Consultation & Diagnostic Testing
Your fertility specialist reviews your medical history, semen analysis, and hormonal profile to determine the best plan.
Your path to fatherhood with advanced male fertility solutions
When no sperm is present in the ejaculate (azoospermia), it doesn't have to end your fertility journey. At Advanced Fertility Center of Texas (AFCT), we offer Testicular Sperm Extraction (TESE)—a precise, minimally invasive procedure that retrieves sperm directly from the testicles for use in IVF with ICSI. Whether your azoospermia is caused by a prior vasectomy, genetic condition, or testicular failure, our expert team and world-class IVF laboratory provide advanced solutions to help you build your family.
MALE FERTILITY TREATMENT
TESE (Testicular Sperm Extraction) is a minor surgical procedure used to retrieve sperm directly from the testicle when sperm cannot be found in the ejaculate. It is commonly recommended for:
Once retrieved, sperm is carefully processed and prepared for IVF with ICSI (Intracytoplasmic Sperm Injection) in our on-site Omni Med Laboratory, led by world-renowned embryologist Dr. Dmitri Dozortsev.
Even in severe male factor infertility, TESE combined with ICSI often allows couples to achieve pregnancy with their own sperm.
SURGICAL SPERM RETRIEVAL
Advanced surgical sperm retrieval coordinated seamlessly with your IVF cycle
You may need TESE if:
AFCT makes the process seamless and efficient by coordinating directly with top reproductive urologists.
STEP BY STEP PROCESS
Your fertility specialist reviews your medical history, semen analysis, and hormonal profile to determine the best plan.
A skilled urologist performs TESE under local or light anesthesia, extracting tiny tissue samples from the testicles to retrieve sperm.
Sperm are immediately transported to Omni Med Laboratory, where they're carefully selected and prepared for IVF with ICSI.
TESE Excellence
Surgically retrieved sperm are fragile. Our state-of-the-art Omni Med Lab uses advanced ICSI techniques to maximize fertilization success.
We work directly with male reproductive specialists for precise surgical timing and streamlined IVF planning.
We prioritize TESE coordination so you can move quickly toward treatment without unnecessary delays.
If sperm retrieval isn't successful, we offer donor sperm options, third-party reproduction solutions, and compassionate guidance for your next step.
Beyond TESE, we provide hormone optimization, wellness-based fertility support, and access to cutting-edge IVF techniques tailored for severe male factor infertility.
ANSWERS & CLARITY
No. It's performed under local or light anesthesia, so there's minimal discomfort. Most patients resume normal activities within a day or two.
Recovery is quick—mild soreness may last 24–48 hours. Heavy exercise or sexual activity is typically avoided for a few days.
Yes. We can cryopreserve surgically retrieved sperm for future IVF cycles.
Not always, but even with low sperm production, many men still have viable sperm that can be used with ICSI.
Yes. After a vasectomy, sperm can't reach the ejaculate, so TESE or reversal is required for biological conception.
Yes. Our lab specializes in handling even the most delicate cases, improving chances of success after failed attempts.
If you've been told you have no sperm or have experienced repeated IVF failure due to male factor infertility, TESE can help you move forward.
At AFCT, our team combines expert urologists, advanced lab technology, and compassionate care to give you the best chance of fatherhood.
