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Testicular Sperm Aspiration (TESA)

A minimally invasive procedure to retrieve sperm directly from the testicle for use in IVF/ICSI treatments.

The TESA Process

Understanding each step of the testicular sperm aspiration procedure

Sperm Retrieval

A fine needle is used to extract sperm-containing tissue directly from the testicle under local anesthesia.

Sample Processing

The retrieved tissue is carefully processed in the laboratory to isolate viable sperm cells.

Sperm Selection

The best quality sperm are selected for use in IVF/ICSI procedures.

Fertilization

Selected sperm are used to fertilize eggs through ICSI, maximizing chances of successful conception.

Benefits of TESA

Why Testicular Sperm Aspiration might be the right choice for your fertility journey

Minimally Invasive

TESA is performed with a fine needle under local anesthesia, resulting in minimal discomfort and recovery time.

Quick Procedure

The entire process typically takes less than 30 minutes and can be performed as an outpatient procedure.

Low Complication Rate

TESA has a very low risk of complications compared to more invasive sperm retrieval methods.

High Success Rate

Up to 70% of TESA procedures successfully retrieve viable sperm for use in assisted reproduction.

TESA Treatment Timeline

What to expect during your TESA and IVF/ICSI journey

Consultation

Week 1

Initial assessment and planning for the TESA procedure.

TESA Procedure

Week 2

Sperm retrieval under local anesthesia.

Lab Processing

Same Day

Retrieved tissue is processed to isolate sperm cells.

ICSI

Same Day

Isolated sperm used for egg fertilization via ICSI.

Embryo Transfer

Day 3-5

Fertilized embryos are transferred to the uterus.

TESA Success Rates

Understanding the outcomes and effectiveness of Testicular Sperm Aspiration

TESA Sperm Retrieval Success Rate

TESA has approximately a 70% success rate in retrieving viable sperm for use in IVF/ICSI procedures.

Comparison with Other Techniques

TESA demonstrates comparable success rates to other sperm retrieval techniques with the benefit of being less invasive.

Is TESA Right for You?

Understanding who benefits most from Testicular Sperm Aspiration

Ideal Candidates

  • Men with obstructive azoospermia (blockage in the reproductive tract)

  • Those with previous vasectomy who do not want reversal

  • Men with congenital absence of vas deferens

  • Patients with ejaculatory dysfunction

  • Cases where previous sperm retrieval methods have failed

Non-Ideal Candidates

  • Men with non-obstructive azoospermia (severe testicular failure)

  • Patients with testicular atrophy

  • Those with a history of testicular trauma or surgery

  • Men with certain genetic causes of infertility

For these cases, Micro-TESE may be a more appropriate option.

Required Testing

  • Hormone profile (FSH, LH, Testosterone)

  • Genetic testing (Karyotype, Y chromosome microdeletion)

  • Testicular ultrasound

  • Semen analysis confirmation of azoospermia

A thorough evaluation is essential before proceeding with TESA to determine if it's the right approach for your specific case.

Frequently Asked Questions

Common questions about Testicular Sperm Aspiration (TESA)

Still have questions about the TESA procedure or your specific case?

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