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Birla Fertility & IVF
Birla Fertility & IVF
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Testicular Sperm Aspiration (TESA)

For Patients

TESA at Birla Fertility & IVF

Testicular Sperm Aspiration (TESA) is a minimally invasive surgical sperm retrieval technique. It is used in conjunction with ICSI to support men who have extremely low sperm count or azoospermia (absence of sperm in the semen).

At Birla Fertility & IVF, we have a team of experienced fertility specialists who work closely with specialised uro-andrologists to offer safe and effective TESA and other surgical sperm retrieval procedures.

In some situations, TESE (Testicular Sperm Extraction) may be recommended as a diagnostic procedure to check presence of sperm in the testicular tissue. In suchcases, subsequent surgical sperm retrieval attempts may not be successful as the testicular tissue can become fibrosed after the first procedure, complicating the retrieval.

In such situations, we freeze the biopsied tissue for future use to avoid the need for a secondary retrieval procedure. We also offer single sperm cell vitrification in case of extremely low sperm count.


TESA is recommended for patients in the following situations:

Absence of sperm in semen caused by obstructions. This form of azoospermia is referred to as obstructive azoospermia. It can be caused due to vasectomies and sexually transmitted infections.

If the male patient is unable to provide a semen sample because of ejaculation disorders like retrograde ejaculation.

If the absence of sperm in the semen is caused by issues in sperm production, Micro-TESE may be recommended to retrieve as much sperm as possible.

TESA Process

Testicular sperm aspiration is a quick and relatively painless surgical sperm retrieval technique. It is done with local anaesthesia as an out-patient procedure. TESA involves inserting a fine needle attached to a tube into the testes to aspirate sperm. In more severe cases, advanced procedures like micro-TESE may be required to successfully retrieve adequate sperm.

In case TESA is unsuccessful, TESE can be attempted. TESE is a slightly more invasive procedure that involves making multiple punctures and extracting testicular tissue which is examined for the presence of sperm under a microscope. Sperm can be extracted from the biopsied tissue and used in ICSI. The biopsied tissue or extracted sperm can also be frozen for future fertility treatments.

Experts Speak

Frequently Asked Questions

TESA is a relatively painless process. While performing TESA, the patient is given local anaesthesia to numb the testicular region. It may cause slight discomfort after the procedure.

TESA is a quick procedure and can be completed within 15-20 minutes. It requires no hospitalization.

TESA is a minimally invasive and safe procedure. In extremely rare cases, side-effects like infection, nausea and bleeding can develop.

TESE is a slightly more invasive retrieval technique when compared to TESA. It involves extracting testicular tissue samples which are then studied for the presence of sperm. In TESA, the sperm is directly aspirated from the testicles using a fine needle. Both procedures are out-patient procedures and require no hospitalisation.

Patient Testimonials

Sonal and Dev

Birla Fertility has an incredible team and offers excellent services. I highly recommend Birla Fertility for IVF treatment. They have a well-trained professional to take care of their patients. In addition, the hospital has all the services and treatment options that a person needs.

Sonal and Dev

Sonal and Dev

Bhawna and Lalit

Preparing for testicular sperm aspiration during IVF treatment was a very stressful time. The doctor remained patient and extremely helpful throughout our IVF treatment. Thank you, Birla Fertility, for fulfilling all our needs.

Bhawna and Lalit

Bhawna and Lalit

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