Micro TESE: a unique surgery gives an opportunity for fatherhood in Riga

THERE IS A TIME IN EVERY MAN’S LIFE, WHEN THEY WISH FOR NOTHING MORE THAN TO HAVE A STABLE JOB, A BEAUTIFUL ESTATE AND A FAMILY WITH CHILDREN. UNFORTUNATELY, NOT ALL MEN CAN BECOME FATHERS WITHOUT MEDICAL INTERVENTION. LUCKILY FOR THEM, SCIENCE OFFERS SOLUTIONS. THE FIRST CENTRE OF ANDROLOGY IN RIGA, LATVIA HELPS MEN TO BECOME FATHERS EVEN IF THERE ARE NO SPERMATOZOA IN THE SPERM.

Sperm quality is decreasing

The latest results from a study on sperm quality carried out by the European Society of Human Reproduction and Embryology shows that sperm quality in Europe has decreased by half in the last 40 years. This means that in order to plan a family, more couples nowadays need assistance from andrology and reproduction specialists. Men face a situation with no obvious solution: there is a chance that there are no spermatozoa in the sperm and therefore the couple cannot conceive. The TESA procedure has been used in fertility treatment in the past, but is not always effective and may be detrimental to the man’s health. Luckily “Clinic EGV” in Riga offers a novel procedure – Micro TESE surgery, which is performed with the help of a powerful microscope and does not injure the tissue of male reproductive organs. This method increases the probability of finding sperm cells by 70%. “Clinic EGV” is the only reproduction clinic in the Baltics, where microscope with magnification up to 28 times is available to perform this procedure.

How is Micro-TESE performed?

Centre of Andrology or Men’s reproductive health centre at “Clinic EGV” are led by two world-class professionals: specialist in urology and andrology Dr Andris Ābele and expert in urology, andrology and ultrasonography Dr Kirils Ivanovs. Experts tell us: “Micro-TESE surgery is a unique opportunity to conceive a child. What makes it possible? Surgery allows one to detect the undetectable. We open the layers of the testicle gently and delicately and with the aid of a powerful microscope we seek spermatozoa inside the testicle. The microscope helps to visualise sperm cells and take them out, because even one sperm cell can be used to fertilise an ova. A man, who had no hope of fatherhood in the past, is given a new chance. It is important to know that the risk of complications is greatly minimised, which means – the reproductive health suffers less.
Patient’s spermatozoa will be used for fertility treatment and will be frozen for storage. Thus the man has an opportunity to be the biological father of not just one child, but possibly several!

Health check in Latvia – once a year only!

Centre of Andrology of “Clinic EGV” is the first health centre in the Baltic states, where almost all of men’s health issues can be treated. The specialists assess their patient as a whole, take a thorough look at the diseases, habits and by summing up all of the small factors, gain a full scope of the individual’s health.


Specialists at the Centre of Andrology wish to highlight the services available in Latvia: consultations about male reproduction, advice in cases of erectile disorders, aid when sexually transmitted diseases are suspected. The specialist performs ultrasonography and dopplerography of male reproductive organs and the urinary tract, performs minimally invasive urologic surgeries and, of course, treats infertility with the unique Micro-TESE operation.

It is recommended to men of forty and older to have a yearly check-up with an andrology and urology specialist. Symptoms that indicate a need for medical assistance are: urination disorders, bleeding from the urinary tract, discharge from the urinary tract, when sexually transmitted diseases are suspected, atypical growths or pain in the area of reproductive organs, infertility, erectile disorders and other issues that impede sexual life. Advice from an andrology specialist should also be sought in cases of fatigue, depression, increased excitability and nervousness, sleep disorders, muscle and joint pains, decreasing muscle mass, decreased libido and inability to have an orgasm. Andrology specialist can also assess, how lifestyle affects reproductive health.

“Clinic EGV” contact information
Address: 38 Lāčplēša Street, 5th floor
Telephone: + (371) 67 278 183
E-mail: info@egv.lv