Microdissection TESA is a little invasive procedure and as I told before, there is a sight chance that there could be a long term reduction in the testosterone, which is a male hormone. So this might require him to take long term testosterone therapy. Fortunately this is a rarer complication that happens and about 5% of men who undergo this procedure. So given this long term complication, we wouldn’t like to do it twice or thrice in a lifetime and the interval between each of these procedure should be 6 months.

Frequency of Surgical Sperm Retrieval Procedure-Dr. Sathya Balasubramanyam of Cloudnine Hospitals
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