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Looking for the Best TESA/PESA Treatment in Mumbai?

Get in Touch with our Experienced Specialists at Aksigen IVF for the Best TESA/PESA Procedure Today!

40+ years

of experience in Women's Health

15+ years

of experience in IVF Treatment

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Cases Completed

50% +

Success Rate

What is TESA and PESA?

TESA (Testicular Sperm Aspiration) and PESA (Percutaneous Epididymal Sperm Aspiration) are types of sperm retrieval surgical procedures.

These procedures are used to extract sperm from a man who is either unable to ejaculate, produces less sperm in his semen, or has no sperm in the semen (azoospermia).

These treatment procedures are generally performed along with assisted reproductive technology (ART) procedures like in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).

What is TESA and PESA?

Am I the Right Candidate for TESA/PESA?

The right candidate for TESA or PESA is a man having obstructive azoospermia, in which blockages in the reproductive tract prevent the male sperm from being released, or non-obstructive azoospermia, which is caused by low sperm production.

Additionally, the man undergoing the procedure should have good general health and have a female partner who is willing to undergo an ART procedure.

Our specialists at Aksigen IVF will do a proper evaluation, including genetic testing and hormonal assessments to determine if you are the right candidate for sperm retrieval and which technique will be most suitable for you.

Am I the Right Candidate for TESA/PESA?

TESA/PESA Treatment Procedure at a Glance

Both TESA and PESA are minimally invasive procedures performed under mild sedation or local anesthesia.

TESA: A thin needle is inserted directly into the testicle to remove sperm tissue, which is then processed to retrieve viable sperm. PESA: A fine needle is inserted into the epididymis (a tube near the testes where sperm are stored) to aspirate fluid containing sperm.

The retrieved sperm are subsequently examined and prepared for use in assisted reproductive technology (ART) procedures such as IVF or ICSI.

TESA/PESA Treatment Procedure at a Glance

Choosing the Right TESA/PESA Clinic

Choosing the correct clinic for TESA/PESA is important for achieving successful results in fertility treatments.

A good clinic should be equipped with experienced urologists, andrologists, and fertility specialists experienced in advanced sperm retrieval procedures. Also, ensure that the clinic has the latest facilities and laboratory for processing male sperm and performing ART procedures like IVF and ICSI.

Choose a clinic with good patient reviews, high success rates, a transparent and honest approach, and offers comprehensive, personalized treatments.

Choosing the Right TESA/PESA Clinic

Learn More About IVF: Expert Videos

Aksigen IVF for Best TESA/PESA Treatment in Mumbai

Aksigen IVF is the best TESA/PESA clinic in Mumbai, providing the best TESA and PESA procedure in Mumbai with excellent treatment outcomes.

Here are the vital reasons for choosing Aksigen IVF for undergoing treatment:

  • 50%+ success rate in ART procedures like IVF
  • 30,000+ different types of cases completed
  • Qualified and experienced specialists
  • Customized guidance during every step of treatment
  • Cutting-edge infrastructure
  • Latest technology and equipment
  • Superb patient care
  • Excellent ratings and patient reviews
  • Affordable treatments with no hidden costs

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Why Undergo TESA/PESA Treatment?

A TESA or PESA procedure is recommended when the male partner faces one or more of the following conditions:

  • Azoospermia (zero sperm count)
  • Oligospermia (low sperm count)
  • Asthenospermia (abnormal sperm mobility)
  • Abnormal sperm morphology
  • Male who had a vasectomy but now wants children
  • Failed reversal of vasectomy
  • Absence of the vas deferens
  • Blockages along the seminal tract (obstructive azoospermia)
  • Problems arising from injury or infection
  • Very low sperm count (non-obstructive azoospermia)
  • Severe OATS (Oligo Astheno Teratozoospermia – low sperm count, poor motility, poor morphology)

Our specialists at Aksigen IVF assess each patient thoroughly to determine whether PESA or TESA is the appropriate procedure in Mumbai under expert care.

What Are the Benefits of TESA/PESA?

TESA/PESA treatments offer several advantages, including:

  • High rate of success
  • Low cost
  • Minimally-invasive procedures
  • Less risk of infection, bleeding, and other complications
  • Quick recovery
  • Helps diagnose and treat the exact cause of azoospermia, oligospermia, or asthenospermia
  • Supports fertility treatments like IVF and ICSI

How to Prepare for TESA/PESA Treatment?

Before undergoing TESA/PESA treatment, the following preparatory steps are generally recommended by the fertility specialist, urologist, or andrologist:

  • Discuss the procedure in detail with your doctor, including potential benefits and risks, and set realistic expectations.
  • Inform your doctor about any medical conditions or current medications.
  • Make healthy lifestyle changes: quit smoking, avoid excessive alcohol, maintain a healthy weight, eat a balanced diet, exercise regularly, manage stress, and get sufficient sleep.
  • Maintain good genital hygiene to reduce infection risk.
  • Take prescribed medications or supplements to improve hormonal balance, reduce inflammation, prevent infection, or enhance fertility.
  • Avoid ejaculation for 2–5 days before the procedure.
  • Clean the scrotum area with mild soap and water the night before the procedure.
  • Follow any fasting instructions as advised by your doctor before the procedure.

Procedure for TESA/PESA Treatment

The TESA or PESA procedure is performed as follows:

  • The patient lies down on an examination table.
  • The scrotal area is shaved and cleaned with an antiseptic solution.
  • Sedation or local anesthesia is administered to numb the treatment area. In some cases, general anesthesia may be used.
  • After anesthesia, the doctor performs the TESA or PESA procedure to extract sperm from the testicle (TESA) or epididymis (PESA).

TESA/PESA Treatment Procedure

The procedure for TESA or PESA is performed as follows:

  • You will lie on an examination table.
  • The scrotal area is shaved and cleaned with antiseptic.
  • Sedation or local anesthesia is administered; sometimes general anesthesia may be used.

PESA Procedure

  • A thin needle is inserted through the scrotal skin into the epididymis head.
  • Fluid containing sperm is aspirated using a syringe.
  • The process may be repeated to collect sufficient sperm.

TESA Procedure

  • A small incision is made in the scrotum to access the testicle.
  • A fine needle is inserted into the testicle to aspirate sperm-containing tissue from the seminiferous tubules.
  • The incision is closed with stitches.

Sperm Processing

  • The retrieved tissue or fluid is sent to the laboratory for processing.
  • Sperm are separated from other cells and debris.
  • Sperm are assessed for quality and motility.
  • Viable sperm are used for ART procedures like IVF or ICSI, or frozen for later use.
  • For IVF, sperm are combined with retrieved eggs, and fertilized embryos are transferred to the uterus.
  • For ICSI, a single sperm is injected directly into the egg; subsequent steps are similar to IVF.

At Aksigen IVF, all steps are performed in a sterile and safe environment to ensure accuracy and excellent treatment results for PESA and TESA procedures in Mumbai.

TESA/PESA Success Rate in Mumbai

The TESA/PESA success rate in Mumbai for sperm retrieval is around 50 to 80%. When the retrieved sperm are used for IVF or ICSI procedures, the success rate to achieve pregnancy is around 30 to 50% per treatment cycle.

The success rate can vary depending on several factors:

  • Sperm quality
  • Sperm viability
  • Quantity of sperm retrieved
  • Age and general health of male and female partners
  • Lifestyle factors
  • Quality of female eggs
  • Quality of embryos
  • Expertise of the fertility specialist, embryologist, and/or urologist

At Aksigen IVF, our skilled specialists ensure effective TESA, PESA, and IVF treatments in Mumbai within a comfortable and safe environment.

Risks of TESA/PESA Treatment

The risks associated with TESA and PESA procedures are generally uncommon but may occur. Possible risks include:

  • Pain in the scrotum
  • Swelling in the scrotal area
  • Bleeding
  • Infection
  • Bruising
  • Testicular atrophy (reduced size and function of the testes)
  • Reduced testosterone levels
  • Puncturing of a blood vessel in the scrotal area
  • Damage to the seminiferous tubules
  • Hemorrhage
  • No guarantee of sperm retrieval
  • No guarantee of pregnancy
  • Worsening of the obstruction in the vas deferens or epididymis

Undergoing TESA/PESA procedures in Mumbai at a reputed clinic like Aksigen IVF can increase your chances of success and minimize the risk of complications.

Recovery After TESA/PESA Treatment

Most men are allowed to go home on the same day following TESA/PESA treatment. The penis and scrotum area will be bandaged and covered with gauze.

The recovery following the procedure involves the following steps:

  • Wear scrotal support or tight-fitting pants for 48 hours after the surgery to protect the testes and scrotum.
  • Mild pain and swelling in the scrotum region are normal after the procedure.
  • Pain-relieving medications may be prescribed by the doctor to relieve discomfort.
  • Most men can resume work within 2 to 4 days of the procedure.
  • Strenuous activities should be avoided for a week after the procedure.
  • Sexual activity should be avoided for a few days after the procedure.
  • Most men take a couple of days to one week to recover completely after the procedure.

Cost of TESA/PESA in Mumbai

The cost of PESA and TESA procedures in Mumbai can vary depending on several factors, including:

  • Location of the fertility clinic
  • Experience and skills of the fertility specialist, urologist, or andrologist
  • Type of anesthesia used
  • Laboratory charges for sperm retrieval
  • Cost of diagnostic tests
  • Cost of medications
  • Cost of ART treatments done after the procedure
  • Cost of post-operative care and follow-up appointments

At Aksigen IVF, we offer successful fertility treatments at an affordable PESA/TESA cost in Mumbai under experienced and skilled specialists. Book a consultation to determine the exact cause of your infertility and undergo the best TESA/PESA treatment in Mumbai today!

FAQ

The sperm retrieved using TESA or PESA procedure is either used immediately for fertilization through fertility treatments like IVF and ICSI or frozen for future use, known as cryopreservation.

No, the TESA and PESA procedures are generally done under the effect of local anesthesia or sedation, which ensures minimal or no pain during the procedure. Some mild soreness or swelling may occur after the procedure, but the doctor will prescribe some pain-relieving medications to avoid any discomfort.

Most patients can resume light daily activities within 1 to 2 days of undergoing a TESA or PESA treatment, but strenuous physical activities need to be avoided for a week after undergoing the procedure.

TESA or PESA procedure usually takes about 20 to 30 minutes to complete, and most patients can go home the same day after the procedure.

TESA involves the retrieval of sperm directly from the testicles and is usually used in cases of non-obstructive azoospermia, where sperm production is low or absent. PESA involves the collection of sperm from the epididymis and is generally used for obstructive azoospermia, such as blockages or prior vasectomy. PESA usually retrieves more mature and viable sperm, while the sperm retrieved using TESA may require additional processing. Your fertility specialist will determine the right treatment option for you based on your individual circumstances.

Best TESA/PESA Treatment in Mumbai at Aksigen IVF | Aksigen IVF