Testicular Sperm Aspiration (TESA) is a groundbreaking procedure used in assisted reproductive technology (ART) to retrieve sperm directly from the testes in cases of male infertility. This method is particularly effective when there is a severe sperm count issue, azoospermia (absence of sperm in the ejaculate), or when sperm cannot be retrieved through conventional ejaculation. At Mediyaz ART Bank, we specialize in offering TESA treatment as part of a comprehensive fertility solution for men facing infertility issues.

With state-of-the-art technology and a team of highly experienced specialists, we provide the highest standard of care and support throughout your fertility journey.

What is TESA Treatment?

TESA (Testicular Sperm Aspiration) is a minimally invasive procedure used to extract sperm directly from the testicles in men who cannot produce sperm in their semen due to conditions like azoospermia, severe oligospermia (low sperm count), or blockages in the reproductive tract.

The sperm retrieved through TESA can be used for IVF (In Vitro Fertilization) or ICSI (Intracytoplasmic Sperm Injection) procedures to help achieve fertilization. The sperm extraction occurs under local anesthesia and involves using a fine needle to aspirate sperm directly from the testicular tissue. TESA is highly effective and offers hope for men who are otherwise unable to conceive due to sperm production issues.

Eligibility for TESA Treatment in India

TESA is typically recommended for men who have specific infertility challenges. The following are common conditions for which TESA may be considered:

1. Azoospermia (Absence of Sperm)

Azoospermia is the most common reason for TESA treatment. Men with azoospermia either produce no sperm at all or very few sperm in their ejaculate, making natural conception impossible. TESA allows sperm to be retrieved directly from the testicles, even when sperm is not found in the ejaculate.

2. Obstructive Azoospermia

Obstructive azoospermia occurs when there is a blockage in the male reproductive tract, preventing sperm from being released during ejaculation. In such cases, TESA can bypass the blockage and retrieve sperm directly from the testicles.

3. Non-Obstructive Azoospermia

This is a more complex condition where the testes are not producing sperm. In such cases, TESA may still yield usable sperm for assisted reproductive techniques like ICSI or IVF, though the success rate may vary depending on the cause of sperm production failure.

4. Previous Vasectomy

Men who have undergone a vasectomy but wish to have biological children may also benefit from TESA. Sperm can be extracted directly from the testicles, bypassing the need for vasectomy reversal.

5. Severe Male Infertility

Men with very low sperm counts, poor sperm motility, or abnormal sperm morphology may also benefit from TESA, especially if sperm cannot be retrieved through conventional ejaculation.

6. Fertility Preservation

In cases where a man is undergoing medical treatments like chemotherapy, which could affect his fertility, TESA can be performed to retrieve sperm and store it for future use, ensuring that fertility is preserved.

The TESA Process at Mediyaz ART Bank

The TESA treatment process at Mediyaz ART Bank is designed to be as safe, efficient, and minimally invasive as possible. Here’s a step-by-step breakdown of the typical TESA procedure:

1. Initial Consultation and Diagnosis

Your treatment journey begins with an in-depth consultation with our fertility specialist. During this consultation, we assess your fertility history, conduct necessary diagnostic tests like semen analysis, blood tests, and possibly a scrotal ultrasound. We may also ask for the results of any previous tests, such as a hormone profile and genetic screening. Based on these results, we will recommend the most suitable course of action, which may include TESA.

2. Preparation for the TESA Procedure

Once TESA is confirmed as the appropriate treatment, you’ll be scheduled for the procedure. Prior to the procedure, we’ll ensure that you’re comfortable and well-prepared. The procedure is performed under local anesthesia to ensure that you feel no pain during the extraction process. A mild sedative may also be given if necessary.

3. The TESA Procedure

• Needle Insertion: A fine needle is used to aspirate sperm from the testicular tissue. This is done under ultrasound guidance to precisely target areas within the testicle that are most likely to produce sperm.
• Collection of Sperm: The embryologist collects the sperm sample from the testicular tissue. In cases of non-obstructive azoospermia, sperm may be extracted directly from the seminiferous tubules of the testes.
• Minimal Invasiveness: The procedure is minimally invasive, and although there may be slight discomfort post-procedure, the risk of complications is very low.

4. Post-Procedure Care

After the procedure, the patient is monitored briefly and then allowed to return home the same day. While the recovery time is typically short, there may be mild swelling or discomfort at the puncture site, which can be managed with over-the-counter pain relief.

5. Sperm Processing and Fertilization

Once sperm is collected, it is carefully examined and processed in the laboratory by our skilled embryologists. ICSI (Intracytoplasmic Sperm Injection) is then performed, where a single sperm is injected directly into an egg. The resulting embryos are cultured for a few days, and the best embryos are selected for transfer into the woman’s uterus.

6. Embryo Transfer and Pregnancy Test

The embryo transfer is typically scheduled 3-5 days after fertilization. This is a simple, non-invasive procedure performed under ultrasound guidance. A blood test will be scheduled about 10-14 days after the transfer to confirm pregnancy.

7. Ongoing Monitoring

Our team will continue to monitor the pregnancy through ultrasounds and blood tests to ensure a healthy pregnancy, and you’ll be supported throughout the early stages.

Cost of TESA Treatment in India

The cost of TESA treatment can vary depending on several factors, including the complexity of the procedure, the need for additional treatments (like ICSI or IVF), and any associated tests. At Mediyaz ART Bank, the approximate cost for TESA is:

• TESA Procedure: ₹40,000 to ₹60,000
• IVF/ICSI Procedure: ₹1,50,000 to ₹2,50,000 per cycle (in addition to TESA cost)
• Medication and Hormonal Treatment: ₹50,000 to ₹80,000 (for ovarian stimulation and egg retrieval)
• Embryo Freezing and Storage: ₹20,000 to ₹40,000 (if necessary)

Other additional costs may include:

• Genetic Screening (PGD/PGS): ₹50,000 to ₹1,00,000
• Sperm storage: ₹10,000 to ₹20,000 per year (if sperm is preserved)

Success Rate of TESA Treatment at Mediyaz ART Bank

The success of TESA depends on multiple factors, including the cause of infertility, the age of the female partner, and sperm quality. At Mediyaz ART Bank, we have seen promising success rates for men who undergo TESA as part of their IVF/ICSI treatment:

• The success rate of TESA when used for ICSI and IVF is approximately 40-50% per cycle, with higher success rates observed in cases of obstructive azoospermia.
• Success rates tend to be lower in non-obstructive azoospermia, but TESA is still a viable option, especially when combined with ICSI.
• Couples who have undergone multiple failed cycles may see improved success with the advanced sperm selection techniques available at Mediyaz ART Bank.

While success rates can vary depending on individual circumstances, our team will work closely with you to assess your specific situation and provide a tailored approach that maximizes your chances of success.