Testicular mapping is a minimally invasive procedure that finds where sperm is being produced in the testicles of men with azoospermia, particularly non-obstructive azoospermia, where no sperm is found in the semen. At Orchid Fertility Clinic in Dubai Healthcare City, our male fertility specialists use a very fine needle to take tiny tissue samples from several predefined areas of each testicle. The procedure is performed as a short day-care procedure under local anaesthesia or light sedation.
Each sample is examined under the microscope by our andrology and embryology team to identify which areas of the testicles are actively producing sperm. This creates a “map” showing where mature sperm, immature sperm, or no sperm are present, giving you a clearer picture of your chances of successful sperm retrieval and helping your doctor plan the most suitable next step.
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For men whose fertility problem lies in sperm production rather than a blockage, testicular mapping can be a more effective and considerably less invasive diagnostic tool than a testicular biopsy. Even when there is no sperm in the ejaculate, pockets of sperm may still exist within the testicular tissue. These are often missed in a biopsy, which looks at only one section of tissue at a time, and every extra biopsy adds further risk.
Testicular mapping is a diagnostic procedure rather than a fertility treatment. However, if sperm is located, a sperm retrieval method such as TESA or micro-TESE can be tailored to the exact areas where sperm was found, making retrieval less time-consuming, less invasive and less stressful. The retrieved sperm can then be used for IVF/ICSI treatment, and most men return to normal activities within a few days.
Book a confidential male fertility consultation at Orchid Fertility Clinic, Dubai Healthcare City, to find out whether testicular mapping is right for you.
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