PESA / TESA
Advanced Sperm Retrieval for Successful Fertility Treatment
In some cases, sperm may not be present in the semen sample due to blockage or low production. This condition can make natural conception difficult. At Dr Sabia’s clinic, we offer advanced sperm retrieval procedures such as PESA and TESA to help couples move forward with assisted fertility treatments like IVF or ICSI.
Our goal is to provide safe, effective, and minimally invasive solutions for men facing severe fertility challenges. With expert care and advanced techniques, we help couples take a positive step toward parenthood.
What Are PESA and TESA?
PESA and TESA are minor medical procedures used to collect sperm directly from the male reproductive organs when sperm is not found in semen.
PESA (Percutaneous Epididymal Sperm Aspiration)
PESA is a procedure where sperm is collected from the epididymis. The epididymis is a small tube located behind the testicle that stores sperm. A fine needle is used to gently withdraw sperm.
TESA (Testicular Sperm Aspiration)
TESA is a procedure where sperm is directly taken from the testicle using a thin needle. This method is used when sperm production is very low or absent in the semen sample.
Both procedures are commonly used in cases of azoospermia (absence of sperm in semen).
Why Are PESA and TESA Needed?
Some men produce sperm but it does not appear in semen due to blockage. Others may have very low sperm production. In such cases, PESA or TESA can help retrieve sperm for fertility treatment. These procedures help to:
- Retrieve sperm when semen analysis shows no sperm
- Overcome blockage in sperm ducts
- Assist couples planning IVF or ICSI
- Provide an option for severe male infertility
- Improve chances of biological parenthood
Without these techniques, couples may have limited options for conception.
Step-by-Step PESA / TESA Procedure Process
At Dr Sabia’s clinic, the procedure is performed in a safe, sterile, and comfortable environment.
- Initial Consultation The doctor reviews medical history, previous test reports, and semen analysis results. This helps determine whether PESA or TESA is suitable.
- Pre-Procedure Preparation Basic blood tests may be advised. The procedure is usually done under local anesthesia to reduce discomfort.
- PESA Procedure A fine needle is gently inserted into the epididymis to collect sperm fluid. The sample is immediately examined in the laboratory to check for sperm presence.
- TESA Procedure If PESA does not retrieve enough sperm, TESA may be performed. A thin needle is inserted directly into the testicle to obtain sperm cells.
- Laboratory Processing The collected sperm is processed by embryologists. Healthy sperm are selected and used for ICSI (Intracytoplasmic Sperm Injection).
Who Should Consider PESA or TESA?
PESA or TESA may be recommended for:
- Men diagnosed with azoospermia
- Men with blocked sperm ducts
- Men who have undergone vasectomy
- Men with previous failed sperm retrieval attempts
- Couples planning IVF with ICSI
- Men with very low sperm count
- Men with testicular production issues
A detailed male fertility evaluation is done before recommending these procedures.
Common Reasons for Sperm Retrieval
Some common medical conditions that may require PESA or TESA include:
- Obstructive azoospermia (blockage in sperm pathway)
- Non-obstructive azoospermia (low sperm production)
- Congenital absence of vas deferens
- Previous vasectomy
- Infection-related blockage
- Testicular failure
Identifying the cause helps choose the right retrieval method.
Role of PESA / TESA in IVF and ICSI
PESA and TESA are mainly used with ICSI treatment.
During ICSI – A single healthy sperm is injected directly into the egg. Even a small number of sperm retrieved through PESA or TESA is often enough for successful fertilisation.
In Severe Male Infertility – When sperm count is extremely low, natural conception is unlikely. Sperm retrieval combined with IVF-ICSI offers hope for biological parenthood.
Sperm Freezing Option – If sufficient sperm is retrieved, it can be frozen and stored for future IVF cycles.
Proper planning increases the chances of successful fertilisation and pregnancy.
Benefits of PESA and TESA
- Minimally invasive procedure
- Quick recovery time
- Same-day discharge
- Helpful in severe male infertility
- Allows biological fatherhood
- Can be combined with IVF/ICSI
- Safe and effective technique
These procedures provide hope in cases where semen samples show no sperm.
Recovery and Aftercare
Most men experience mild discomfort or swelling for a short time. Recovery is generally quick.
Patients are advised to:
- Rest for a day
- Avoid heavy physical activity for a few days
- Follow prescribed medications
- Attend follow-up appointments if needed
Complications are rare when performed by an experienced specialist.
Personalised and Confidential Care
We understand that male infertility can be emotionally sensitive. At Dr Sabia’s clinic, every patient is treated with dignity and respect.
All consultations and procedures are conducted with complete privacy. Test results are explained clearly, and treatment options are discussed in detail.
Our approach focuses on comfort, clarity, and emotional support throughout the fertility journey.
Why Choose Dr Sabia for PESA / TESA?
- Experienced fertility specialist
- Advanced diagnostic support
- Safe and minimally invasive techniques
- Skilled embryology team
- Personalised fertility planning
- Complete privacy and confidentiality
- Ethical and transparent care
We aim to provide accurate solutions that improve your chances of successful conception.
Frequently Asked Questions
PESA retrieves sperm from the epididymis, while TESA collects sperm directly from the testicle.
The procedure is done under local anesthesia and causes minimal discomfort.
It usually takes a short time and is completed on the same day.
No, it is generally a day-care procedure.
Yes, sperm can be frozen for future IVF cycles.
Yes, when performed by an experienced specialist, they are safe and effective.
Success depends on the underlying condition, but many men are able to have sperm successfully retrieved.
Take the Next Step Toward Parenthood
If semen analysis shows no sperm or very low sperm count, PESA or TESA may provide an effective solution. Early consultation helps avoid unnecessary delays and allows proper treatment planning.
With expert guidance from Dr Sabia, couples can move forward with confidence and clarity.
Book your consultation today to explore advanced sperm retrieval options and take a positive step toward building your family.