How Does TESA Work and Help?

How Does TESA Work and Help?

Male infertility is always a matter of concern for thousands of couples worldwide. There can be different causes of infertility, including the quality and quantity of sperm in men, and sometimes the inability to ejaculate may also become the major cause. In such cases, sperm aspiration is a proven treatment option to treat man infertility and helps couples start a family.

What is TESA?

Testicular Sperm Aspiration – in simple words, TESA is a surgical procedure used to retrieve sperm directly from the testicles of men who have fertility problems. TESA is typically used in cases where a man's semen does not contain enough sperm or where the sperm are not motile enough to fertilize an egg.

Who Might Seek for TESA?

TESA is typically used in cases where the man has a low sperm count or no sperm present in his semen. Some specific conditions that may lead a man to seek TESA include:

• Azoospermia:Azoospermia is of two types; the first is called non-obstructive azoospermia, where sperms are not produced within the testes or are absent in the semen. The second condition is called obstructive azoospermia, where due to some kind of physical obstruction in the path (such as vasectomy or an injury), sperm are unable to come out in the ejaculate.
• Failed Vasectomy Reversal:In some cases, men who have had a vasectomy may seek TESA if the reversal procedure did not restore their fertility.
• Genetic Disorders:Some genetic disorders may result in infertility or a low sperm count, and TESA may be used to retrieve viable sperm for fertility treatment.

Cases may vary and hence the treatment. It's important to consult with a qualified fertility specialist to determine the best course of action for your situation and come up with the best cure.

What is the Procedure of TESA?

At Juhi Fertility Clinic, our fertility specialist does adequate tests to ensure you are all fit and fine to start with the TESA procedure. Here are the general steps that we follow to start with the TESA procedure and come up with the result:

• Preparation:The patient will be given local anesthesia or sedation to help them relax during the procedure. One of our fertility specialists will then clean and sterilize the area around the testicles.
• Sperm Extraction:A fine needle or biopsy instrument extracts a small tissue sample from the testicle. The tissue will be examined under a microscope to check for the presence of sperm.
• Processing:If sperm are found in the tissue sample, they will be processed and prepared for use in assisted reproductive techniques such as in vitro fertilization (IVF). The sperm will be directly injected into the female egg to get fertilized.
• Recovery:After the procedure, the patient may experience discomfort or swelling in the testicle area. Ice packs and pain medication may be recommended to help manage any discomfort. Most patients can resume normal activities within a few days.

It's important to note that TESA is not always successful in finding viable sperm. Sometimes, the specialists recommend repeating the procedure or stepping ahead with a different sperm retrieval technique.

What are the Success Rates of TESA?

The success rates of TESA, or Testicular Sperm Aspiration, can vary depending on various factors, such as the underlying cause of infertility, the age and overall health of the man, and the technique used for sperm retrieval.

If viable sperm are retrieved through TESA, the success rates of assisted reproductive techniques such as in vitro fertilization (IVF) can also vary depending on various factors. For example, the female partner's age, the quality of the retrieved sperm, and the success of the fertilization process can all impact the chances of a successful pregnancy.

In general, the men with obstructive azoospermia, the success rate of TESA is found to be close to 100%, but in other cases, like non-obstructive azoospermia, the rate varies from 30-50%. However, it's important to note that the success rates of TESA can vary widely depending on the specific situation.

How long does TESA Treatment Take?

The duration of a TESA treatment can vary depending on several factors, including the procedure's complexity and the patient's individual needs. Generally, a TESA procedure can be completed in less than an hour.

After the TESA procedure, the extracted sperm must be processed and prepared for use in assisted reproductive techniques, such as in vitro fertilization (IVF), which can take several weeks.

Are There Any Alternatives to TESA?

If TESA (Testicular Sperm Aspiration) is not a suitable option or if no viable sperm can be retrieved through TESA, there are several alternatives that our specialists at Juhi Fertility Clinic may consider. Some of the most common alternatives to TESA include:

• Microsurgical Testicular Sperm Extraction (Micro-TESE):This is a more invasive procedure than TESA, in which a small piece of testicular tissue is removed through microsurgery. The tissue is then examined under a microscope to identify viable sperm. Micro-TESE is often used when other sperm retrieval techniques, such as TESA, have been unsuccessful.
• Percutaneous Epididymal Sperm Aspiration (PESA):This is a technique in which sperm is extracted from the epididymis, the duct behind the testicle where sperm is stored. A needle is inserted into the epididymis, and sperm is aspirated out. PESA is typically used for men with a blockage in their reproductive tract, preventing sperm from reaching the ejaculate.
• Testicular Sperm Extraction (TESE):This is a similar technique to TESA but involves the removal of a larger tissue sample from the testicle. The tissue is then examined under a microscope to identify viable sperm.
• Donor Sperm:If no viable sperm can be retrieved through these techniques, donor sperm may be an option. Donor sperm can be used in assisted reproductive techniques such as intrauterine insemination (IUI) or in vitro fertilization (IVF).

Potential risks and complications of TESA:

As with any medical procedure, TESA (Testicular Sperm Aspiration) carries risks and potential complications. Some of the most common risks associated with TESA include the following:

• Pain and Discomfort:The TESA procedure involves inserting a needle into the testicle, which can cause pain and discomfort.
• Bleeding or Hematoma: There is a risk of bleeding or developing a hematoma (a blood collection) at the site where the needle is inserted.
• Infection:There is a risk of developing an infection at the site where the needle is inserted.
• Damage to the Testicle:In rare cases, the needle used during TESA can cause damage to the testicle, which may affect future sperm production.
• Failure to retrieve sperm:In some cases, no viable sperm may be retrieved through TESA, which can be emotionally challenging for the patient and their partner.

The fertility experts at Juhi Fertility Clinic take care of all the safety and sanitary measures to leave no complications after TESA is completed.

What is the cost of TESA or sperm aspiration?

The cost of sperm aspiration can vary depending on several factors, such as the type of sperm aspiration procedure and whether additional services are required. Juhi Fertility Clinic critically examines the case and then provides you with the best cost-effective TESA treatment plan, to begin with. To learn more about TESA cost, you can connect with one of our experts, discuss your concerns, and get the details of the complete cost of the TESA procedure.

Final Words:

Early detection of male infertility helps in diagnosing and treating the condition. If you and your partner have been trying to conceive for a long time and are not getting a successful result, book your earliest consultation with our expert team at Juhi Fertility Clinic. To learn more about our list of treatments, you can visit Juhi fertility clinic website or call us at our contact number to book the earliest appointment.