{"id":15463,"date":"2026-01-31T15:48:19","date_gmt":"2026-01-31T14:48:19","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/tese-testicular-sperm-extraction-for-fertility-treatment\/"},"modified":"2026-10-07T14:31:41","modified_gmt":"2026-10-07T13:31:41","slug":"tese-testicular-sperm-extraction-for-fertility-treatment","status":"publish","type":"post","link":"https:\/\/kinderwunschaerztin.de\/en\/tese-testicular-sperm-extraction-for-fertility-treatment\/","title":{"rendered":"TESE: Testi\u00adcu\u00adlar Sperm Extra\u00adc\u00adtion for Fer\u00adti\u00adli\u00adty Tre\u00adat\u00adment"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">In testi\u00adcu\u00adlar sperm extra\u00adc\u00adtion (TESE), sperm are retrie\u00adved direct\u00adly from the testi\u00adcu\u00adlar tis\u00adsue. The pro\u00adce\u00addu\u00adre may be con\u00adside\u00adred for fer\u00adti\u00adli\u00adty tre\u00adat\u00adment if no sperm can be detec\u00adted in the eja\u00adcu\u00adla\u00adte (azoo\u00adsper\u00admia), but sperm are pro\u00addu\u00adced or can be found in the tes\u00adtes. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The retrie\u00adved sperm can then be used for intra\u00adcy\u00adto\u00adplas\u00admic sperm injec\u00adtion (ICSI) and cryo\u00adp\u00adre\u00adser\u00adved if neces\u00adsa\u00adry. Whe\u00adther TESE is advi\u00adsa\u00adble depends on the cau\u00adse of the azoo\u00adsper\u00admia and the pre\u00adce\u00adding exami\u00adna\u00adti\u00adons. <\/p>\n\n\n\n<ul class=\"wp-block-list is-style-toc\">\n<li id=\"was_ist_tese\"><a href=\"#whatis\"><\/a><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#was_ist_eileiterschwangerschaft\"><\/a><a href=\"#was_ist_tese\">What is TESE?<\/a><\/li>\n\n\n\n<li><a href=\"#typical\"><\/a><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#symptome_eileiterschwangerschaft\"><\/a><a href=\"#wann_sinnvoll\">When is TESE useful?<\/a><\/li>\n\n\n\n<li id=\"behandlungsablauf\"><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#blutung_schwanger\"><\/a><a href=\"#behandlungsablauf\">TESE tre\u00adat\u00adment pro\u00adce\u00addu\u00adre in Munich<\/a><\/li>\n\n\n\n<li id=\"mikro_tese\"><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#diagnostik\"><\/a><a href=\"#mikro_tese\">TESE or Micro-TESE: What is the dif\u00adfe\u00adrence?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#behandlung\"><\/a><a href=\"#erfolgsraten\">What are the suc\u00adcess rates for TESE and ICSI?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#wann_schwangerschaft_nach_eileiterschwangerschaft\"><\/a><a href=\"#folgebehandlung\">What hap\u00adpens after a suc\u00adcessful TESE?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#faqs\"><\/a><a href=\"#faqs\">Fre\u00adquent\u00adly asked ques\u00adti\u00adons about testi\u00adcu\u00adlar sperm extra\u00adc\u00adtion<\/a><\/li>\n<\/ul>\n\n\n\n<h3 class=\"gb-text\" id=\"was_ist_tese\">What is TESE?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">During TESE, tis\u00adsue samples are taken from the tes\u00adtis via a minor sur\u00adgi\u00adcal pro\u00adce\u00addu\u00adre and sub\u00adse\u00adquent\u00adly exami\u00adned for sperm in the labo\u00adra\u00adto\u00adry. The pro\u00adce\u00addu\u00adre is usual\u00adly per\u00adfor\u00admed by spe\u00adcia\u00adli\u00adzed uro\u00adlo\u00adgists or andro\u00adlo\u00adgists. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TESE is par\u00adti\u00adcu\u00adlar\u00adly con\u00adside\u00adred in cases of <strong>azoo\u00adsper\u00admia<\/strong>, when no sperm can be detec\u00adted in the eja\u00adcu\u00adla\u00adte despi\u00adte repea\u00adted exami\u00adna\u00adti\u00adons. A distinc\u00adtion is made bet\u00adween <strong>obs\u00adtruc\u00adti\u00adve azoo\u00adsper\u00admia<\/strong>, whe\u00adre the semi\u00adnal ducts are blo\u00adcked or absent, and <strong>non-obs\u00adtruc\u00adti\u00adve azoo\u00adsper\u00admia (NOA)<\/strong>, whe\u00adre sperm pro\u00adduc\u00adtion in the tes\u00adtis is impai\u00adred. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If sperm are found during TESE, they can be used for fer\u00adti\u00adli\u00adty tre\u00adat\u00adment via <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/treatments\/ivf-icsi\/\"><strong>ICSI (intra\u00adcy\u00adto\u00adplas\u00admic sperm injec\u00adtion)<\/strong><\/a> and, if neces\u00adsa\u00adry, fro\u00adzen for later tre\u00adat\u00adment.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"gb-text\" id=\"wann_sinnvoll\">When is TESE useful?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Whe\u00adther TESE is advi\u00adsa\u00adble depends pri\u00adma\u00adri\u00adly on the cau\u00adse of the azoo\u00adsper\u00admia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In obs\u00adtruc\u00adti\u00adve azoo\u00adsper\u00admia, sperm are pro\u00addu\u00adced in the tes\u00adtis but can\u00adnot reach the eja\u00adcu\u00adla\u00adte due to a blocka\u00adge or miss\u00ading semi\u00adnal ducts. Pos\u00adsi\u00adble cau\u00adses include: <\/p>\n\n\n\n<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"800\" class=\"dl-img-left gb-media-3554a67f\" alt title=\"TESE\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/TESE-.png\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/TESE-.png 600w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/TESE--225x300.png 225w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\">\n\n\n\n<ul class=\"wp-block-list\">\n<li>a pre\u00advious vasec\u00adto\u00admy,<\/li>\n\n\n\n<li>con\u00adge\u00adni\u00adtal\u00adly absent vas defe\u00adrens, for exam\u00adp\u00adle in con\u00adnec\u00adtion with cer\u00adtain CFTR gene vari\u00adants,<\/li>\n\n\n\n<li>other obs\u00adtruc\u00adtions of the semi\u00adnal ducts.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In non-obs\u00adtruc\u00adti\u00adve azoo\u00adsper\u00admia, on the other hand, sperm pro\u00adduc\u00adtion within the tes\u00adtis its\u00adelf is sever\u00adely limi\u00adt\u00aded. Howe\u00adver, sperm may still be pre\u00adsent in indi\u00advi\u00addu\u00adal are\u00adas of the testi\u00adcu\u00adlar tis\u00adsue. In the\u00adse cases, Micro-TESE is par\u00adti\u00adcu\u00adlar\u00adly sui\u00adta\u00adble for sperm retrie\u00adval.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The use of testi\u00adcu\u00adlar sperm is also being sci\u00aden\u00adti\u00adfi\u00adcal\u00adly inves\u00adti\u00adga\u00adted in cases of increased <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/dna-fragmentation\/?utm_source=chatgpt.com\">sperm DNA frag\u00admen\u00adta\u00adti\u00adon<\/a>. Howe\u00adver, TESE based sole\u00adly on increased DNA frag\u00admen\u00adta\u00adti\u00adon is not a stan\u00addard tre\u00adat\u00adment and should only be per\u00adfor\u00admed after indi\u00advi\u00addu\u00adal medi\u00adcal con\u00adside\u00adra\u00adti\u00adon. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A careful <a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health\/chapter\/male-infertility?utm_source=chatgpt.com\">andro\u00adlo\u00adgi\u00adcal eva\u00adlua\u00adti\u00adon<\/a> is important befo\u00adre TESE. Azoo\u00adsper\u00admia should be con\u00adfirm\u00aded by at least two <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/semen-analysis-munich\/\">sper\u00admio\u00adgrams<\/a>. Depen\u00adding on the fin\u00addings, dia\u00adgno\u00adstics also include a phy\u00adsi\u00adcal exami\u00adna\u00adti\u00adon, hor\u00admo\u00adne levels, an ultra\u00adsound of the tes\u00adtes, and gene\u00adtic test\u00ading.  <\/p>\n\n\n\n<h3 class=\"gb-text\">TESE tre\u00adat\u00adment pro\u00adce\u00addu\u00adre in Munich<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">TESE is per\u00adfor\u00admed in coope\u00adra\u00adti\u00adon with an expe\u00adri\u00aden\u00adced uro\u00adlo\u00adgist or andro\u00adlo\u00adgist at a spe\u00adcia\u00adli\u00adzed cen\u00adter in Munich. Befo\u00adre the pro\u00adce\u00addu\u00adre, a com\u00adpre\u00adhen\u00adsi\u00adve <a href=\"https:\/\/kinderwunschaerztin.de\/en\/life-situations\/men\/diagnostics-for-men\/\">andro\u00adlo\u00adgi\u00adcal dia\u00adgno\u00adsis<\/a> is car\u00adri\u00aded out to cla\u00adri\u00adfy the cau\u00adse and assess which sperm retrie\u00adval method is sui\u00adta\u00adble. TESE is usual\u00adly per\u00adfor\u00admed on an out\u00adpa\u00adti\u00adent basis.  <\/p>\n\n\n\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-1005032b gb-accordion__item-open\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle gb-block-is-current\" id=\"gb-accordion-content-0edea186\">\n<span class=\"gb-text\">1. PREPARATION AND ANESTHESIA<\/span>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-0edea186\">\n<div>\n<p class=\"wp-block-paragraph\">Befo\u00adre the pro\u00adce\u00addu\u00adre, the neces\u00adsa\u00adry preli\u00admi\u00adna\u00adry exami\u00adna\u00adti\u00adons are car\u00adri\u00aded out and the sur\u00adgi\u00adcal pro\u00adcess is dis\u00adcus\u00adsed. At our part\u00adner faci\u00adli\u00adty, TESE is usual\u00adly per\u00adfor\u00admed under a short gene\u00adral anes\u00adthe\u00adtic. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-f46aa96c\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle gb-accordion__toggle-78fafc1c\" id=\"gb-accordion-toggle-78fafc1c\">\n<span class=\"gb-text gb-text-5dd746ea\">2. Retrie\u00adval and exami\u00adna\u00adti\u00adon of testi\u00adcu\u00adlar tis\u00adsue<\/span>\n\n\n\n<span class=\"gb-accordion__toggle-icon gb-accordion__toggle-icon-ebe9d11f\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-6d50fa18\">\n<div class=\"gb-element-57ed334c\">\n<p class=\"wp-block-paragraph\">The testi\u00adcu\u00adlar sheath is careful\u00adly ope\u00adned, and small tis\u00adsue samples are taken from the tes\u00adtis. Depen\u00adding on the fin\u00addings and preli\u00admi\u00adna\u00adry dia\u00adgno\u00adsis, samples can be taken from one or both sides. The retrie\u00adved testi\u00adcu\u00adlar tis\u00adsue is then exami\u00adned in the labo\u00adra\u00adto\u00adry for the pre\u00adsence of sperm.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-45e7d5fd\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle gb-accordion__toggle-8ca99d44\" id=\"gb-accordion-toggle-8ca99d44\">\n<span class=\"gb-text gb-text-6d463d07\">3. Cryo\u00adp\u00adre\u00adser\u00adva\u00adti\u00adon of sperm<\/span>\n\n\n\n<span class=\"gb-accordion__toggle-icon gb-accordion__toggle-icon-e031d91b\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-1ab5d27c\">\n<div class=\"gb-element-29424a93\">\n<p class=\"wp-block-paragraph\">If sperm are found in the retrie\u00adved testi\u00adcu\u00adlar tis\u00adsue, they are then cryo\u00adp\u00adre\u00adser\u00adved in seve\u00adral straws and can be used for later ICSI tre\u00adat\u00adment.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-b6bf6aec\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle gb-accordion__toggle-e0ce1626\" id=\"gb-accordion-toggle-e0ce1626\">\n<span class=\"gb-text gb-text-99e423a9\">4. After\u00adca\u00adre and heal\u00ading pro\u00adcess<\/span>\n\n\n\n<span class=\"gb-accordion__toggle-icon gb-accordion__toggle-icon-4b2d9151\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-4c04506d\">\n<div class=\"gb-element-4e47a3ce\">\n<p class=\"wp-block-paragraph\">Short-term moni\u00adto\u00adring is requi\u00adred after the pro\u00adce\u00addu\u00adre. In the first few days, pain, swel\u00adling, or brui\u00adsing may occur in the testi\u00adcu\u00adlar area. Phy\u00adsi\u00adcal exer\u00adti\u00adon should be avo\u00adided in the fol\u00adlo\u00adwing days. Coo\u00adling mea\u00adsu\u00adres can help alle\u00advia\u00adte dis\u00adcom\u00adfort and swel\u00adling.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"gb-text\">TESE or Micro-TESE: What is the dif\u00adfe\u00adrence?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In <strong>Micro-TESE (micro-TESE)<\/strong>, the testi\u00adcu\u00adlar tis\u00adsue is exami\u00adned using an ope\u00adra\u00adting micro\u00adscope. This allows for the tar\u00adge\u00adted iden\u00adti\u00adfi\u00adca\u00adti\u00adon and rem\u00adoval of semi\u00adni\u00adfe\u00adrous tubu\u00adles whe\u00adre the pro\u00adba\u00adbi\u00adli\u00adty of sperm pre\u00adsence is hig\u00adher. At the same time, the amount of testi\u00adcu\u00adlar tis\u00adsue remo\u00adved can be redu\u00adced.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The pro\u00adce\u00addu\u00adre is par\u00adti\u00adcu\u00adlar\u00adly sui\u00adta\u00adble when sperm pro\u00adduc\u00adtion in the tes\u00adtis is sever\u00adely limi\u00adt\u00aded and may only be pre\u00adser\u00adved in indi\u00advi\u00addu\u00adal are\u00adas. Cur\u00adrent <a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health\/chapter\/male-infertility?utm_source=chatgpt.com\">gui\u00adde\u00adlines on male infer\u00adti\u00adli\u00adty<\/a> view Micro-TESE as the pre\u00adfer\u00adred method for sur\u00adgi\u00adcal sperm retrie\u00adval in non-obs\u00adtruc\u00adti\u00adve azoo\u00adsper\u00admia. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Even after an unsuc\u00adcessful con\u00adven\u00adtio\u00adnal TESE, Micro-TESE can still find sperm in sel\u00adec\u00adted cases. Stu\u00addies also show evi\u00addence of bene\u00adfits for cer\u00adtain his\u00adto\u00adlo\u00adgi\u00adcal fin\u00addings such as Ser\u00adto\u00adli-Cell-Only syn\u00addro\u00adme (SCO). Howe\u00adver, suc\u00adcessful sperm retrie\u00adval can\u00adnot be gua\u00adran\u00adteed even with Micro-TESE.  <\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1706\" class=\"dl-img-right gb-media-4fab2cfc\" alt title=\"Happy couple with positive pregnancy test.\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-scaled.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-scaled.jpg 2560w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-300x200.jpg 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-1024x682.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-768x512.jpg 768w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-1536x1023.jpg 1536w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\n\n\n\n<h3 class=\"gb-text\" id=\"erfolgsraten\">What are the suc\u00adcess rates for TESE and ICSI?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The pro\u00adba\u00adbi\u00adli\u00adty of fin\u00adding sperm during TESE depends signi\u00adfi\u00adcant\u00adly on the under\u00adly\u00ading cau\u00adse. In cases of sever\u00adely limi\u00adt\u00aded sperm pro\u00adduc\u00adtion, the <a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health\/chapter\/male-infertility?utm_source=chatgpt.com\">chan\u00adces of sperm retrie\u00adval<\/a> can vary signi\u00adfi\u00adcant\u00adly and can only be pre\u00addic\u00adted to a limi\u00adt\u00aded ext\u00adent befo\u00adre the pro\u00adce\u00addu\u00adre. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If sperm are retrie\u00adved, they can be used for ICSI tre\u00adat\u00adment. The chan\u00adces of pregnan\u00adcy and live birth then depend on various fac\u00adtors \u2013 in par\u00adti\u00adcu\u00adlar the age and fer\u00adti\u00adli\u00adty of the fema\u00adle part\u00adner as well as other indi\u00advi\u00addu\u00adal cir\u00adcum\u00ads\u00adtances of the cou\u00adple. The\u00adr\u00ade\u00adfo\u00adre, we dis\u00adcuss the pro\u00ads\u00adpects of suc\u00adcess for TESE and sub\u00adse\u00adquent ICSI indi\u00advi\u00addu\u00adal\u00adly as part of the fer\u00adti\u00adli\u00adty tre\u00adat\u00adment.  <\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"single-post__hintergrund\">\n<h3 class=\"gb-text\" id=\"folgebehandlung\">What hap\u00adpens after a suc\u00adcessful TESE?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If sperm are found during TESE, they can be cryo\u00adp\u00adre\u00adser\u00adved and stored for later <strong>ICSI tre\u00adat\u00adment<\/strong>. During ICSI, a sin\u00adgle sperm cell is intro\u00addu\u00adced direct\u00adly into an egg cell. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thanks to <a href=\"https:\/\/kinderwunschaerztin.de\/en\/life-situations\/fertility-precautions\/\">cryo\u00adp\u00adre\u00adser\u00adva\u00adti\u00adon<\/a>, sperm retrie\u00adval and fer\u00adti\u00adli\u00adty tre\u00adat\u00adment do not have to take place at the same time. If suf\u00adfi\u00adci\u00adent sui\u00adta\u00adble sperm are available, the fro\u00adzen samples can also be used for fur\u00adther tre\u00adat\u00adment attempts if neces\u00adsa\u00adry. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We plan fur\u00adther fer\u00adti\u00adli\u00adty tre\u00adat\u00adment indi\u00advi\u00addu\u00adal\u00adly based on the available samples and the medi\u00adcal requi\u00adre\u00adments of both part\u00adners.<\/p>\n<\/div>\n\n\n\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<h2 class=\"gb-text\" id=\"faqs\">Fre\u00adquent\u00adly Asked Ques\u00adti\u00adons about TESE<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-b101c92c\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>How long does heal\u00ading take after TESE?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-3e45d344\">\n<div>\n<p class=\"wp-block-paragraph\">Pain, swel\u00adling, or brui\u00adsing can occur in the first few days after the pro\u00adce\u00addu\u00adre and usual\u00adly subs\u00adi\u00adde after a few days. <strong>It can take about one to two weeks for the wound to heal com\u00adple\u00adte\u00adly.<\/strong> How long phy\u00adsi\u00adcal rest is requi\u00adred depends on the indi\u00advi\u00addu\u00adal heal\u00ading pro\u00adcess and the pro\u00adce\u00addu\u00adre per\u00adfor\u00admed.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-5034b1a2\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Is TESE pain\u00adful?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-a10d1099\">\n<div>\n<p class=\"wp-block-paragraph\">TESE is per\u00adfor\u00admed under anes\u00adthe\u00adsia, so no pain is usual\u00adly felt during the pro\u00adce\u00addu\u00adre. <strong>After the pro\u00adce\u00addu\u00adre, pain in the testi\u00adcu\u00adlar area as well as swel\u00adling or brui\u00adsing may occur. The seve\u00adri\u00adty of the dis\u00adcom\u00adfort varies from per\u00adson to per\u00adson.<\/strong> Coo\u00adling, phy\u00adsi\u00adcal rest, and pain reli\u00adef medi\u00adca\u00adti\u00adon if nee\u00added can help alle\u00advia\u00adte the sym\u00adptoms.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-c4a5ad62\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>When are the results of the sperm exami\u00adna\u00adti\u00adon available?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-30bc5bd5\">\n<div>\n<p class=\"wp-block-paragraph\">You will usual\u00adly find out whe\u00adther sperm were found in the retrie\u00adved tis\u00adsue samples on the day of the pro\u00adce\u00addu\u00adre.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-dfa5decb\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Who bears the cos\u00adts for testi\u00adcu\u00adlar sperm extra\u00adc\u00adtion?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-fa805019\">\n<div>\n<p class=\"wp-block-paragraph\">Whe\u00adther the cos\u00adts of TESE are cover\u00aded by health insu\u00adrance depends on the indi\u00advi\u00addu\u00adal insu\u00adrance situa\u00adti\u00adon and the medi\u00adcal requi\u00adre\u00adments. Pri\u00adva\u00adte\u00adly insu\u00adred indi\u00advi\u00addu\u00adals should cla\u00adri\u00adfy cost covera\u00adge with their insu\u00adrance pro\u00advi\u00adder befo\u00adre the pro\u00adce\u00addu\u00adre. Tho\u00adse with sta\u00adtu\u00adto\u00adry insu\u00adrance should also check with their health insu\u00adrance fund in advan\u00adce to see which cos\u00adts will be cover\u00aded in their spe\u00adci\u00adfic case.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4ad508df\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>What hap\u00adpens if no sperm are found during TESE?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d800aba0\">\n<div>\n<p class=\"wp-block-paragraph\">If no sperm are found during TESE, the retrie\u00adved samples can\u00adnot be used for ICSI. What hap\u00adpens next depends on the cau\u00adse of the azoo\u00adsper\u00admia, the pro\u00adce\u00addu\u00adre per\u00adfor\u00admed, and the fin\u00addings to date. In sel\u00adec\u00adted cases, fur\u00adther exami\u00adna\u00adti\u00adons or a repeat sur\u00adgi\u00adcal sperm retrie\u00adval, for exam\u00adp\u00adle via Micro-TESE, may be con\u00adside\u00adred. Fur\u00adther opti\u00adons should be dis\u00adcus\u00adsed indi\u00advi\u00addu\u00adal\u00adly with the trea\u00adting uro\u00adlo\u00adgist or andro\u00adlo\u00adgist and the fer\u00adti\u00adli\u00adty cen\u00adter.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4e49d74b\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>How often can TESE be per\u00adfor\u00admed?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-df7094c2\">\n<div>\n<p class=\"wp-block-paragraph\">TESE can gene\u00adral\u00adly be repea\u00adted. Howe\u00adver, whe\u00adther and when a fur\u00adther pro\u00adce\u00addu\u00adre is advi\u00adsa\u00adble depends on the cau\u00adse of the azoo\u00adsper\u00admia, the fin\u00addings to date, and the result of pre\u00advious sperm retrie\u00advals. Sin\u00adce testi\u00adcu\u00adlar tis\u00adsue is remo\u00adved during each pro\u00adce\u00addu\u00adre and com\u00adpli\u00adca\u00adti\u00adons such as brui\u00adsing or chan\u00adges to the testi\u00adcu\u00adlar tis\u00adsue can occur, a repeat TESE should be weig\u00adhed indi\u00advi\u00addu\u00adal\u00adly with the trea\u00adting uro\u00adlo\u00adgist or andro\u00adlo\u00adgist.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In testi\u00adcu\u00adlar sperm extra\u00adc\u00adtion (TESE), sperm are retrie\u00adved direct\u00adly from the testi\u00adcu\u00adlar tis\u00adsue. The pro\u00adce\u00addu\u00adre may be con\u00adside\u00adred for fer\u00adti\u00adli\u00adty tre\u00adat\u00adment if no sperm can be detec\u00adted in the eja\u00adcu\u00adla\u00adte (azoo\u00adsper\u00admia), but sperm are pro\u00addu\u00adced or can be found in the tes\u00adtes. The retrie\u00adved sperm can then be used for intra\u00adcy\u00adto\u00adplas\u00admic sperm injec\u00adtion (ICSI) and \u2026 <a title=\"TESE: Testi\u00adcu\u00adlar Sperm Extra\u00adc\u00adtion for Fer\u00adti\u00adli\u00adty Tre\u00adat\u00adment\" class=\"read-more\" href=\"https:\/\/kinderwunschaerztin.de\/en\/tese-testicular-sperm-extraction-for-fertility-treatment\/\" aria-label=\"Read more about TESE: Testi\u00adcu\u00adlar Sperm Extra\u00adc\u00adtion for Fer\u00adti\u00adli\u00adty Tre\u00adat\u00adment\">Read more<\/a><\/p>\n","protected":false},"author":6,"featured_media":6854,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[225],"tags":[226],"class_list":["post-15463","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-knowledge","tag-tese"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Testicular Sperm Extraction for Fertility Treatment \u00bb Munich<\/title>\n<meta name=\"description\" content=\"Sperm retrieval through testicular sperm extraction \u27a4 When is TESE useful? \u2713 Procedure &amp; costs of TESE treatment \u2713 Learn more now!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinderwunschaerztin.de\/en\/tese-testicular-sperm-extraction-for-fertility-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Testicular Sperm Extraction for Fertility Treatment \u00bb Munich\" \/>\n<meta property=\"og:description\" content=\"Sperm retrieval through testicular sperm extraction \u27a4 When is TESE useful? \u2713 Procedure &amp; costs of TESE treatment \u2713 Learn more now!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kinderwunschaerztin.de\/en\/tese-testicular-sperm-extraction-for-fertility-treatment\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. med. 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