consultation notes or treatment summaries.
• Details of your travel insurance, if applicable.
• Emergency contact information for family members.

Preparing for Your Treatment in Advance

• Complete all necessary pre-surgical medical tests as advised by your New Delhi specialist.
• Discuss any current medications with your doctor to determine if adjustments are needed.
• Follow fasting instructions strictly before the procedure.
• Arrange for comfortable clothing and essentials for your hospital stay.
• Ensure you have a companion or family member to support you during your visit.
• Address any dietary restrictions or health concerns with your medical coordinator.
• Plan for adequate rest and recovery time post-procedure.

Recovery and Follow-Up Care

• Adhere strictly to all prescribed medications and wound care instructions.
• Avoid heavy lifting and strenuous physical activity for the recommended period.
• Maintain good hygiene around the incision site to prevent infection.
• Attend all scheduled follow-up appointments with your urologist in New Delhi.
• Communicate any unusual pain, swelling, or signs of infection immediately to your care team.
• Understand the next steps for using retrieved sperm in IVF/ICSI cycles.
• Plan for a comfortable journey home and continue follow-up with your local doctor as advised.

Begin Your Path to Parenthood

Considering TESE / Micro-TESE in New Delhi offers a hopeful avenue for many international patients. We are here to support your decision with clear information and dedicated assistance every step of the way.