Dr Paayal Agrawaal – Fertility Consultant

  • Kingsway hospitals Nagpur, Nagpur, India, Maharashtra
  • agrawal.pda.payal@gmail.com
  • +91 98230 10946
Facebook Twitter Linkedin-in Instagram
Book Appointment
  • KIMS-Kingsway Hospitals 44, Kingsway Road, Near Kasturchand Park, Mohan Nagar, Nagpur-440001
Book Appointment
video Consultation
Menu

PESA/TESE

Infertility and IVF - PESA/TESE

Book Appointment

Please enable JavaScript in your browser to complete this form.

For Appointment

What is PESA/TESE?

PESA (Percutaneous Epididymal Sperm Aspiration) and TESE (Testicular Sperm Extraction) are surgical sperm retrieval techniques used in assisted reproductive treatments like IVF, primarily for men who have no sperm in their ejaculate (azoospermia) due to a blockage or testicular failure.

  • PESA is a minimally invasive procedure where a fine needle is inserted into the epididymis (a small tube where sperm is stored after being produced in the testicles) to aspirate sperm. It is usually done under local anesthesia and is often used in cases of obstructive azoospermia—where sperm is produced but can’t be ejaculated due to a blockage (e.g., vasectomy or congenital absence of the vas deferens).

  • TESE involves making a small incision in the testicle to extract a small amount of tissue, from which sperm are isolated. TESE is used when PESA doesn’t yield sperm or in cases of non-obstructive azoospermia, where sperm production is severely impaired.

Both procedures are typically followed by ICSI (Intracytoplasmic Sperm Injection), where a single sperm is injected directly into an egg to achieve fertilization. These techniques offer a chance of biological parenthood to men with severe male infertility.

Benefits of PESA/TESE Treatment

  • Enables Biological Parenthood – PESA and TESE allow men with obstructive or non-obstructive azoospermia to father biological children, even when no sperm is found in the ejaculate.
  • Minimally Invasive (Especially PESA) – PESA is a quick, low-risk procedure done with a fine needle and usually under local anesthesia, with minimal discomfort and fast recovery.
  • Essential for ICSI-IVF Success – Retrieved sperm from PESA or TESE can be used in ICSI (Intracytoplasmic Sperm Injection), improving the chances of successful fertilization in IVF.
  • Alternative to Donor Sperm – For couples facing severe male infertility, these methods offer an option to avoid using donor sperm, helping preserve the couple’s genetic link to the child.
  • Repeatable and Coordinated with Egg Retrieval – The procedures can be timed to match the woman’s egg retrieval, or sperm can be frozen for future use in fertility treatments.
  • Safe and Effective – Both procedures are generally safe and have helped many men with azoospermia achieve fatherhood when other methods failed.