Testicular Sperm Aspiration

Testicular Sperm Aspiration (TESA) is a minimally invasive procedure for retrieving sperm directly from the testicles. It is typically performed in men experiencing infertility due to conditions such as azoospermia (the absence of sperm in semen). When combined with assisted reproductive technologies like In Vitro Fertilisation (IVF) or Intracytoplasmic Sperm Injection (ICSI), TESA can significantly improve the chances of conception.

TESA is highly effective for men facing specific infertility challenges, including:

  • Non-obstructive Azoospermia: A condition where the testicles fail to produce enough mature sperm due to underlying medical issues.
  • Obstructive Azoospermia: A blockage in the reproductive tract that prevents the release of sperm. 
  • Ejaculatory Dysfunction: A condition caused by medical problems or spinal injuries that result in insufficient or absent ejaculation.

 TESA is also useful in cases involving:

  • Genetic Disorders: The procedure can retrieve sperm from men with genetic conditions such as cystic fibrosis.
  • Post-Treatment Fertility Issues: Men who have undergone cancer treatments, vasectomies, or other procedures affecting fertility can use TESA to retrieve sperm for reproductive purposes.
tesa procedure

How Does TESA Work?

The testicular sperm aspiration method involves the following steps:

Local Anesthesia

The procedure begins with administering local or general anaesthesia to numb the testicular area.

Sperm Aspiration

Once the anaesthesia is given, a fine needle is inserted to extract spermatic fluid directly from the testicular tissue.

Laboratory Analysis

The collected sample is examined under a microscope to identify and isolate viable sperm.

Sperm Storage or Utilisation

The retrieved sperm is stored or immediately used in assisted reproductive techniques.

Benefits & Risk Associated with TESA

Men experiencing infertility can benefit in various ways from undergoing TESA treatment:

  • Minimally Invasive: TESA is less invasive than other surgical methods, resulting in a quicker recovery time.
  • Path to Biological Parenthood: It offers men the chance to father biological children, even in complex fertility cases.
  • High Success Rate: TESA is particularly effective for sperm retrieval in cases of obstructive azoospermia.
  • Immediate Usage or Storage: Sperm retrieved through this procedure can be used immediately for IVF or ICSI, or it can be frozen for future treatments.

While TESA treatment is generally considered safe, like any medical procedure, it carries some risks, including:

  • Mild pain or discomfort in the testicles
  • Possible swelling or bruising at the needle insertion site
  • Risk of infection, which can be prevented and treated with proper post-operative care
  • Bleeding within the testicles
tesa treatment

Post-Treatment Care for TESA

After undergoing the TESA procedure, patients should follow these instructions for a quick recovery:

  • Rest for 24–48 hours and avoid strenuous physical activity.
  • Apply ice packs to reduce swelling or discomfort.
  • Take prescribed medications such as pain relievers and antibiotics, as directed.
  • Avoid sexual activity for at least 7–10 days.
  • Wear supportive underwear to alleviate scrotal discomfort.

If you experience unusual symptoms like nausea, vomiting, or difficulty urinating, consult your fertility specialist immediately.

Treatment Process for TESA at Dr Kamaraj Hospital

At Dr Kamaraj Hospital, we adopt a patient-centered approach to TESA, focusing on addressing male infertility with precision and compassion.

Expert Consultation

We begin by reviewing the patient’s medical history and discussing any relevant factors that may contribute to infertility.

Physical Exam and Tests

A thorough physical examination is conducted, followed by necessary tests to evaluate the patient's reproductive health and sperm production.

Specialised Testing

In some cases, additional specialised tests are performed to gather more specific information for an accurate diagnosis and an effective treatment plan.

Why Choose Us?

Dr Kamaraj Hospital for Men's Health and Wellness is a trusted name in reproductive healthcare, specialising in advanced fertility treatments such as TESA, IVF, and IUI.

Dr Kamaraj and his team use the latest diagnostic tools to ensure safe and effective procedures. With a proven track record of high success rates in assisted reproduction, we are the trusted choice for men seeking fertility treatments.

Best Sexologist in Chennai Dr. Kamaraj

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FAQs

Is TESA treatment safe?

Testicular sperm aspiration is a safe and minimally invasive procedure compared to other options.

Recovery typically takes 24-48 hours. Most men can resume normal activities after resting and avoiding heavy physical exertion during this period.

TESA is recommended for men with conditions like azoospermia (absence of sperm), those who have had a vasectomy, or individuals with ejaculatory dysfunction or other issues affecting sperm production or release.

TESA is performed under local anaesthesia, so the procedure itself is not painful. However, mild swelling, discomfort, or bruising may occur afterwards, which usually resolves within a few days.

Meet Our Doctor

Best Sexologist in Chennai Dr. T Kamaraj

Dr. T. Kamaraj

Sexologist & Male Infertility Specialist

MBBS degree and advanced qualifications in obstetrics and gynaecology
Infertility Specialist Dr. J S Jeyarani Kamaraj

Dr. J. S. Jeyarani Kamaraj

Infertility Specialist

MBBS degree and advanced qualifications in obstetrics and genecology, including an MD and a Diploma in Gynecology and Obstetrics (DGO)