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Becoming a parent is one of life’s greatest joys, but for some couples, infertility becomes a difficulty in their journey. While many people believe infertility is mostly a women’s issue, male infertility is equally common. In fact, one of the most challenging situations is when a man’s semen has no sperm (a condition called azoospermia). This is where TESA (Testicular Sperm Aspiration) comes i‍nto the pi‌ct​ure, o​ffer​ing new h⁠ope to ex​perienc‍e‌ par⁠ent​hood.

What is a TESA?

It is a minor surgical procedure where sperm is collected directly from the testicles using a thin needle. It is used for men who do not have sperm in their semen but still produce it inside their testicles. The sperm retrieved through TESA can be used in advanced fertility treatments like IVF (In Vitro Fertilization or ICSI (Intracytoplasmic Sperm Injection) to help achieve pregnancy.

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We provide individualized care,
tailoring each treatment plan to meet the unique needs of every patient.

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Our compassionate approach ensures
patients receive holistic support at every step of their journey.

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When is TESA Recommended?

Doctors usually suggest TESA in the following scenarios:

  • Men who are diagnosed with azoospermia (no sperm in semen).
  • Men with blockages in the reproductive tract that prevent sperm from being released.
  • Men who had a vasectomy reversal that didn’t work.
  • Cases where sperm production is very low and semen samples do not show sperm.

How is TESA Performed?

TESA is a quick and safe outpatient procedure, usually done under local anesthesia. The steps include:

  1. A small injection is given to numb the area.
  2. Inserting a fine needle into the testicle.
  3. Gently aspirating (suctioning) fluid and tissue containing sperm.
  4. Giving the sample to embryologists who identify and prepare healthy sperm for use in IVF or ICSI.

The duration of the entire procedure is about 20–30 minutes, and most men can return home the same day.

Preparing for TESA Treatment

Before undergoing for TESA treatment, your fertility specialist will conduct the following things:

  • A semen analysis to confirm azoospermia.
  • Blood tests and hormonal assessments.
  • An ultrasound if needed, to check the testicular health.
  • Avoid medications, alcohol, smoking before the procedure.

Conclusion

TESA has brought happiness to many couples who are struggling with male infertility. If you or your partner are facing challenges in conceiving due to lack of sperm in semen, TESA is the right solution for you.

At Origyn IVF, our expert team led by Dr. Rashmi Sharma specializes in advanced fertility treatments, including TESA, IVF, and ICSI, with compassionate and personalized care for every couple.

Book your consultation today to know if TESA can help you to experience the parenthood journey. Call us at 8080809084 or Email at info@origynivf.com.

1. Is TESA painful?
TESA is performed under local or general anesthesia, so that patients feel little to no pain during the procedure. Afterward, mild soreness, tenderness, or swelling may occur for a few days.
2. What are the benefits of TESA?
TESA mostly recovers within a day. It is effective even in severe male infertility cases and provides hope for fatherhood by enabling men with no sperm in their semen to have biological children.
3. Will TESA affect future sperm production?
TESA is minimally invasive and generally does not affect future sperm production or testicular function. Most men recover fully without long-term impact.
4. Can TESA help with IVF?
Absolutely. Sperm retrieved through TESA can be directly used in IVF or ICSI procedures. Even men with severe male infertility can have the opportunity to father their biological children through this method.
5. Are there any risks?
TESA is considered safe. Some men may experience minor bleeding, bruising, or temporary swelling. Infection or serious complications are rare, and careful post-procedure care ensures safe recovery.