In some patients, there may be congenital or subsequent problems in the ways in which sperm are ejected from the body or in sperm production. In such cases, TESE-TESA may be required if the patient cannot give sperm on the day of microinjection or even if he can, sperm cells cannot be obtained. Taking sperm from the testicles by a specialist urologist can be done in two ways.

TESA : The process of obtaining sperm from the testes with a special syringe.

TESE : It is the procedure of removing 1-2 cm surgical incision from the testes and obtaining the micro-tissue from the testes.

New applications for increasing the chances of success in IVF treatments are as follows:

Embryo Glue: Eggs and sperm cells, combined under laboratory conditions, are grown in a liquid medium thatEmbryo Glue: Eggs and sperm cells, combined under laboratory conditions, are grown in a liquid medium that imitating the natural environment of the mother's uterus. Despite the fact that with the help of high technology, the highest result is achieved,  it is not yet possible to provide one-to-one similarity. The embryo glue technique, which has been used frequently recently, has increased the similarity level of the embryos in the nutrition and living environment. During embryo transfer, embryos taken into this culture medium are transferred to the uterus using a thin catheter. This new technique has been shown to increase the retention rate of embryos in  to the uterus, but there is no study to increase the chance of one-to-one pregnancy success.

Microchip : It was first discovered by a Turkish scientist at Harvard University. Nowadays, the decrease in the number and motility of sperms etc. factors account for 50% of infertility problems. It is medically known that sperm cells with reduced number and motility decrease pregnancy  rates. This method allows to separateion of healthy and high-quality sperm. It was observed that pregnancy rates increased when the procedure was performed with healthy sperms obtained. One of the most important features is the separation of sperm with DNA disorders. 

Budding with Laser: The merging of a sperm and an egg is called an embryo. After embryo formation, an increase and development of the number of cells are observed with each passing day. On the 5th day, the embryo tears out its outer membrane so that it can cling on the mother’s womb but sometimes it cannot come out of the membrane and attachment may not occur. In these and similar situations, In these and similar situations, small sections are opened with advanced laser systems without touching the embryo, creating an area where the embryo will bud. Thus, the embryo can be more easily budded and pulled into the uterus to remove it from the outer membrane. As maternal age increases, this membrane gradually becomes thicker and may reduce the frequency of pregnancy. Repetitive unsuccessful in vitro fertilization is a method that can be applied in cases where the female age is high and the membrane tissue is thick.

If the procedure is performed under local anesthesia, the candidate will be discharged 30 minutes later. If sedation is applied, the patient is discharged after 1 hour. After the procedure, there may be slight pain in the testes at the incision site or depend on the needle entry site. The necessary intervention will be carried out by the urology doctor and health personnel as soon as possible.

MTA Global, working with globally recognized hospitals and providing advisory support, is committed to providing the most reliable treatment for its patients.

It will not be right to give a success rate without the necessary evaluations and examinations in TESE-TESA transactions. Unfortunately, as with all other assisted reproductive methods, it is not possible to give a 100% guarantee on this treatment. For this reason, it is important to share the necessary analyzes and reports with the urology doctor and specialist embryologist.