MicroTESE Treatment
For several years, Livio in Gothenburg has been able to offer MicroTESE, which is the most advanced and effective method of finding sperm in men with absence of sperm in the semen (azoospermia). Since 2024, this unique treatment has also been offered at Livio Stockholm.
What is MicroTESE?
MicroTESE is the most advanced and successful method in reproductive medicine for identifying and retrieving sperm in men who lack sperm in their semen (azoospermia). After sperm have been aspirated, patients are prepared for a standard IVF treatment with ICSI.
Who is it for?
The method is used in the most difficult cases of male infertility where sperm has not been found using needle aspiration techniques (TESA or PESA). Azoospermia is defined as the absence of sperm in the ejaculate in at least two sperm sample analyses and occurs in 8 percent of infertile men, which corresponds to 1 percent of the male population.
What are the benefits of MicroTESE?
Annually, about 40 MicroTESE operations are performed at Livio. With this, Livio is the IVF group in Sweden with the most experience in the method..
Your MicroTESE Journey: step-by-step
Fertility investigation
After contacting us for advice, one of our midwives will call you to answer your questions and concerns. If you and your partner have undergone investigation and/or treatment at another clinic, you'll be asked to send us copies of your medical records.
First visit
Once we've received and assessed your records, we'll contact you to schedule a consultation appointment.
Review
During the consultation, you and the doctor will review your records and current health status, and you'll receive information about the surgical procedure itself.
Planning
Well in advance, you'll plan the different steps of the treatment together with our TESE coordinator/midwife.
Day of treatment
In addition to the surgical procedure, the treatment steps are similar to a regular IVF: Hormonal stimulation of the ovaries, MicroTESE operation, Egg retrieval, Fertilization (using ICSI method) and embryo culture, Embryo transfer, Pregnancy test.
A breakdown of our MicroTESE Prices
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
MicroTESE
IVF with ICSI + open testicular biopsy
Possible freezing of sperm and 1 year of storage
Storage of sperm from the 2nd year
Freezing of embryos
If no sperm are found and egg freezing is desired.
Freezing of eggs and 1 year of storage
Storage of eggs from the 2nd year
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
MicroTESE
IVF with ICSI + open testicular biopsy
Possible freezing of sperm and 1 year of storage
Storage of sperm from the 2nd year
What you can expect from MicroTESE
In 75% of cases where ICSI could be performed, it resulted in fertilization of eggs and normal embryo development.
Our prices
An IVF treatment is an individual process. Therefore, it is also difficult to estimate the total cost of treatment leading to a pregnancy. Within the Livio group, we strive to maintain as consistent pricing as possible, but the varying conditions at different clinics may sometimes result in slight price differences from clinic to clinic. Please feel free to consult us, and we will guide you!
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Your funding options
In collaboration with Human Finans, Livio offers the possibility of advantageous loans and financing for your fertility treatment. For example, it is possible to take an interest-free loan for an IVF treatment and split the payment over 6 or 12 months.
You can contact Human Finans by phone at 08-560 201 15 or visit their website for more information and free advice.
Possible Side Effects of MicroTESE Treatment
After the surgery, there is a small risk of complications with MicroTESE. These can include bleeding (hematoma) or infection in the testicle. In our own clinical experience, the risk of such complications is low, less than 4 percent of cases. Sick leave up to one week is recommended.
MicroTESE Treatment Frequently Asked Questions
MicroTESE is a new surgical technique where the testicle is opened and an operating microscope is used to find areas with sperm. Unlike older "blind" methods, with MicroTESE, the surgeon can see and select the best areas for taking samples.
MicroTESE can help men with non-obstructive azoospermia, which means they have no sperm in their semen due to problems with sperm production. It can be especially useful for men who have not had success with simpler methods like TESA or conventional TESE.
According to a study conducted at Livio in Gothenburg, sperm could be found in 52% of cases with MicroTESE. This is a significant improvement compared to other methods, especially for men who previously could not have sperm extracted.
If sperm is found, it is used to fertilize eggs through a method called ICSI (intracytoplasmic sperm injection). Embryos that develop can then be transferred into the woman's uterus. In the study, this led to pregnancy or birth in 34% of cases where embryos were transferred.
As with all operations, there are certain risks. Studies show small risks (less than 4%) of bleeding or infection in the testicle. In rare cases, more serious complications can occur. However, it is important to note that follow-up studies have not shown any long-term negative effects on hormone production or testicular volume.
The Livio clinics - your Nordic partner
Livio is the largest provider of fertility treatments in the Nordic countries with clinics in Sweden, Norway and Iceland. Our aim is to provide the highest quality fertility treatments and best results in the area of reproductive medicine.
