Both TESA and PESA are usually carried out in conjunction with ICSI, to give the sperm the best possible chance of fertilising the egg. The procedure is carried out either on the day of egg collection or shortly before the IVF cycle and the sperm is frozen until it is needed.
The operations are very similar – In TESA a small amount of tissue from testis is biopsied, while PESA involves the insertion of a very fine needle into the treatment area. The needle is attached to a syringe, which is used to gently suck out the sperm. Both procedures are performed as day cases, so you are able to return home to your loved ones on the same day.
For frozen PESA/TESA, when the sperm is needed, it will be thawed and the best specimens will be injected directly into the egg, as in a regular ICSI treatment.
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Both TESA and PESA are suited for those couples where the man is has no sperm in the ejaculate. This could be due to a blockage, in which case PESA is usually the preferred treatment, or a problem with the actual production of sperm, when TESA is generally a better choice.
ICSI treatments performed with sperm retrieved using either TESA or PESA have the same success rate as regular ICSI treatments, so this can really offer hope to couples who previously thought they had no chance of having children.
Fertility treatment is always a very emotional process and it is important that you feel comfortable with both the people treating you and the clinical environment. At Orchid we aim to put you at your ease as much as possible – every member of our team is highly trained and experienced in helping people with fertility issues and there will always be someone on hand to answer any questions you may have.
BOOK AN APPOINTMENTTESA and PESA are advanced sperm retrieval procedures commonly recommended for men experiencing severe male infertility or absence of sperm in the ejaculate. These procedures can help retrieve healthy sperm directly from the reproductive tissues for use in fertility treatments such as ICSI..
TESA or PESA treatment may be suitable for:
At Orchid Fertility Clinic, fertility specialists carefully evaluate male reproductive health before recommending the most suitable sperm retrieval procedure..
TESA and PESA procedures offer hope for couples facing male infertility challenges by helping retrieve viable sperm for assisted reproductive treatment.
TESA and PESA are specialized fertility procedures designed to retrieve sperm directly from the testes or epididymis when sperm is not present in the ejaculate.
Retrieved sperm can be used in ICSI treatment, helping improve fertilization opportunities for couples experiencing male infertility.
Both TESA and PESA are usually performed as minimally invasive day procedures with recovery typically completed quickly.
Our fertility specialists select the most suitable sperm retrieval method based on the patient’s fertility condition, reproductive history, and treatment goals.
TESA involves retrieving sperm directly from testicular tissue using a specialized needle technique, while PESA retrieves sperm from the epididymis in cases involving sperm blockage.
The process generally includes:
The retrieved sperm may be frozen for future fertility treatment or used immediately during assisted reproductive procedures.
At Orchid Fertility, we understand that male infertility treatment can feel emotionally challenging for couples. Our fertility specialists, embryologists, and reproductive experts provide confidential consultations, advanced fertility care, and compassionate support throughout the treatment process.
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