loader


1. TESA (Testicular Sperm Aspiration) :

What it is?

A simple, minimally invasive procedure where a fine needle is inserted into the testicle to aspirate (suction) tissue and fluid in search of sperm.


When used?

• Men with obstructive azoospermia (sperm is produced but blocked).
• Cases where sperm is available but not released in semen.
Procedure: Performed under local anesthesia; a needle is inserted directly into the testis, and tissue is aspirated.
Advantages:
•Quick and less invasive.
•Minimal recovery time.
•Can be done as an outpatient procedure.
Limitations:
•Lower sperm retrieval success in non-obstructive azoospermia.
•Might require multiple attempts if sperm is not found.



2. Micro-TESE (Microsurgical Testicular Sperm Extraction)


What it is:

An advanced microsurgical procedure using a high-powered microscope to carefully extract sperm directly from the testicular tissue.

When used:

•Wen non-obstructive azoospermia (NOA) where sperm production is extremely low.
•Ater failed TESA or other retrieval attempts.
Procedure:
•Performed under anesthesia.
•A small incision is made in the testis.
•Microscope helps identify the healthiest seminiferous tubules.
•Sperm extracted and used for ICSI or frozen.
Advantages:
•Higher sperm retrieval rate (40–60% in NOA cases).
•Less tissue damage compared to random biopsy.
•Best option for severe male infertility.
Limitations:
• More invasive and costlier than TESA.
• Requires longer surgical expertise and hospital setup.



Micro-TESE / TESA - FAQ

Q1. What is the difference between TESA and Micro-TESE?

TESA uses a fine needle to aspirate sperm from the testis, while Micro-TESE is a microsurgical procedure that uses a microscope to carefully locate and extract sperm-producing areas.

Q2. Who is TESA suitable for?

TESA is best for men with obstructive azoospermia, where sperm is produced normally but blocked from being released in semen.

4. Which procedure has a higher success rate?

TESA: High success in obstructive cases.
Micro-TESE: Better success in severe male infertility and NOA, with 40–60% retrieval chances.

Q5. Is Micro-TESE more painful than TESA?

Both are safe. TESA is less invasive and usually done under local anesthesia. Micro-TESE is more detailed, performed under anesthesia, and may require a slightly longer recovery.

Q5. Is ICSI safe for the baby?

Yes, ICSI is considered safe and widely practiced worldwide. Studies show that babies born through ICSI are generally as healthy as those conceived naturally or via IVF.

Q6. Can sperm from TESA or Micro-TESE be frozen.

Yes ✅. Retrieved sperm can be frozen (cryopreserved) for future IVF/ICSI cycles.



Start you’re IVF with the best IVF hospital in Delhi

+91 9582448809 info@fertylityivf.com


Make An Appointment