Dr. Raguram Ganesamoni
Felllow in Endourology, MCh Urology, MRCS, MS, MBBS · Urologist ·
Normal semen contains a minimum of more than 15 million sperms per ml. Azoospermia is a condition in which the semen contains no sperm.
A male with azoospermia cannot father a child naturally. Previously, the only option for such a couple was to either use donor sperms or adopt a child.
However, with the advent of micro-tese, males with azoospermia also can father their own child. In this procedure, testis is opened under microscopic guidance and tubules containing sperms are searched and retrieved by an andrologist (urologist specialized in male infertility). These are further processed by embryologist and the retrieved sperms are used for injecting into eggs retrieved from wife.
It is done as a day care procedure or with one day admission. There is no significant morbidity for this surgery and excess sperms or embryos can be frozen for later use in case first embryo transfer is unsuccessful.
Micro-tese has given new hope for childless couples with azoospermia.