Treatment of male infertility by TESA

Male infertility is quite common nowadays because of changing lifestyles of people and habits like smoking, drinking etc. Infertility is a condition in which a couple is not able to conceive at least after trying for 12 months. The problem can be with both men and women. Infertility in men is generally because of the problem in semen or surgery or injury or simply because of erectile dysfunction. 

With the advancement in technology and science, conception has become easy for infertile couples with procedures like:

IVF (In-vitro fertilization)
ICSI (Intracytoplasmic sperm injection)
AI (Artificial Insemination)
IUI (Intra uterine insemination)
ICI (Intra cervical insemination)

For males suffering infertility issues and would like to have their own child, sperm retrieval procedures such as TESA, micro TESA, TESE, PESA etc are used. Sperm retrieval is a way to extract the sperm from the testis of the male partner for planting it into the female partner for conception.

The newest technique of testicular sperm retrieval is called 'TESA – TESE'. In TESA, a small amount of testis tissue is taken by biopsy under local anaesthesia. Testicular sperm extraction is indicated for patients with a blockage in the epididymis either from prior surgery, infection or from birth or a blockage within the ducts of the testes or zero sperm count in the patient (azoospermia). 

When is TESA done?

TESA is performed when a male is diagnosed with problems in semen or sperms in sperm culture reports or in semen analysis tests such as:

Azoospermia – Zero or no sperm count
Oligospermia - Low concentration of sperms
Asthenozoospermia - Sperms lacking the required motility
Cryptozoospermia - Sperms with a high casualty rate
Necrozoospermia - A condition with dead and immobile sperms

When the person has a history of various genital surgeries and issues such as:

Vasectomy - Surgery for permanent contraception of men
Urethrectomy - Surgery to remove male urethra- a tube connecting the urinary bladder and male genitalia
Frenulectomy - Removal of the frenulum of the penis to correct condition of frenulum breve/breaching
Penectomy - Surgical removal of a penis

How does TESA procedure work?

TESA is a very simple procedure to extract sperm from the testis performed under general/local anaesthesia.
Following anaesthesia, a very tiny and smooth needle is injected around testicle/s with a suction syringe.
Small testicular tissues and sperms are extracted through the needle and sent to the laboratory for sperm processing.
After that, the processed sperm is washed and most motile and healthy sperm is prepared for insemination.
Hence, TESA is one of the best methods for sperm retrieval and is used in procedures vehemently in ART (Assisted Reproductive Technology) methods such as IVF, ICSI, and IUI.

Recommended doctors for TESA

CureIndia helps you choose the right doctor for your medical treatment. Most of the doctors in our associated hospitals have been internationally trained and are active members of many international medical councils and associations. Let's hear from some of the most reputed doctor's for infertility treatment in India.

Dr Vineet Malhotra


Dr Shivani Sachdev Gour


Dr Astha Gupta


Dr Sonia Malik


Benefits of TESA:

It is cost-effective. It cuts down the need for expensive injections of superovulation to the woman.
TESA is an easy and a non-surgical procedure.
It saves you time as the entire procedure of TESA procedure hardly needs 30-45 minutes.
Less painful and less traumatic as no blood vessel is touched during TESA.
If you are not looking for a sperm donor to conceive your child, TESA is best as it gives you the joy of being the biological father.

Cost of TESA in India

TESA is quite an affordable procedure in India as compared to the countries in the west. In India, we have the best fertility specialists and best IVF centres for fertility treatment in India at affordable rates. Thus, India is a preferred destination for a lot of medical tourists seeking medical treatment in India.