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TESA (Testicular Sperm Aspiration)

No sperm in semen? TESA can retrieve what you need for ICSI.

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What is TESA?

TESA (Testicular Sperm Aspiration) is a minor surgical procedure performed under local anaesthesia to retrieve sperm directly from the testicular tissue. It is the primary treatment for men with azoospermia — zero sperm in the ejaculate — allowing them to father biological children through ICSI.

Who is this treatment for?

  • Non-obstructive azoospermia (no sperm produced)
  • Obstructive azoospermia (blockage preventing sperm release)
  • Men with previous vasectomy seeking reversal-free fertility
  • Retrograde ejaculation where sperm cannot be collected normally
  • Failed sperm from ejaculate in prior IVF/ICSI cycles
  • Men with congenital absence of the vas deferens (CBAVD)

The TESA Process at Progeny Fertility

1

Semen Analysis & Workup

Thorough semen analysis, hormonal profile (FSH, testosterone), and scrotal ultrasound.

2

Genetic Screening

Karyotype and Y-chromosome microdeletion testing to guide prognosis and counseling.

3

TESA Procedure

Fine needle aspiration of testicular tissue under local anaesthesia — takes 15–20 minutes.

4

Lab Processing

Embryologist processes tissue immediately to isolate viable sperm for ICSI or freezing.

5

ICSI & Embryo Transfer

Retrieved sperm injected directly into eggs; resulting embryos transferred to the partner.

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