DIVINHEALSimplifying Global Wellbeing
Home
Treatments
Hospitals
Doctors
Page background

TESE / Micro-TESE Treatment in Gurugram for Bangladesh

About

TESE / Micro-TESE in Gurugram for Bangladesh Patients

For many couples in Bangladesh facing male infertility due to a lack of sperm, the journey can feel uncertain. Finding advanced solutions like TESE or Micro-TESE often involves looking beyond local options to find the right expertise and specialized care. The search for a viable path to parenthood is a deeply personal concern.

This is why many choose Gurugram, India, as their destination. Gurugram stands out for its well-developed medical infrastructure and patient-centric environment. The city’s medical hubs are known for delivering highly coordinated care, making the experience smoother for international patients seeking complex fertility treatments.

Trust in Gurugram’s hospitals and fertility specialists is built on a foundation of proven success and modern facilities. Patients from Bangladesh often find reassurance in the city's commitment to advanced medical practices, ensuring high standards of treatment and dedicated follow-up support within the city's robust healthcare network.

Gurugram offers a structured and supportive pathway for TESE and Micro-TESE procedures.

What is TESE / Micro-TESE?

TESE (Testicular Sperm Extraction) and Micro-TESE (Microscopic Testicular Sperm Extraction) are advanced surgical procedures designed to retrieve sperm directly from the testicles. These techniques are primarily used for men who have azoospermia, a condition where no sperm is found in the ejaculate. The retrieved sperm can then be used in assisted reproductive technologies such as IVF (In Vitro Fertilization) or ICSI (Intracytoplasmic Sperm Injection) to help couples achieve pregnancy. Micro-TESE is a more refined version, using a high-powered microscope to meticulously search for tiny pockets of sperm-producing tissue, increasing the chances of successful retrieval while minimizing damage to the testicular tissue.

Types of TESE and Micro-TESE Procedures

Conventional TESE: This method involves taking small tissue biopsies from the testicle at random. The tissue is then processed in a lab to find any present sperm. It is typically less invasive in terms of equipment but can involve larger tissue removal.

Micro-TESE: Considered the gold standard for non-obstructive azoospermia, Micro-TESE uses an operating microscope to allow the surgeon to identify and remove only the most promising tubules, which are often larger and contain sperm. This approach is more precise, leads to higher sperm retrieval rates, and causes less trauma to the testicle.

TESA (Testicular Sperm Aspiration): While distinct from TESE, TESA is sometimes mentioned in the context of sperm retrieval. It involves aspirating fluid directly from the testicle using a fine needle. It's generally less effective for non-obstructive azoospermia compared to TESE/Micro-TESE but may be considered in certain cases of obstructive azoospermia.

When is TESE / Micro-TESE Required?

  • Non-Obstructive Azoospermia: This is the most common reason, where sperm production is impaired but some sperm might still be present in specific areas of the testicle.
  • Obstructive Azoospermia: In cases where there's a blockage preventing sperm from entering the ejaculate, and reconstructive surgery isn't an option or has failed.
  • Failed Prior Sperm Retrieval Attempts: For patients who have undergone other less invasive procedures (like TESA) without success.
  • Genetic Conditions: Certain genetic conditions affecting sperm production, such as Klinefelter syndrome, may still have isolated pockets of sperm that can be retrieved.
  • Severe Male Factor Infertility: When semen analysis consistently shows no sperm or extremely low numbers, and other causes have been ruled out.

Pre-Treatment Evaluation for TESE / Micro-TESE

  • Comprehensive Medical History and Physical Exam: Including details about past surgeries, medications, and lifestyle factors.
  • Hormone Blood Tests: To measure levels of FSH, LH, testosterone, and prolactin, which provide insights into testicular function.
  • Semen Analysis: Multiple analyses are typically performed to confirm the absence of sperm in the ejaculate (azoospermia).
  • Genetic Testing: Karyotyping to detect chromosomal abnormalities and Y-chromosome microdeletion testing, as these can impact sperm production.
  • Scrotal Ultrasound: To evaluate the size, structure, and presence of any abnormalities in the testicles and epididymis.
  • Infectious Disease Screening: To ensure the patient is clear of conditions like HIV, Hepatitis B, and Hepatitis C.

How the TESE / Micro-TESE Procedure is Performed

The precise method for TESE or Micro-TESE depends on the patient's specific condition and the treatment plan developed by the fertility specialist.

Anesthesia

The procedure is usually performed under general anesthesia, ensuring the patient is comfortable and pain-free throughout.

Incision

A small incision, typically less than an inch, is made in the scrotum to access the testicle. For Micro-TESE, this incision is often even smaller and more precise.

Tissue Retrieval

In conventional TESE, small pieces of testicular tissue are extracted. For Micro-TESE, the surgeon uses a high-powered operating microscope to carefully examine the testicular tubules. Areas appearing larger and more opaque, which are more likely to contain sperm, are selectively removed. This meticulous approach helps preserve healthy tissue.

Sperm Identification

Immediately after retrieval, the tissue samples are sent to an embryology lab. Trained embryologists process the tissue and search for viable sperm under a microscope. If sperm are found, they are prepared for immediate use in ICSI or cryopreserved (frozen) for future use.

Wound Closure

Once sufficient sperm has been retrieved or the search is completed, the incision in the scrotum is carefully closed with dissolvable sutures.

Recovery Process After TESE / Micro-TESE

Recovery from TESE or Micro-TESE typically involves a few days of discomfort, managed with prescribed pain medication. Patients are usually advised to rest for 24-48 hours post-procedure. Swelling and bruising in the scrotal area are common and generally subside within a week. Restrictions often include avoiding strenuous activities, heavy lifting, and sexual intercourse for about two to three weeks to allow for proper healing. Wearing supportive underwear can help reduce discomfort. Follow-up appointments with the urologist are crucial to monitor healing and discuss the success of sperm retrieval and the next steps for fertility treatment.

Risks and Success Rates of TESE / Micro-TESE

  • Pain and Swelling: Temporary discomfort, bruising, and swelling in the scrotal area are common.
  • Bleeding or Hematoma: There is a small risk of bleeding or a collection of blood (hematoma) within the scrotum.
  • Infection: As with any surgical procedure, there is a risk of infection at the incision site.
  • Testicular Damage: While Micro-TESE aims to minimize this, there's a slight risk of damage to testicular tissue, potentially affecting future hormone production.
  • Epididymitis: Inflammation of the epididymis, a tube located at the back of the testicle.

The success rate of TESE/Micro-TESE in retrieving sperm varies significantly depending on the underlying cause of azoospermia. For obstructive azoospermia, sperm retrieval rates are very high, often exceeding 95-100%. For non-obstructive azoospermia, Micro-TESE typically yields sperm retrieval rates between 40-60%, which is higher than conventional TESE. The overall success of achieving pregnancy depends on various factors, including the quality of retrieved sperm, the female partner's fertility status, and the success of subsequent IVF/ICSI cycles. Long-term expectations focus on the potential for successful fertilization and embryo creation using the retrieved sperm.

Ready to Discuss Your Options?

Connect with our Gurugram fertility specialists today to understand if TESE or Micro-TESE is right for you. We provide personalized care and clear guidance for every step of your journey.

Reach out now for a consultation.

Cost of TESE / Micro-TESE Treatment in Gurugram

The cost of TESE or Micro-TESE in Gurugram can vary based on several factors. These include the specific hospital chosen, the experience and reputation of the fertility specialist, the type of procedure performed (conventional TESE versus Micro-TESE), the complexity of the case, and the need for additional services like sperm freezing. Gurugram offers competitive pricing while maintaining high standards of medical care.

Generally, the cost for TESE / Micro-TESE in Gurugram ranges from approximately INR 80,000 to INR 1,50,000.

Gurugram TESE / Micro-TESE Cost vs. Other Countries

Gurugram provides a cost-effective alternative for advanced fertility treatments without compromising on quality or technology. Here’s a comparison of TESE/Micro-TESE costs with several other countries.

Location Estimated Cost (USD)
Gurugram, India $1,000 - $1,800
United States $5,000 - $10,000
United Kingdom $4,000 - $8,000
Thailand $2,500 - $5,000
Singapore $3,500 - $7,000

Support Services for Your Treatment Journey

  • Assistance with medical visa applications for patients from Bangladesh.
  • Coordination of hospital appointments and specialist consultations.
  • Arrangement for comfortable accommodation near the medical facilities.
  • Personalized interpreters to facilitate clear communication between patients and medical staff.
  • Guidance on local travel and transportation within Gurugram.
  • Dedicated patient care managers to support you throughout your stay.

Papers Required for Your Medical Visit

  • Valid passport and medical visa.
  • Copies of all relevant medical reports and diagnostic test results.
  • Doctor’s referral letter, if applicable.
  • Proof of address and identity.
  • Any previous fertility treatment records or summaries.

Steps to Get Ready for Treatment

  • Follow all pre-operative dietary and medication instructions provided by your Gurugram doctor.
  • Arrange your travel and accommodation well in advance.
  • Ensure all necessary documents are prepared and easily accessible.
  • Plan for a companion to accompany you for support during and after the procedure.
  • Abstain from alcohol and smoking for a specified period before the surgery.
  • Inform your medical team about any allergies or current medications.

Recovery and Follow-Up Care in Gurugram

  • Adhere strictly to post-operative medication schedules, especially pain management.
  • Attend all scheduled follow-up appointments with your Gurugram urologist or fertility specialist.
  • Monitor the incision site for any signs of infection and report concerns immediately.
  • Follow specific instructions regarding physical activity, bathing, and wound care.
  • Discuss your recovery progress and any potential next steps for IVF/ICSI with your medical team.
  • Ensure you have a clear understanding of when it is safe to travel back to Bangladesh.

Begin Your Journey to Parenthood

Our experienced team in Gurugram is ready to provide the advanced care you need for TESE/Micro-TESE. Contact us to learn more about our comprehensive services for international patients.

Schedule your appointment today.

Take Your Next Step Toward Better Health

Gurugram offers a reliable and expert-led environment for TESE / Micro-TESE, supporting patients from Bangladesh with advanced medical care.

Hospitals Offering this treatment

India offers premium medical procedures at affordable prices. Discover our most popular treatments, delivered by the country's finest doctors.

Meet Our Doctors

Meet our team of highly qualified and experienced medical professionals dedicated to providing the best healthcare services.

Related Links

Ready To Start Your Healing Journey?

Get Personalized Medical Treatment Options From India's Top Hospitals. Our Medical Experts Are Ready To Assist You Every Step Of The Way.