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What is TESA? Procedure, Risk & Benefits

TESA: Procedure, Risk & Benefits

Testicular Sperm Aspiration TESA is a medical process of sperm extraction for the treatment of male infertility problems. In this procedure, a very small needle is inserted in the testicles and fluid or tissue with quality sperm are extracted for Assisted Reproductive Techniques such as IUI, IVF, and ICSI(Intracytoplasmic Sperm Injection). During the process, the small testis tissue and sperms are taken out under the impact of anesthesia. TESA is an improved technology in which the immature sperm can utilize to fertilize the egg under the procedure of ICSI. There are such benefits of TESA as low timing consuming, cost-effective, less painful. Therefore the risk that includes vomiting, internal bleeding, and nausea. The process of TESA performed under the experienced doctor and trained staff. If you have any kind of infertility problem or any health disease then, Here at MISHKA IVF which is the best infertility center in Jaipur that provide you the highest quality of care and solve infertility problems for the patient or other reproductive diseases under the guidance of specialists.

How does TESA procedure work?

Here are some points to know about how the TESA process works

  • In this process, the patient first, is injected with general anesthesia.
  • Following anesthesia, after that, a very small needle is injected around testicle/s with a suction syringe.
  • The patient Sperms or small testicular tissues are removed through the small needle. The produce sperms and tissues are sent to the laboratory and Retrieved sperms are then tested in the laboratory for sperm processing.
  • After that, the sperm is washed and healthy sperm is prepared for insemination.

How to prepare for the TESA procedure?

If you have any of the following issues before going through testicular aspiration then its important to inform your doctor. To read further about the TESA procedure as under:-

  • If you are facing any bleeding problems.
  • If you have allergic to take any medicine which also includes anesthetics.
  • It’s important to tell your doctor about all the medications that you are taking on a regular basis.
  • If you taking any blood-thinning medication like aspirin, heparin, enoxaparin, warfarin, and ibuprofen.
  • All the risks involved in the process are conveyed to the patient and the patient has to sign the consent form before starting the procedure.
  • If you have any confusion or concerns regarding the requirement of the treatment then you must take the doctor’s advice. You should clear all the risks involved in the process. And after the treatment, you should consult about the results.
  • If a biopsy is performed under local anesthesia you can’t do anything. But when the process is done under general anesthesia, then the doctor will suggest to you what to eating and drinking before the procedure.

You should follow the instructions that may cure you properly and before the test, the doctor will insert an intravenous.

When TESA can be done?

The TESA is performed under various conditions as that is below:

(A) TESA is performed when a male is diagnosed with problems in semen or sperms in sperm culture reports or in semen analysis tests such as:

  1. Azoospermia- (the full absence of sperm during ejaculation) or Non-Obstructive Azoospermia. Or the Abnormal sperm production
  2. Oligospermia- low collection of sperms.
  3. Cryptozoosprmia- High rate of sperm
  4. Asthenozoospermia- sperms lacking the required motility
  5. Necrozoospermia- Dead and immobile sperm with a condition.

(B) A person with a long history of many genital surgeries and issues such-

  1. Vasectomy:- long-term surgery for contraception of men.
  2. Frenulectomy:- Removal of the frenulum of the penis in the correct condition.
  3. Penectomy:- Surgical transfer of a penis.
  4. Urethrectomy:- To remove male urethra- a tube connecting the urinary bladder with surgery.

Difference between TESE & TESA?

TESE needs a small incision to reveal the testicular tissue can be performed under the local anesthesia. As compared to TESA it extracts the high number of good quality sperm. This procedure is for those patients who are confident that sperm is produced but some time is not good for a percutaneous procedure. The TESE costs are more than TESA.

What are the benefits & risks of TESA?

There are some risks and benefits that are given below:-
The risks are-

  1. The risk of excessive internal bleeding.
  2. If TESA does not operate properly then it can damage the testicular tissue.
  3. The occurrence of intra-testicular hematoma (irresistible scrotal pain and trauma) hemorrhage is a potential threat to TESA.
  4. After surgery of TESA, it may get a high fever as 104-degree Fahrenheit.
  5. When TESA treatment is done there is nausea and vomiting for at least some days.

Benefits are:-

  1. TESA is an easy or a non-surgical process.
  2. It is low cost-effective. It cuts down the need for expensive injections of superovulation to the woman.
  3. It is low painful and no blood vessel is touched during TESA.
  4. It hardly needs 30-45 minutes for the entire process and saves your time.
  5. If you are not searching for a sperm donor to conceive your child, then TESA is the best to process that gives you the joy of being the parenthood.

What is the cost of TESA treatment?

The treatment cost TESA is very costly. It is one of the ways to treat male. For the treatment of male infertility, medical science has other ways. The cost of TESA for infertility problems are approximately Rs15000 to Rs 25000.


The treatment of TESA is done under the experienced doctor and trained staff and You should get the result usually in 2 to 4 days. After looking at the sample sperm through a microscope the doctor will then look for any flaws in the sperm.

But sometimes, it looks the normal growth of sperm but once you get your sperm analysis done, it will reduce sperm. In such a condition, it should be a blockage in the tube from the testes to the urethra. In some cases of blockage, the surgery can be performed.

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