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Male Fertility Services
TESA (Testicular Sperm Aspiration)
A minor procedure to retrieve sperm directly from the testicle for use in IVF/ICSI when none is available in the ejaculate.
What is this service?
TESA uses a fine needle to aspirate sperm directly from the testicular tissue, usually under local anesthesia, for use in assisted reproduction.
Who may need it?
- Men with obstructive azoospermia (blockage)
- Men with no sperm in the ejaculate
- Previous vasectomy or failed reversal
- Couples proceeding with IVF/ICSI
Common reasons or symptoms
- Blockage preventing sperm from reaching the ejaculate
- Absence of sperm in semen analysis
- Sperm retrieval needed for ICSI
What happens during consultation
- Review of semen analysis and hormone tests
- Physical examination
- Discussion of retrieval and IVF/ICSI timing
- Anesthesia and preparation planning
Tests that may be recommended
- Semen analysis
- Hormone tests (FSH, LH, testosterone)
- Scrotal ultrasound if indicated
- Genetic screening when appropriate
Treatment options
- TESA under local anesthesia
- Retrieved sperm used fresh or frozen
- Combined with IVF/ICSI
Risks and limitations
- Mild pain, swelling, or bruising
- Small risk of bleeding or infection
- Sperm may not always be retrieved
Frequently asked questions
It is usually done under local anesthesia with mild discomfort afterward that settles within a few days.
Yes. Sperm retrieved during TESA can often be frozen for use in future IVF/ICSI cycles.
Book a private consultation
Speak with our team to learn whether tesa (testicular sperm aspiration) is right for your situation.
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