TESE & PESA Treatment

Jananam's IVF procedure is of the highest quality since we employ A.I.-powered embryo selection to implant the most viable embryo and so give you the highest IVF success rates.

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What is TESE & PESA?

TESE (Testicular sperm extraction) & PESA (Percutaneous epididymal sperm aspiration)

Among couples presenting for treatment at Jananam because of male infertility, some male partners have no sperms at all in their semen (a condition called azoospermia). This occurs in one in 100 men.

Fortunately, in most of these men sperm may be found in the epididymis (where sperms are stored) or the testicle (where sperms are produced). These sperms can fertilize an egg if directly injected into it using the ICSI technique.

Until this method was developed, such men were considered infertile and could not father children of their own. Today, many couples conceive with the assistance of TESE and ICSI at our medical center.

The extraction procedure is performed under local or general anesthesia. Testicular tissue is submitted to the IVF lab where it is scanned under a microscope and sperm is extracted. Usually, there is a small number of sperm in such a tissue sample, and some of them lack the capacity to move forward. Thanks to the ICSI technique, only one sperm is needed to fertilize each egg, and in most cases fertilisation does occur with the development of an embryo. The unit is very experienced with this method, and the chances of conception are pretty good.

TESE & PESA Treatment Journey

TESE & PESA Procedure

What is TESE & PESA?

TESE (Testicular sperm extraction) & PESA (Percutaneous epididymal sperm aspiration)

Among couples presenting for treatment at Jananam because of male infertility, some male partners have no sperms at all in their semen (a condition called azoospermia). This occurs in one in 100 men.

Fortunately, in most of these men sperm may be found in the epididymis (where sperms are stored) or the testicle (where sperms are produced). These sperms can fertilize an egg if directly injected into it using the ICSI technique.

Until this method was developed, such men were considered infertile and could not father children of their own. Today, many couples conceive with the assistance of TESE and ICSI at our medical center.

The extraction procedure is performed under local or general anesthesia. Testicular tissue is submitted to the IVF lab where it is scanned under a microscope and sperm is extracted. Usually, there is a small number of sperm in such a tissue sample, and some of them lack the capacity to move forward. Thanks to the ICSI technique, only one sperm is needed to fertilize each egg, and in most cases fertilisation does occur with the development of an embryo. The unit is very experienced with this method, and the chances of conception are pretty good.

TESE & PESA Treatment Journey

TESE & PESA Procedure

Your Journey to Parenthood Begins Here

Consult with us and find out how our personalised treatment plans can enhance your chances of parenthood.

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Jananam Fertility has developed all of its medical services, procedures, patient care systems, and infrastructure with the patient in mind. We have the best success rates (pregnancies and live births) while maintaining the strictest safety requirements.

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Your Journey to Parenthood Begins Here

Consult with us and find out how our personalised treatment plans can enhance your chances of parenthood.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Jananam Fertility has developed all of its medical services, procedures, patient care systems, and infrastructure with the patient in mind. We have the best success rates (pregnancies and live births) while maintaining the strictest safety requirements.

TESE / PESA FAQ's

Is testicular sperm extraction painful?

General anesthesia is used to prevent pain during this EEJ procedure. It makes you unconscious. You do not feel any pain, and you do not remember the procedure afterwards. 

Can you extract sperm with a needle?

Testicular sperm aspiration (TESA) TESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI. It is done with local anesthesia in the operating room or office and is coordinated with their female partner's egg retrieval. A needle is inserted in the testicle and tissue/sperm are aspirated.

How does surgical sperm retrieval work?

It's a quick and relatively painless procedure that's usually performed under local anaesthetic. TESE involves making an incision into the testicle to take a small sample (biopsy) away from which sperm can hopefully be recovered. TESE can be performed under local or general anaesthetic.

How long does it take to recover from TESE?

You can resume your normal activity 3 days after your procedure. If you develop new pain, or your pain gets worse, as you do more activities, limit your activity until your pain gets better.

Is PESA procedure painful?

Is TESA / PESA procedure Painful? Immediately post the TESA procedure, there might be slight pain over the injection site which may feel exactly like a pin prick. Pain killers may be given for a day or two after the surgical sperm retrieval or TESA. Patients usually feel comfortable within two days of procedure.

Are you put to sleep for testicular biopsy?

What will happen during a testicle biopsy? You may be given local anesthesia to numb the area. With local anesthesia, you may still feel pressure or pushing, but you should not feel pain. You may instead be given general anesthesia to keep you asleep and free from pain during the procedure.

How is PESA done?

PESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI who have obstructive azoospermia from either a prior vasectomy or infection. It is done with local anesthesia in the operating room or office and is coordinated with their female partner's egg retrieval.

How long does it take to recover from testicular biopsy?

Your provider may suggest that you wear an athletic supporter for several days after the biopsy. In most cases, you will need to avoid sexual activity for 1 to 2 weeks. Using a cold pack on and off for the first 24 hours may lessen the swelling and discomfort. Keep the area dry for several days after the procedure.

What happens after surgical sperm retrieval?

The commonest complications are infection or a haematoma (a collection of blood) within the scrotum. A haematoma will usually cause a swelling and deep purple discoloration but the risk of this is minimised by you wearing your scrotal support after your operation.

Is testicular biopsy safe?

The procedure is generally safe and carries minimal risks. However, occasionally bleeding may be severe and there is a small risk of infection (orchitis). Very rarely, if the testicular biopsy is done in the presence of testicular cancer, it increases the risk of spread.

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