TESA Treatment for Male Infertility

TESA
TESA is performed on men for retrieving sperms for ICSI.
It is carried out under local anesthesia. The doctor inserts a needle in the testicle and sperms are aspirated.
The doctors generally recommend TESA for two options – diagnostic; or therapeutic.
In diagnostic TESA, the doctors perform multiple biopsies to determine the presence of sperms in the testes. If no sperm is detected after multiple tests, the diagnosis of azoospermia (absence of sperms in semen) is confirmed. The treatment option, in this case, includes donor insemination,
If healthy sperms are found during TESA, they can be cryopreserved; and can be used for ICSI treatment.
Treatment & Procedure
1. What to expect during the TESA procedure?
During TESA, under local anesthesia, the doctor suction out the testicular tissue using a fine needle. The retrieved testicular tissue is sent to the laboratory. The tissue is processed in the laboratory and is evaluated for the presence of healthy sperms. These healthy sperms can be used during ICSI.
Sperms retrieved during the TESA procedure are less mature and less motile.
Therefore, Intracytoplasmic Sperm Injection (ICSI) is required to carry out fertilization with TESA sperm.

2. Is there any potential risk of TESA?
Though TESA is a very safe procedure, still there are some risk factors associated with it.
These possible risks include:
Bleeding
Inability to find sperm
Testicle infections
Skin infection
Testicle damage

Specialized Doctors

Dr. Vivek Paul Vithayathil

Reproductive Medicine, IVF, Laparoscopy

MBBS, MS, DNB (Obs & Gyn) MNAMS, FMAS, FRM (CMC Vellore), MRM (UK)

Dr. Jeenu Babu

Gynaecology, Laparoscopy, Infertility Treatment

MBBS, MS, DNB, FMASr Fellowship in RM and

Dr. Silja Pillai

Reproductive Medicine & Gynaecology

MS, MRCOG, F MAS, Fellowship in reproductive medicine (FRM)

Dr. James George

Obstetrician, Gynecologist & Fertility Specialist

MBBS, MS, Dip-Sono, MRM

What would you like to know

TESA stands for Testicular Sperm Aspiration. It's a minimally invasive surgical procedure used to retrieve sperm directly from a man's testicles. This sperm can then be used in fertility treatments like In Vitro Fertilization (IVF) with Intracytoplasmic Sperm Injection (ICSI).

TESA is typically used for men with infertility due to:

Azoospermia: Absence of sperm in ejaculated semen. This can be caused by blockage in the reproductive system or problems with sperm production in the testicles.
Low sperm count: When there are not enough sperm in the ejaculate for successful fertilization.
Previous failed sperm retrieval: If other methods like surgical sperm extraction haven't yielded sperm.

Minimally invasive: Compared to surgical sperm extraction procedures.
Effective sperm retrieval: Can retrieve sperm even in cases of severe male infertility.
Outpatient procedure: Typically performed on an outpatient basis, allowing you to go home the same day.