TESA Treatment Centre

TESA (Testicular Sperm Aspiration) is a minimally invasive procedure used to extract sperm directly from the testicular tissue of men who have little to no sperm in their semen. It’s commonly performed when sperm cannot be obtained naturally due to blockages or production issues. The extracted sperm are then used for advanced fertility treatments such as ICSI (Intracytoplasmic Sperm Injection) to achieve fertilization. This method provides a safe and effective way for men with azoospermia to become biological fathers.

TESA is generally not painful because it’s done under local anesthesia, ensuring comfort throughout the procedure. Most patients report only mild discomfort or pressure during and after the process. The use of a fine needle minimizes tissue damage, making recovery quick and easy. Mild soreness or swelling may occur but typically subsides within a day or two. Painkillers may be prescribed if needed, but overall, TESA is considered a painless and safe fertility treatment option.

TESA is recommended for men diagnosed with azoospermia—a condition where no sperm are found in the ejaculate. It helps men with either obstructive azoospermia (due to blockages in the reproductive tract) or non-obstructive azoospermia (due to reduced sperm production). Men who have had a vasectomy, testicular injury, or genetic conditions affecting sperm production may also benefit from TESA. The extracted sperm are used in fertility treatments like ICSI, offering a chance for couples to conceive using the male partner’s sperm.

TESA is a quick outpatient procedure, typically taking about 20 to 30 minutes. The process involves numbing the area with local anesthesia, followed by the gentle aspiration of testicular tissue using a fine needle. Since it doesn’t require major surgery or incisions, patients can return home the same day. The simplicity and short duration of the procedure make it an efficient and safe sperm retrieval method for men seeking fertility solutions.

Yes, TESA is performed under local anesthesia, which ensures the patient remains comfortable and pain-free during the procedure. In some cases, mild sedation may also be administered to help the patient relax. The anesthesia numbs the scrotal area, preventing discomfort during the aspiration of testicular tissue. After the procedure, the numbness gradually wears off, and patients may experience mild soreness, which typically resolves quickly with basic care and rest.

Yes, TESA plays a vital role in addressing male infertility, particularly in cases of azoospermia where no sperm are present in the semen. It enables fertility specialists to retrieve viable sperm directly from the testes, which can then be used in IVF or ICSI treatments to fertilize an egg. TESA offers hope to couples who previously had no option for biological parenthood. It’s an effective solution when sperm cannot be collected through ejaculation or other simpler methods.

No, hospitalization is not required for TESA. It is a day-care procedure, meaning patients can go home the same day. The treatment is conducted under local anesthesia in a clinical setting, and the recovery period is short. After a brief observation period to ensure there are no complications, patients are discharged with aftercare instructions. This convenience makes TESA a preferred and efficient choice for sperm retrieval without the need for an overnight hospital stay.

Recovery after TESA is usually very quick. Most men resume normal activities within 24 to 48 hours. Minor discomfort, swelling, or bruising at the site of aspiration may occur but resolves with simple home care. Doctors typically advise avoiding strenuous activities, sexual intercourse, or heavy lifting for a few days. Pain medication and cold compresses can ease discomfort. The fast recovery and minimal downtime make TESA a safe and convenient sperm retrieval procedure.

Yes, TESA can be repeated if sperm retrieval is needed again in the future. Since it’s a minimally invasive and safe technique, it doesn’t cause significant damage to testicular tissue when performed carefully. In some cases, men may undergo multiple TESA procedures for different IVF or ICSI cycles. However, the decision to repeat depends on individual health conditions, sperm yield, and fertility treatment plans as advised by the fertility specialist.

Yes, TESA is a clinically safe and well-established procedure with minimal risks. It’s performed using sterile techniques and fine needles, reducing the likelihood of infection or complications. Minor bruising or soreness may occur but typically resolves quickly. Since no large incisions or stitches are required, the recovery period is short. TESA is widely recognized as a safe sperm retrieval method that preserves testicular health and provides a valuable solution for male infertility.

TESA has a high success rate in retrieving sperm, particularly in men with obstructive azoospermia. In such cases, sperm retrieval rates can exceed 90%. For non-obstructive azoospermia, success depends on testicular sperm production levels, usually ranging between 40% and 60%. The extracted sperm, even if few in number, are often enough for ICSI fertilization. The procedure’s effectiveness, combined with advanced laboratory techniques, gives many couples a real chance at achieving pregnancy.

Absolutely. TESA is often performed alongside ICSI (Intracytoplasmic Sperm Injection) or IVF (In Vitro Fertilization). Once sperm are retrieved, they’re injected directly into mature eggs in the laboratory to create embryos. This combined approach helps overcome severe male infertility and maximizes conception chances. In some cases, sperm collected through TESA can also be frozen for future use, reducing the need for repeat procedures in subsequent IVF cycles.

TESA is considered very safe, but like any medical procedure, minor risks exist. Common side effects include mild pain, swelling, or temporary bruising at the aspiration site. Rarely, minor bleeding or infection can occur, but these are easily managed with antibiotics or supportive care. Most men recover quickly without complications. Choosing an experienced fertility specialist and following post-procedure care instructions significantly minimizes any potential risks associated with TESA.

Yes, TESA is a viable option for men who’ve had a vasectomy but wish to have children without undergoing vasectomy reversal surgery. Since vasectomy blocks sperm transport but not production, TESA retrieves sperm directly from the testicles. These sperm can then be used for ICSI or IVF. This makes TESA a practical and less invasive alternative for men seeking fertility restoration after vasectomy.

Before undergoing TESA, the fertility specialist will review your medical and reproductive history. Blood tests and semen analysis may be done to assess sperm health. Patients are advised to avoid alcohol, smoking, and certain medications that could affect fertility. Eating a light meal before the procedure and wearing comfortable clothing is recommended. The doctor will explain the entire process to ensure you’re well-prepared physically and mentally for the treatment.

TESA (Testicular Sperm Aspiration) and TESE (Testicular Sperm Extraction) are both sperm retrieval methods, but they differ in technique. TESA involves using a fine needle to aspirate sperm, while TESE requires a small surgical incision to extract tissue directly from the testis. TESA is less invasive and offers faster recovery, whereas TESE may be preferred in cases where sperm count is extremely low or absent in aspiration samples. The choice depends on medical evaluation and sperm availability.

Yes, sperm obtained through TESA can be cryopreserved (frozen) for future use. Freezing allows couples to store sperm safely for upcoming IVF or ICSI cycles without needing another retrieval procedure. The frozen sperm remain viable for years when stored in advanced fertility laboratories. This option provides convenience, reduces emotional and financial stress, and is particularly useful when multiple IVF cycles are planned.

The cost of TESA treatment varies depending on the clinic, expertise, and additional procedures like ICSI or embryo freezing. Generally, it is considered affordable compared to surgical options like TESE. The price usually includes consultation, anesthesia, procedure, and laboratory handling. Many fertility clinics offer package plans or financing options to make the process accessible. Transparent pricing ensures couples can plan their fertility journey confidently without hidden costs.

No, TESA does not affect long-term fertility or overall health. The procedure targets only a small portion of the testicular tissue, leaving normal sperm production unaffected. After recovery, men can continue normal sexual activity without complications. It doesn’t interfere with hormone levels, testosterone production, or testicular function. With proper care and expert handling, TESA remains a safe method that preserves future fertility potential.

Couples should consider TESA when semen analysis shows no sperm, and simpler treatments have failed. It’s recommended for men with azoospermia, previous vasectomy, testicular injury, or failed sperm retrieval from ejaculation. If the female partner’s fertility factors are also addressed, TESA combined with ICSI can significantly improve conception chances. Consulting a fertility specialist early helps determine if TESA is the best option based on diagnosis and medical history.