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PESA is used to retrieve sperm from men with infertility issues. It is particularly effective for those with obstructive azoospermia, where sperm is missing due to a blockage. The procedure extracts sperm directly from the epididymis.
Percutaneous Epididymal Sperm Aspiration (PESA) is the least invasive sperm retrieval technique. It retrieves sperm directly from the epididymis, the tube on top of the testicle where sperm matures. PESA helps men who produce sperm, but have a blockage that prevents ejaculation.
PESA is particularly useful for men with obstructive azoospermia.
In this condition, sperm production is normal, but a blockage prevents sperm release during ejaculation.
This blockage can be due to congenital absence of the vas deferens, prior vasectomy, or scarring from infections or surgeries.
PESA offers an effective and less invasive option for sperm retrieval, providing hope for men with fertility challenges.
PESA is primarily performed to retrieve sperm directly from the epididymis in men. The key reasons why PESA is done include:
Obstructive Azoospermia: PESA helps retrieve sperm when a blockage prevents ejaculation despite normal sperm production.
Facilitating IVF/ICSI: Sperm retrieved through PESA can be used in fertility treatments. This includes in vitro fertilisation (IVF) with intracytoplasmic sperm injection (ICSI).
Minimally Invasive Approach: PESA is a less complex and minimally invasive procedure compared to other sperm retrieval methods.
Higher Success Rates: When combined with IVF/ICSI, PESA has high success rates in achieving pregnancy, especially in obstructive azoospermia cases.
PESA is typically used in cases where there are difficulties with sperm production or ejaculation. Here’s an overview of how PESA is performed:
Consultation: The patient meets with a fertility specialist to discuss the process, indications, and any potential risks.
Pre-procedure testing: Blood tests and imaging studies may be conducted to assess overall health.
Anaesthesia: The procedure is usually done with local anaesthesia to reduce discomfort.
Positioning: The patient lies down comfortably.
Skin preparation: The scrotum area is cleaned and sterilised to prevent infection.
Needle insertion: A thin needle is inserted through the scrotum into the epididymis.
Sperm aspiration: Fluid is drawn out from the epididymis.
Sample evaluation: The fluid is examined under a microscope. If viable sperm are not found, the doctor may recommend advanced techniques like TESA or Micro-TESE.
Recovery: The patient is watched for a little while to check for any immediate complications after the procedure.
Post-procedure Instructions: Patients should wear supportive underwear.
Sperm Use: The retrieved sperm can be used right away for fertility treatments or frozen for later.
Follow-Up: A follow-up visit may be needed to review the sperm analysis results.
Choosing the right fertility clinic is crucial for starting your family. At Birla Fertility & IVF, we offer personalised care with expert specialists guiding you every step of the way. Our advanced labs and outstanding success rates have helped over 2,30,000 patients achieve their dream of parenthood.
Best-in-class
Pregnancy Rate
With a team of 120 fertility experts, state-of-the-art embryology labs, and world-class technology, we achieve outstanding pregnancy rates
95% Patient
Satisfaction Score
We offer personalized treatment plans and comprehensive fertility services, ensuring exceptional fertility care under one roof.
100% Transparent &
Affordable Pricing
We are committed to making world-class fertility treatments affordable and accessible. We offer fixed price all-inclusive packages and 0% EMI options with no hidden charges.
Gurgaon – Sector 14, Haryana
MBBS (Gold Medalist), MS (OBG), DNB (OBG) PG Diploma in Reproductive and Sexual health
Kolkata , West Bengal
MBBS, DGO, FRCOG (London)
Kolkata, West Bengal
MBBS, MS (Obstetrics & Gynaecology)
Lajpat Nagar, Delhi
MBBS, MS (Obstetrics & Gynaecology) DNB (Obstetrics & Gynecology), Infertility Specialist
Dwarka, Delhi
MBBS, M.S., Diploma in Reproductive Medicine
Varanasi, Uttar Pradesh
MBBS, MS (Obstetrics & Gynaecology)
Success after multiple IVF failures
After multiple failures at other clinics our family doctor recommended us to visit Birla Fertility & IVF. We received exceptional care and support from the entire team of doctors and nurses who were there to support us every step of our journey. Thanks for making our dream come true!
Simran & Arun Dubey
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Doctor’s expertise turned our parenthood dream into reality
Our doctor at Birla Fertility & IVF made all the difference in our journey. From addressing all our queries to prescribing only what was needed, the support and comfort we received were invaluable. We are grateful to the entire team at Birla Fertility & IVF
Sakshi & Inderjeet
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Recommended IVF by other clinics conceived naturally at Birla Fertility & IVF
We came in for a fallopian tube test, expecting to be recommended IVF. However, our doctor at Birla Fertility & IVF suggested a minor treatment and provided exceptional support and guidance. Thanks to this thoughtful approach, we conceived naturally. We are deeply grateful to the team at Birla Fertility & IVF for their care. With the right support, you’ll be well taken care of. Trust the process and go with the flow!
Jasleen & Jaswinder
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Dr. Rohani Nayak
May 12, 2023
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Birla Fertility & IVF aims at transforming the future of fertility globally, through outstanding clinical outcomes, research, innovation and compassionate care.
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