Best TESA/PESA Treatment in Mumbai

Why Undergo TESA/PESA Treatment?

A TESA or PESA procedure is recommended for a couple when the male partner faces one or more of the following problems:

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  Azoospermia (zero sperm count)

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  Oligospermia (low sperm count)

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  Asthenospermia (abnormality in sperm mobility)

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  Abnormal sperm morphology

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  A man who has undergone vasectomy (a permanent birth control method that prevents the sperm from leaving the body) but now wants children to have his genes

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  Failed reversal of the vasectomy procedure

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  Absence of the vas deferens (a coiled tube that carries the sperm out of the testes)

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  Blockages along the seminal tract (obstructive azoospermia)

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  Problems arising from an injury or infection

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  Very low sperm count (non-obstructive azoospermia)

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  Severe type of OATS or Oligo Astheno Teratozoospermia (low sperm count, poor sperm motility, and poor sperm morphology)

Our specialist at Aksigen IVF will assess you thoroughly to determine whether you need to undergo a PESA or TESA procedure in Mumbai under our expert care and guidance.

What Are the Benefits of TESA/PESA?

TESA/PESA treatments have several benefits, including the following:

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  High rate of success

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  Low cost

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  Minimally-invasive procedures

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  Less risk of infection, bleeding, and other complications

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  Quick recovery

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  Helps diagnose and treat the exact cause of azoospermia, oligospermia, or asthenospermia

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  Helps in fertility treatments like IVF and ICSI

How to Prepare for TESA/PESA Treatment?

If a couple has been trying to conceive naturally for more than a year without any success, they need to consult a fertility specialist.

The fertility specialist will evaluate both the female and male partners to check the exact cause of infertility. They will be examined physically and asked about their medical history, including infections, past surgeries, hormonal problems, and underlying medical conditions. The couple will also be asked about their reproductive history and sexual life.

Both partners will be asked to undergo a few diagnostic tests to arrive at an exact diagnosis. The male partner is generally asked to undergo a semen analysis test, blood tests, hormonal tests, and scrotal ultrasounds.

If the doctor determines a problem with the male partner and determines TESA/PESA to be the appropriate treatment to treat the infertility problem, the following preparatory steps may be suggested by the fertility specialist, urologist, or andrologist before undergoing the procedure:

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  Discuss the procedure in detail with your doctor, including the potential benefits and risks of the procedure. It is important to have realistic expectations from the procedure.

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  Let the doctor know if you have any medical conditions or are currently on any medications.

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  You will be asked to make healthy lifestyle changes, including quitting smoking, avoiding excessive alcohol consumption, maintaining a healthy weight, eating a healthy diet, exercising regularly, managing stress, and getting sufficient sleep before you undergo the procedure.

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  You need to maintain good genital hygiene to reduce the risk of infection during or after treatment.

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  Your doctor may prescribe certain medications to improve hormonal balance, decrease inflammation, prevent infection (antibiotics may be given), or supplements to improve fertility before you undergo the procedure.

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  You will be asked to avoid ejaculation for at least two to five days before undergoing the procedure.

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  Clean your scrotum area with mild soap and water the night before undergoing the procedure.

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  The doctor will instruct you if you need to follow any fasting instructions before undergoing the procedure.

What is the Procedure for TESA/PESA Treatment?

The procedure for TESA or PESA is performed as follows:

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  You will first be asked to lie on an examination table.

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  The area around the scrotal region will be shaved and an antiseptic will be used to clean this area.

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  Both procedures are generally done under sedation or local anesthesia (to numb the area of treatment). Sometimes, the procedure may be done under the effect of general anesthesia (putting the patient to sleep before starting the procedure).

Following the administration of anesthesia, the following steps will be performed for the PESA or TESA procedure:

PESA Procedure

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  A thin needle will be inserted by the doctor via the scrotal skin into the epididymis head.

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  The needle will then be connected to a syringe and used for the aspiration of fluid containing the male sperm.

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  This process may need to be repeated many times to ensure the collection of sufficient male sperm.

TESA Procedure

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  The doctor will first make a small incision in the scrotum to view the testicle.

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  A fine needle will then be inserted directly into the testicle. This will help aspirate the tissue containing sperm from the coiled tubes inside the testes that produce the sperm cells, known as the seminiferous tubules.

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  The incision made will then be closed with stitches.

Once either of these procedures is completed, the following steps will be performed to process the sperm:

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  The retrieved tissue or fluid will be sent to the laboratory for processing.

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  The sperm will be separated from other cells and waste materials in the laboratory.

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  The sperm obtained are assessed for their quality and motility.

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  After the evaluation of the sperm, the viable sperm are directly used for an ART procedure, like IVF or ICSI, or are frozen to be used later.

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  In the case of an IVF procedure, the retrieved sperm will be mixed with the retrieved female eggs in a petri dish in a laboratory setting. The fertilized egg (embryo) will then be transferred to the female uterus (womb). If the embryo implants successfully to the uterine lining, it results in a pregnancy.

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  ICSI is a modified type of IVF treatment, in which a single male sperm will be directly injected into the female egg for fertilization. The steps following fertilization will remain similar to an IVF treatment.

At Aksigen IVF, we ensure that all the steps of the procedure are performed in sterile and safe environments to ensure accuracy and excellent treatment results for PESA and TESA treatment in Mumbai.

What is the Success Rate of TESA/PESA Treatment in Mumbai?

The TESA/PESA success rate in Mumbai for sperm retrieval is around 50 to 80%. The success rate of retrieved sperm obtained from these procedures and used subsequently for IVF or ICSI procedures to achieve a pregnancy is around 30 to 50% per treatment cycle.

The success rate of TESA/PESA treatment in Mumbai will, however, vary depending on the following factors:

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  Sperm quality

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  Sperm viability

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  Quantity of sperm retrieved

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  Age and general health of the male and female partners

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  Lifestyle factors

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  Quality of female eggs

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  Quality of embryos

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  Expertise of the fertility specialist, embryologist, and/or urologist

Aksigen IVF has a high success rate for fertility treatments, including TESA, PESA, IVF in Mumbai. Our skilled specialists ensure effective treatments in a comfortable and safe environment.

What Are the Risks of TESA/PESA Treatment?

The risks associated with TESA and PESA procedures are generally less frequent, but they may occur. The possible risks may include:

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  Pain in the scrotum

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  Swelling in the scrotum area

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  Bleeding

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  Infection

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  Bruising

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  Testicular atrophy (Reduced size and function of the testes)

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  Reduced testosterone levels

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  Puncturing of a blood vessel in the scrotal area

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  Damage to the seminiferous tubules

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  Hemorrhage

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  No guarantee of sperm retrieval

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  No guarantee of pregnancy

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  Worsening of the obstruction in the vas deferens or epididymis

Undergoing the TESA/PESA procedures in Mumbai at a reputed clinic like Aksigen IVF will increase your chances of success and reduce the risk of developing complications.

How is the Recovery After TESA/PESA Treatment?

Most men are allowed to go home on the same day following TESA/PESA treatment. The penis and scrotum area will be bandaged and covered with gauze.

The recovery following the procedure involves the following steps:

• You will be asked to wear scrotal support or tight-fitting pants for 48 hours after the surgery to protect the testes and scrotum.
• It is normal to have some pain and swelling in the scrotum region after the procedure.
• The doctor will recommend some pain-relieving medications to relieve the discomfort.
• You can usually resume work within 2 to 4 days of undergoing the procedure.
• Strenuous activities need to be avoided for a week after the procedure.
• Sexual activity needs to be avoided for a few days after the procedure.
• Most men take a couple of days to one week to recover completely after the procedure.

What is the Cost of TESA/PESA in Mumbai?

The average TESA/PESA cost in Mumbai varies from INR 25,000 to INR 40,000. The PESA and TESA procedure cost in Mumbai will, however, vary depending on the following factors:

• Location of the fertility clinic
• Experience and skills of the fertility specialist, urologist, or andrologist
• Type of anesthesia used
• Laboratory charges for sperm retrieval
• Cost of diagnostic tests
• Cost of medications
• Cost of ART treatments done after the procedure
• Cost of post-operative care and follow-up appointments

At Aksigen IVF, we offer successful fertility treatments at an affordable PESA/TESA cost in Mumbai under experienced and skilled specialists.

Book a consultation appointment with us to determine the exact cause of your infertility and undergo the best TESA/PESA treatment in Mumbai today!

FAQs

What happens to the sperm retrieved from a TESA/PESA procedure?

The sperm retrieved using TESA or PESA procedure is either used immediately for fertilization through fertility treatments like IVF and ICSI or frozen for future use, known as cryopreservation.

Is the TESA/PESA procedure painful?

No, the TESA and PESA procedures are generally done under the effect of local anesthesia or sedation, which ensures minimal or no pain during the procedure. Some mild soreness or swelling may occur after the procedure, but the doctor will prescribe some pain-relieving medications to avoid any discomfort.

Can I resume normal activities after TESA/PESA?

Most patients can resume light daily activities within 1 to 2 days of undergoing a TESA or PESA treatment, but strenuous physical activities need to be avoided for a week after undergoing the procedure.

How long does the TESA/PESA procedure take?

TESA or PESA procedure usually takes about 20 to 30 minutes to complete, and most patients can go home the same day after the procedure.

How are TESA and PESA treatments different?

TESA involves the retrieval of sperm directly from the testicles and is usually used in cases of non-obstructive azoospermia, where sperm production is low or absent. PESA involves the collection of sperm from the epididymis and is generally used for obstructive azoospermia, such as blockages or prior vasectomy. PESA usually retrieves more mature and viable sperm, while the sperm retrieved using TESA may require additional processing. Your fertility specialist will determine the right treatment option for you based on your individual circumstances.

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