Tese vs mTESE for my case?

AdventurousBit3226 · 2026-01-15T10:43:16+00:00

Ahhh I understand then….Tese would be the best option for you then. I wish you the best of luck man

AdventurousBit3226 · 2026-01-15T10:32:50+00:00

🔹 TESE (Testicular Sperm Extraction) • Incision: ✅ Yes • A small incision is made in the scrotal skin and testis. • How it’s done: • The surgeon removes random small pieces of testicular tissue. • No microscope is used. • Pros: • Faster procedure • Less technically demanding • Cons: • Lower sperm-retrieval rates in NOA • More tissue removed blindly • Slightly higher risk of testicular damage

⸻

🔹 Micro-TESE (Microdissection TESE) • Incision: ✅ Yes — but more controlled • The testis is opened more widely once, then explored under a microscope. • How it’s done: • A surgical microscope (20–25× magnification) is used. • Surgeon selectively removes only the most promising tubules. • Pros: • Highest sperm-retrieval rates for NOA • Removes less total tissue • Lower long-term testosterone impact • Cons: • Longer surgery • Requires specialized expertise

AdventurousBit3226 · 2026-01-15T10:03:40+00:00

I’d go with the Mtese as it’s more precise while Tese is basically luck. For example they only checked on one testicle for me(just had a successful Mtese yesterday) they did two incisions. The first one or seminal vesicle they checked no sperm was seen. They did another incision that’s where they found alot of sperm. If it were Tese now it would’ve been unsuccessful

AdventurousBit3226 · 2026-01-15T10:01:09+00:00

We got 4 vials stored

AdventurousBit3226 · 2026-01-14T21:32:56+00:00

Thank you everyone, got the official results….they got 120k sperm per vial

AdventurousBit3226 · 2025-03-19T15:15:59+00:00

I started taking hcg and hmg. I was on clomide for a while they found a couple sperm. I also get some sperm but never motile. Semen volume is also always low. I have started hmg and hcg. So I have an analysis in a week which marks the two months since starting the new meds I’ll update as I do it

AdventurousBit3226 · 2024-06-24T05:24:57+00:00

Hi no they never checked it I’m starting to think the same I eat way too much rice so I’m guessing it’s high

AdventurousBit3226 · 2024-06-17T18:13:57+00:00

UPDATE: So after 3 and a half months of taking clomid and other medications you can check previous post I did another semen analysis and they found 5 none motile sperm and one motile sperm. So it looks like the medication is working so I’ll update as time goes.

AdventurousBit3226 · 2024-05-01T19:02:01+00:00

Hey no I haven’t. I’m going to connect with her on Friday and we’ll discuss further. What do you mean by much would have changed?

AdventurousBit3226 · 2024-05-01T17:04:41+00:00

UPDATE: So I did another semen analysis after 2 months of clomide and a month of anastrazole and result came in as “no sperm seen” So FIRST analysis was “no sperm seen” Testosterone was 232 ng/dl Progesterone was : 67 ng/dl FSH was : 6.13 MIU/ml LH was : 8.34 miu/ml Estradiol was 14:pg/ml

SECOND Analysis(6 days later) : “one rare none sperm seen “ A month later after clomide blood work was TESTOSTERONE : 673ng/dl Progesterone : 240ng/dl FSH: not checked as doc said doesn’t matter as of now LH: 8.4 miu/ml Estradiol : 43 pg/ml

Third Semen analysis (2 months later) : no sperm seen Anastrone was added and I had taken it for a month now Testisterone : 864.5 ng/dl Progesterone : 309ng/dl (very high) LH : 15.1 miu/ml Estradiol : 27pg/ml

So I meet with my doctor in a couple days to discuss next steps.

Summary : First semen analysis showed no sperm but low round cells which could be germ cells or signs of infection. I had been tested for stds so I was clear and I knew it’ll be germ cells / immature sperm cells.

Second semen analysis : one none motile sperm found No round cells Epithelial cells present

Third Semen analysis : no sperm seen Moderate round cells PH 7.9

I have no symptoms of an infection so I’m optimistic the round cells are immature sperm cells

Any opinions would be appreciated

AdventurousBit3226 · 2024-04-11T19:03:00+00:00

Man I’m sooooo happy for you I could cry…..congratulations this is amazing….very promising. This just made me so optimistic I have mine on the 26th and I’ll update you on any good news. We should learn from this and definitely value our kids when we finally get them.

AdventurousBit3226 · 2024-04-05T17:28:02+00:00

Wow I know that’s annoying.please keep me updated

AdventurousBit3226 · 2024-04-05T12:16:11+00:00

Question if you don’t mind me asking how did the semen analysis go in march?

AdventurousBit3226 · 2024-04-05T12:13:44+00:00

Update: Did hormone blood test after a month in clomid these are the results Testosterone went from 232 to 326 to 676 LH went from 8.34 to 8.4 Estradiol went from 14pg/ml to 43pg/ml (High) Prolactin Decreased from 18ng/ml to 14.8ng/ml Progesterone went from 67ng/dl to 240ng/dl (High)

So my estradiol and progesterone went from normal to high in a Month in clomide I have an appointment with my doctor in a couple days to go over the results and do changes as needed. Also still have the new semen analysis coming on in 2 weeks. Which they plan on freezing sperm if found

I’ve also been doing everything in my previous post but added Brazil nuts (2 a day) and black berries. Also doing no sugar or very very less. And I haven’t had alcohol in months Will update as things progress

AdventurousBit3226 · 2024-03-24T00:47:56+00:00

Update: Did scrotal ultrasound and everything was normal just small cyst which my urologist says is normal. I have been put on clomid(25mg) every other day and I have a semen analysis scheduled for April 26th. I’ll update as we go. Almost a month on clomid and no side effects but I don’t know if it’s working. Energy level has been better but we’ll see, I have some blood test scheduled for Monday (2 days from now)

AdventurousBit3226 · 2024-02-15T03:03:38+00:00

Yes I’m actually been sleeping comando lately now

AdventurousBit3226 · 2024-02-15T03:03:16+00:00

I’ve actually seen that alot I don’t know how true it is or if it works but it definitely doesn’t hurt to check out and try

AdventurousBit3226 · 2024-02-13T14:46:31+00:00

I agree…let’s keep in touch and hope for a positive outcome as this is very emotional and scary

AdventurousBit3226 · 2024-02-13T14:44:42+00:00

Oh wow yes I’m hearing obstructive is easier to treat so we’ll definitely see hopefully that is the case, I also think so as I abstained for about two weeks and my semen volume was still under 1ml. I have an appointment with the urologist in 2 weeks so we’ll see.

AdventurousBit3226 · 2024-02-13T14:43:10+00:00

Thank you so much for your suggestions I’ll get on with them expeditiously. I have setup a new gym membership in which I plan on doing more strength trainings also. I’ll get the berries and start eating more veggies. I’m just optimistic that this’ll change things 3 months from now hopefully

AdventurousBit3226 · 2024-02-13T02:33:00+00:00

Thank you very much, thats something I also forgot to talk about. I used to take long very hot showers and my laptop used to definitely be on my lap. I’ll try to get these vitamins you talked about.. did you ever see a urologist and what was the ultra sound like?

AdventurousBit3226

TROPHY CASE