India's #1 Micro TESE Specialist
Advanced TESA, TESE & Micro TESE for Azoospermia Treatment
Dr. Arun Muthuvel MS, MCh has performed 200+ Micro TESE procedures — the highest by any single surgeon in India. Internationally trained in Andrology at University of Miami, USA.
India's most experienced Micro TESE specialist with world-class training and the highest procedure count in the country.
Highest number of Micro TESE procedures performed in India by a single surgeon
Specialized Andrology & Micro TESE fellowship at University of Miami, USA
Among the first in India to complete MCh degree in Reproductive Medicine & Surgery
Consistently achieving above-average sperm retrieval rates in non-obstructive azoospermia cases
Coordinated Micro TESE with fresh IVF-ICSI cycles for optimal fertilization outcomes
Training from Harvard, Cleveland Clinic, and University of Miami for world-class surgical skills
Three surgical sperm retrieval procedures for azoospermia. Dr. Arun Muthuvel determines the best approach based on your diagnosis — obstructive or non-obstructive azoospermia.
Testicular Sperm Aspiration
A minimally invasive needle-based procedure to aspirate sperm directly from the testicle under local anesthesia. Best suited for obstructive azoospermia cases like vas deferens blockage or prior vasectomy.
Testicular Sperm Extraction
A surgical procedure involving small testicular tissue biopsies examined microscopically for sperm. Used when azoospermia results from sperm production issues and TESA is insufficient.
Microsurgical Testicular Sperm Extraction
The most advanced surgical sperm retrieval technique using a high-powered operating microscope (25x magnification) to identify seminiferous tubules most likely to contain sperm. The gold standard for non-obstructive azoospermia.
Dr. Arun Muthuvel has completed 200+ Micro TESE procedures — highest in India.
Dr. Arun Muthuvel has helped hundreds of azoospermia patients become fathers through Micro TESE and IVF-ICSI. Get expert guidance today.
Dr. Arun Muthuvel MS, MCh (Reproductive Medicine & Surgery) is India's leading Micro TESE specialist, having successfully performed over 200 Micro TESE procedures for azoospermia — the highest by any single surgeon in the country.
Trained in Andrology and Micro TESE at the prestigious University of Miami, USA, Dr. Arun brings international-level microsurgical expertise to Chennai. His advanced training includes fellowship at Harvard University (Boston IVF), Cleveland Clinic (PGD & Embryo Biopsy), and Michigan IVF (Natural Cycle IVF).
At Iswarya Fertility Centre in Adyar, Chennai, Dr. Arun performs Micro TESE using state-of-the-art operating microscopes with 25x magnification, ensuring the highest possible sperm retrieval rates even in the most challenging non-obstructive azoospermia cases.
Micro TESE is the gold standard treatment for non-obstructive azoospermia. Dr. Arun Muthuvel recommends Micro TESE in the following conditions:
When the testicles produce very little or no sperm due to testicular failure
When simpler sperm retrieval procedures have failed to find viable sperm
Genetic condition (47,XXY) causing small testicles and impaired sperm production
Genetic deletions affecting sperm production genes on the Y chromosome
Azoospermia caused by cancer treatments like chemotherapy or radiation therapy
Undescended testicles in childhood leading to impaired sperm production
Real families who achieved parenthood through Dr. Arun Muthuvel's Micro TESE and IVF-ICSI treatment in Chennai.
Zero sperm count does not mean zero hope. Consult India's most experienced Micro TESE specialist today.
Micro TESE (Microsurgical Testicular Sperm Extraction) uses a high-powered surgical microscope at 25x magnification to identify and extract seminiferous tubules most likely to contain sperm. Unlike TESA (needle aspiration) and conventional TESE (blind biopsy), Micro TESE allows the surgeon to visually identify healthier, larger tubules with higher chances of containing sperm. This makes it the gold standard for non-obstructive azoospermia with the highest sperm retrieval rates.
Micro TESE is recommended for men diagnosed with non-obstructive azoospermia (NOA) — where the testicles produce very little or no sperm due to conditions like Klinefelter syndrome, Y-chromosome microdeletions, prior chemotherapy, cryptorchidism, or idiopathic causes. It is also used when simpler procedures like TESA or conventional TESE have failed to retrieve sperm.
Sperm retrieval rates with Micro TESE range from 40-60% in non-obstructive azoospermia cases, which is significantly higher than conventional TESE (25-30%). Dr. Arun Muthuvel's 200+ Micro TESE experience ensures optimal technique and the best possible chances for sperm retrieval.
Micro TESE is performed under general anesthesia, so you will not feel any pain during the procedure. Post-operative discomfort is typically mild and managed with oral pain medications. Most patients can return to normal activities within 3-5 days and resume work within a week.
Yes. In fact, this is the standard approach. Sperm retrieved via Micro TESE is used immediately with IVF-ICSI (Intracytoplasmic Sperm Injection) where a single sperm is injected directly into each egg. Dr. Arun Muthuvel coordinates Micro TESE with IVF cycles for the best fertilization outcomes.
If no sperm is found, the couple is counseled about alternative options including donor sperm IVF or adoption. However, with Dr. Arun Muthuvel's extensive Micro TESE experience and meticulous surgical technique, the chances of sperm retrieval are maximized.
Consult with Dr Arun Muthuvel MS, MCh who is a specialist in Azoospermia at Iswarya Fertility centres in Chennai, India.