How soon can one undergo IVF after micro TESE
Introduction
Male infertility affects millions of couples worldwide, with non-obstructive azoospermia (NOA) being one of the most complex forms. In such cases, Micro TESE Surgery (Microsurgical Testicular Sperm Extraction) has emerged as a groundbreaking procedure that enables sperm retrieval directly from the testes.
Understanding Micro TESE and Its Purpose
Micro TESE is a surgical technique used to extract sperm from men with very low or no sperm in their ejaculate due to impaired sperm production. A urologist or andrologist performs this procedure using a microscope to carefully identify and retrieve viable sperm from the testicular tissue.
This sperm is not used for natural conception. Instead, it is often paired with IVF—specifically with ICSI—where a single sperm is injected into a mature egg to aid fertilization.
Can IVF Begin Immediately After Micro TESE?
The short answer is yes, but with a few important considerations:
1. If Sperm Is Frozen:
IVF can begin as soon as the woman is ready.
In many cases, sperm retrieved during micro TESE is cryopreserved (frozen) immediately after collection.
This allows the female partner to undergo ovarian stimulation, egg retrieval, and embryo transfer at any time convenient for her cycle and health.
2. If Using Fresh Sperm:
IVF and micro TESE must be coordinated on the same day.
This requires precise planning between the male and female fertility specialists to ensure sperm and eggs are ready at the same time.
Recovery Time for Men After Micro TESE
Men typically need 2 to 4 weeks to recover physically from micro TESE. While this doesn’t delay IVF if sperm has been frozen, it is important for men to:
Avoid strenuous activity for 7–10 days
Monitor for swelling, discomfort, or signs of infection
Follow post-operative care instructions strictly
Recovery also includes emotional readiness, especially if the first attempt does not yield usable sperm. Counseling and mental preparation can be crucial during this phase.
Factors That Influence IVF Timing After Micro TESE
a. Sperm Quality and Quantity
If viable sperm is found, especially in low numbers, it may be stored for immediate or future use.
If no sperm is found, IVF must be delayed, and alternate plans (like donor sperm or repeat micro TESE) may be considered.
b. Female Partner’s Readiness
Her age, ovarian reserve, and any hormonal treatments she needs to undergo also impact the IVF timeline.
IVF may be scheduled independently of the micro TESE if frozen sperm is available.
c. Fertility Center Capabilities
Reputable fertility centers like Australian Concept Infertility Medical Center (ACIMC) in Lahore offer synchronized micro TESE, IVF, and ICSI under one roof, reducing delays and increasing efficiency.
Expert Recommendations
Trained fertility specialists typically advise:
Freezing sperm during micro TESE to avoid any pressure on cycle synchronization.
Allowing at least 2 weeks post-procedure before beginning ovarian stimulation in the female partner—this gives the male time to heal and verify sperm viability.
Discussing all results and options with the embryologist and urologist before proceeding.
Benefits of Waiting a Few Weeks Before IVF
Although some couples are eager to start IVF immediately, waiting a short while may offer benefits:
Allows proper planning for egg stimulation
Ensures both partners are physically and emotionally ready
Enables thorough review of micro TESE results and discussion of success rates
Final Thoughts
IVF can usually be initiated immediately after micro TESE if sperm is frozen and the female partner is ready. However, each case is unique and should be assessed by a trained infertility team. Clinics like Australian Concept Infertility Medical Center provide personalized guidance to ensure the best chances of success with IVF following micro TESE.
If you or your partner are preparing for micro TESE and wondering when IVF can begin, consult with your fertility specialist. Timely planning, expert care, and the right approach can make all the difference on your journey to parenthood.
For More Details: https://australianconcept.com/