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If your semen analysis shows that you do not have sperm within your ejaculate, there are different methods of surgically retrieving the sperm, which is sometimes referred to as Surgical Sperm Retrieval (SSR).
Testicular Sperm Aspiration (TESA) and Testicular Sperm Extraction (TESE) are both methods of SSR where sperm is retrieved from the tissue in a man’s testis. TESA uses gentle suction through a small needle while TESE involves taking a larger tissue sample from an incision. Both procedures are minor day surgeries and should be done before beginning an IVF cycle.