What precautions should I take after sperm retrieval?

After a sperm retrieval procedure such as TESA, TESE, or Micro-TESE, following your urologist's instructions is important for safe healing. Patients are generally advised to rest initially, keep the surgical area clean and protected, avoid strenuous activities and heavy lifting, take prescribed medicines as directed, and attend follow-up appointments.

Sperm retrieval procedures are generally performed safely, but because they involve the testicle or surrounding tissues, appropriate aftercare is important.

The exact precautions depend on whether you underwent TESA, TESE, or Micro-TESE and your individual recovery.

1. Take Adequate Rest

Give your body time to recover after the procedure. Avoid unnecessary physical exertion during the initial recovery period.

Light movement may be resumed gradually according to your doctor's instructions.

2. Avoid Heavy Lifting and Strenuous Exercise

Until your urologist clears you, avoid:

• Heavy lifting.
• Running.
• Gym workouts.
• Cycling.
• High-impact sports.
• Activities that put pressure or strain on the testicles.

Returning to strenuous activity too early may increase discomfort or interfere with healing.

3. Follow Wound-Care Instructions

If an incision was made during TESE or Micro-TESE, follow your surgeon's instructions regarding:

• Dressing changes.
• Keeping the surgical area clean and dry.
• Bathing or showering.
• Monitoring the incision for signs of infection.

4. Take Prescribed Medication

Take pain medication or other prescribed medicines exactly as directed.

Avoid starting additional medicines, including supplements, without discussing them with your doctor.

5. Wear Supportive Underwear if Recommended

Your doctor may recommend supportive underwear to reduce movement and discomfort around the testicles during the early recovery period.

6. Avoid Sexual Activity Until Cleared

Your doctor may recommend temporarily avoiding sexual activity after sperm retrieval.

The appropriate time to resume sexual activity depends on the procedure and your recovery, so follow your surgeon's specific advice.

7. Attend Follow-Up Appointments

Follow-up allows your doctor to assess:

• Healing.
• Swelling and discomfort.
• The surgical site.
• Any complications.
• Recovery progress.

The fertility team may also provide information regarding the sperm retrieval result and laboratory handling of the retrieved sample.

When should you contact your doctor?

Contact your healthcare team if you develop:

• Severe or worsening pain.
• Rapidly increasing swelling.
• Heavy bleeding.
• Fever or chills.
• Increasing redness or discharge from the surgical site.
• Difficulty urinating.
• Symptoms that are getting worse rather than improving.

SCI International Hospital

At SCI International Hospital, New Delhi, Dr. Vishal Dutt Gour, Senior Consultant Urologist and Andrologist, provides personalized post-procedure guidance following TESA, TESE, and Micro-TESE. Patients receive specific instructions regarding rest, wound care, activity restrictions, medication, and follow-up based on the procedure performed and their individual recovery.