At Dr. Aravind’s IVF Fertility Pregnancy Centre, recognized as one of the best IVF fertility centers in Bangalore, we offer advanced and compassionate care for male infertility through PESA (Percutaneous Epididymal Sperm Aspiration) and TESA (Testicular Sperm Aspiration). These minimally invasive sperm-retrieval techniques are invaluable for couples navigating severe male-factor infertility, especially when sperm is not present in the ejaculate.
What Are PESA TESA — And Why They Matter
PESA and TESA are specialized procedures to retrieve sperm directly from the male reproductive tract when conventional ejaculation fails to yield viable sperm. These techniques are typically advised in cases of azoospermia (no sperm in semen) — either due to a blockage (obstructive) or reduced sperm production (non-obstructive).
In PESA, a very thin needle is passed through the scrotal skin to reach the epididymis, the small tube that stores sperm. Fluid containing mature sperm is gently aspirated.
- In TESA, a fine needle is inserted into the testicular tissue itself to collect sperm-containing tissue directly from the testicles.
Both procedures are usually done under local anesthesia or light sedation, are relatively quick, and have a fast recovery time.
How PESA TESA Work at Dr. Aravind’s IVF, Bangalore
Pre-Procedure Counseling
Our fertility specialists evaluate your hormone levels, semen analysis, and male reproductive anatomy to determine whether PESA, TESA, or another method is most appropriate.
Semen Retrieval Session
- For PESA, a needle is used to aspirate fluid from the epididymis.
- For TESA, sperm is aspirated from the testicular tissue.
In both cases, retrieved sperm is immediately transferred to our embryology lab for assessment.
Laboratory Processing
The collected sample is examined under a microscope. Embryologists identify viable sperm, which are then either used fresh in ICSI (Intracytoplasmic Sperm Injection) or cryopreserved (frozen) for future IVF/ICSI cycles. Dr. Aravind's IVF
Post-Procedure Care
Patients typically recover quickly – mild discomfort or soreness may occur but usually subsides in 1–2 days. Dr. Aravind's IVF
Integration with IVF/ICSI
The retrieved sperm is often combined with eggs using ICSI. This direct injection method gives couples the best chance of fertilization, even when sperm count or motility is very low.
Benefits of Choosing PESA TESA at Dr. Aravind’s IVF
- Enables Biological Fatherhood: These techniques offer hope for men who otherwise have no sperm in their ejaculate.
High Success When Paired with ICSI: Retrieved sperm can be highly effective when used in ICSI, improving fertilization rates.
- Flexibility: Sperm can be frozen for future use, giving couples control over timing.
- Safe Efficient: Quick recovery, low risk, and expert surgical team ensure your safety and comfort.
Who Is a Good Candidate?
- Men diagnosed with azoospermia, either obstructive or non-obstructive.
- Those who have had a vasectomy, or have a genetic absence of the vas deferens.
- Couples who have had failed fertilization via conventional IVF, and need direct sperm retrieval.
- Patients seeking to preserve fertility when future sperm production may be compromised.
At best IVF fertility center in Bangalore, our PESA TESA services combine surgical precision, world-class embryology, and empathetic care to support your fertility journey. If male-factor infertility is challenging your hopes of parenthood, reach out to us today for a consultation — we’re here to help you overcome the obstacle and move forward together.
