Apr-24-2025
TESA: A Breakthrough in Male Fertility Treatment
TESA (Testicular Sperm Aspiration) is a minimally invasive sperm retrieval technique used primarily in men with azoospermia (no sperm in the ejaculate). At New World Fertility, TESA plays a vital role in helping couples struggling with male factor infertility achieve biological parenthood.
This blog will walk you through the purpose, procedure, duration, recovery, success rates, and side effects of TESA, while comparing it with similar procedures like PESA. We’ll also answer frequently searched queries like “Is the TESA procedure painful?” and “What if no sperm is found after TESE?”.
What Is the Purpose of TESA Treatment?
TESA is performed when sperm cannot be found in the semen due to:
Obstructive Azoospermia (blockages in the reproductive tract)
Non-obstructive Azoospermia (low or no sperm production)
Ejaculatory dysfunction
TESA extracts sperm directly from the testicular tissue using a fine needle under local anaesthesia. These sperm are often used in ICSI (Intracytoplasmic Sperm Injection) during IVF cycles.
Who Needs TESA?
You might be a candidate for TESA if:
You have a zero sperm count in semen analysis.
There are blockages in the vas deferens or epididymis.
You’ve had a vasectomy and don't want reversal surgery.
You have a genetic or hormonal issue affecting sperm production.
At New World Fertility, our andrology specialists evaluate each patient’s condition to tailor the most effective retrieval strategy.
How the TESA Procedure Works
Step-by-step breakdown:
Local Anaesthesia is administered.
A fine needle is inserted into the testis to aspirate fluid and tissue.
The sample is examined under a microscope for viable sperm.
Retrieved sperm are either used immediately in IVF/ICSI or cryopreserved.
TESA Procedure Cost in India
The TESA procedure cost varies depending on the clinic and city. At New World Fertility, we maintain transparent, affordable pricing without compromising care.
Average Cost Range: ₹25,000 – ₹45,000 per cycle
Ask us about package deals with IVF and ICSI for better value.
TESA IVF Success Rates
Success with TESA depends on:
Type of azoospermia (obstructive vs non-obstructive)
Testicular sperm quality
Female partner’s reproductive health
At New World Fertility, our TESA IVF success rates range between 45%–65%, which is above the national average thanks to advanced lab techniques and expert embryologists.
Benefits of TESA and Its Success Rates
Enables biological parenthood for men with no sperm in their semen
Quick and minimally invasive
Can be done on the same day as egg retrieval
Works well with ICSI, even with very few sperm
TESA sperm quality is generally sufficient for Fertilisation, although it may be lower in motility compared to ejaculated sperm.
Recovery Time After TESA Procedure
The TESA procedure recovery time is short:
Most men return to normal activities within 24–48 hours
Mild pain, swelling, or bruising may occur
Pain relievers and rest are usually sufficient
Is the TESA Procedure Painful?
TESA is performed under local Anaesthesia, so minimal pain during the procedure. Mild discomfort or soreness afterwards is common and manageable.
The difference between TESA and PESA often depends on the location and cause of sperm retrieval failure.
Side Effects of PESA/TESA Procedures
Though generally safe, PESA/TESA side effects may include:
Mild swelling or bruising
Localised pain
Temporary discomfort during walking
Rarely, infection or hematoma (blood collection)
What If No Sperm Is Found After TESE or TESA?
If no sperm is found after TESE or TESA, options include:
Trying again after hormone therapy (in some non-obstructive cases)
Using donor sperm
Exploring advanced procedures like micro-TESE
At New World Fertility, we provide personalised fertility counselling to help you understand all your options with compassion and clarity.
Why Choose New World Fertility for TESA Treatment?
Specialised andrology team
State-of-the-art microsurgical equipment
Transparent pricing
In-house IVF lab with ICSI expertise
Emotional support and holistic counselling
Frequently Asked Questions
Q1. Is TESA the same as TESE?
No. TESA uses a needle to aspirate sperm, while TESE involves a small surgical incision to extract testicular tissue.
Q2. Can sperm from TESA be frozen?
Yes, sperm can be cryopreserved for future IVF/ICSI use.
Q3. Can I return to work after TESA?
Yes, typically within 1–2 days, depending on comfort.
Q4. Will I need multiple TESA procedures?
In some cases, if the sperm quantity or quality is insufficient, a second TESA or TESE may be needed.