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Role Of TESA For an Infertile Couple: When & Why to Do It

Role Of TESA For an Infertile Couple: When & Why to Do It

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Role Of TESA For an Infertile Couple: When & Why to Do It

Numerous couples worldwide have expressed concern over male infertility, highlighting the challenges of naturally becoming pregnant.

Issues with sperm quantity and quality might primarily cause male infertility, but it can also result from problems with ejaculation, which prevents a guy from getting a woman pregnant even after unprotected sex.

Obstructive azoospermia is a disorder when spermatozoa are absent from a man’s semen despite sperm development being normal.

Modern techniques like testicular sperm aspiration make it possible to thoroughly address this problem, giving the patient every opportunity to become a parent. In these situations, in-vitro fertilisation (IVF) is typically necessary to achieve pregnancy. For more guidance and proper treatment, you can visit Shanvi IVF. It is among the top 5 IVF centres in Agra.

What is TESA

Men who have a blockage in their sperm passage tube, making it harder for them to ejaculate the sperms, may benefit from testicular sperm aspiration (TESA). The surgery is intended to alleviate concerns with male infertility, giving hopeful couples access to cutting-edge assisted reproductive technologies, including ICSI and IVF. Additionally, this procedure aids in the recovery of sperm from testicles that have undergone additional laboratory processing for IVF procedures or cryopreservation methods.

TESA Procedure

A needle is inserted into the testis during testicular sperm aspiration, and fluid and tissue are aspirated under negative pressure. The sperm cells are then extracted from the sample for ICSI, or intracytoplasmic sperm injection, in the embryology lab.

To fertilise an egg, mature sperms are selected from TESA sample. During ICSI Procedure, one sperm is extracted and insert into the eggs.

It is performed under local anaesthesia or sedation in a nursery setting without the requirement for a hospital stay. Testicular biopsy is required if TESA cannot produce enough sperm.

Using sperm cell genetic material has been the subject of numerous rumours and questions. Additionally, there is a possibility that the infertility’s underlying cause will be passed on to the offspring.

Who Can opt for TESA?

Patients with azoospermia undergo TESA. Azoospermia is the medical word used to describe men who lack spermin their semen. Couples may find it challenging to conceive, prompting infertility concerns.

Azoospermia comes in two forms:

Obstructive azoospermia
In OA, a man’s testes might produce enough sperm but cannot expel them. Plumbing problems that prevent it from leaving the testes may cause this.

Vasectomy may be one of the common reasons for OA. Vasectomy is a treatment where the vas deferens are purposely cut in half. It may be done for birth control or to treat external issues. Cystic Fibrosis, a congenital lung condition that impacts fertility, may also be the cause.

Non-Obstructive Azoospermia

NOA describes conditions that cause a man to generate defective sperm or no sperm at all.

These illnesses, which are also linked to hormonal alterations, testicular cancer, and other problems, can be brought on by either testicular non-obstructive azoospermia or pretesticular non-obstructive azoospermia. Men with Obstructive Azoospermia (OA) are excellent candidates for TESA since it aids in separating sperm from testis tubules.

Benefits of TESA

Men who are told they are infertile lose hope of getting pregnant because they believe they are totally sterile.

The most economical and straightforward form of sperm harvesting is sperm aspiration. There are several more methods as well. By identifying the underlying cause of infertility and treating it by extracting the sperm from the testicles or epididymis using a tiny needle, TESA aids in diagnosing this issue.

The TESA treatment is carried out with little discomfort and a high rate of sperm recovery under local anaesthesia or brief intravenous sedation, aiding pathological diagnosis.


Sperm retrieval with TESA, a minimally invasive process, has shown to be effective at obtaining viable sperm for use in in vitro fertilisation. You can visit Shanvi IVF, the best TESA centre in Agra, for the diagnosis, as it is crucial to make an accurate diagnosis and identify the precise reason why infertility has occurred. Based on your diagnosis, Shanvi IVF doctors will suggest a proper treatment plan.

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