Making your decision
Azoospermia means no sperm are found in the ejaculate; confirmation and assessment of the cause are needed. Surgical sperm retrieval and ICSI are different procedures. Finding sperm, fertilisation and live birth are distinct outcomes.
ICSI and micro-TESE are different
ICSI introduces a selected sperm into an egg; fertilisation and pregnancy remain uncertain. Micro-TESE searches testicular tissue for sperm in selected azoospermia cases. Retrieval is not always successful. Hormones, examination and sometimes genetic investigations inform counselling; no single marker makes the surgical outcome certain.
Ask at your consultation
What will we discuss as a couple if sperm are found, and if they are not?
Preparing for your first appointmentRelated guides
Assessment for couples with an azoospermia diagnosis Micro-TESESources and further reading
General information does not replace an individual diagnosis or treatment plan. Outcomes vary.
