pesa and tesa in bangalore
Sperm retrieval techniques

PESA & TESA in Bangalore

Male infertility is a common yet often misunderstood cause of delayed conception. In many cases, the absence of sperm in semen, known as azoospermia, does not mean sperm production is impossible. Advanced sperm retrieval techniques like PESA and TESA in Bangalore offer effective solutions for men facing such challenges. At Ayaansh Hospital, these procedures are performed as part of a structured male fertility evaluation, ensuring the right technique is chosen based on the underlying condition.

PESA and TESA are minimally invasive procedures designed to retrieve viable sperm directly from the reproductive tract when ejaculation does not yield sperm. These techniques play a crucial role in assisted reproductive treatments such as IVF and ICSI, enabling couples to move forward with fertility treatment using the male partner’s own sperm. The choice between PESA and TESA depends on factors such as the cause of azoospermia, hormonal profile, testicular function, and prior medical history.

What is PESA?

Percutaneous Epididymal Sperm Aspiration, also known as PESA, is a minimally invasive procedure done under local anaesthesia used to collect sperm when it is not found in a man’s semen. In many cases, sperm is being produced normally but cannot come out due to a blockage. During PESA, a doctor uses a fine needle to gently collect sperm from the epididymis, where sperm is stored. The sperm retrieved through PESA is commonly used for fertility treatments such as IVF with ICSI, helping couples move forward with their treatment plan.

What is TESA?

TESA is a sperm retrieval technique used in cases of male infertility when sperm is absent in ejaculation. Instead of passing out naturally, sperm is collected directly from the testicles using a thin needle. The procedure is quick, safe and causes minimal discomfort. TESA is often recommended when other methods are not suitable or when sperm needs to be retrieved directly from the source. Once collected, the sperm can be used for fertility treatments like IVF, ICSI, helping couples move forward with their fertility journey. 

What Is The Difference Between PESA And TESA?

AspectPESATESA
Where sperm is retrieved fromEpididymis (the tube that stores sperm)Testicles (where sperm is produced)
When it is recommendedWhen sperm production is normal but blocked from coming outWhen sperm needs to be retrieved directly from the testicles
Common condition treatedObstructive azoospermiaObstructive and non-obstructive azoospermia
Procedure typeMinimally invasiveMinimally invasive
Technique usedFine needle aspirationFine needle aspiration
AnaesthesiaLocal anaesthesiaLocal anaesthesia
Recovery timeUsually quick, same-day recoveryUsually quick, same-day recovery
Use in fertility treatmentUsed with IVF-ICSIUsed with IVF-ICSI
Sperm retrieval techniques

What Is The Role Of PESA And TESA In Male Infertility?

Role of PESA in Male Infertility

  • Helps retrieve sperm when sperm production is normal but blocked from reaching the semen.
  • Commonly used in cases of obstructive azoospermia.
  • Allows use of the male partner’s sperm for fertility treatment.
  • Minimally invasive with quick recovery.
  • Supports assisted treatments like IVF with ICSI.

Role of TESA in Male Infertility

  • Used when sperm needs to be collected directly from the testicles.
  • Helpful in both obstructive and non-obstructive azoospermia.
  • Enables sperm retrieval even when ejaculation does not release sperm.
  • Minimally invasive and usually done under local anaesthesia.
  • Plays a key role in proceeding with IVF, ICSI.

Process of PESA and TESA

Process of PESA (Percutaneous Epididymal Sperm Aspiration)

  • Initial evaluation

    The fertility specialist reviews semen analysis, hormone tests, and scans to confirm obstructive azoospermia.

  • Preparation for the procedure

    PESA is usually performed as a day-care procedure under local anaesthesia.

  • Sperm retrieval

    A fine needle is gently inserted into the epididymis (where sperm is stored) to aspirate sperm.

  • Sperm assessment

    The collected sample is immediately examined in the lab to check sperm quality and viability.

  • Use in fertility treatment

    Suitable sperm is used or preserved for assisted reproductive procedures such as IVF with ICSI.

  • Recovery
    The patient is observed briefly and can usually return home the same day.

Process of TESA (Testicular Sperm Aspiration)

  • Clinical assessment

    TESA is recommended after evaluating semen reports, hormones, and testicular health.

  • Procedure preparation

    The procedure is performed under local anaesthesia, usually as a short day-care treatment.

  • Sperm extraction

    A fine needle is inserted directly into the testicular tissue to retrieve sperm.

  • Laboratory evaluation

    The aspirated tissue is examined in the lab to identify viable sperm.

  • Use for assisted reproduction

    Retrieved sperm is used immediately or frozen for IVF-ICSI treatment.

  • Post-procedure care
    Mild discomfort may occur, but recovery is quick with minimal downtime.

Frequently Asked Questions

When does a doctor recommend PESA or TESA?

These procedures are recommended when semen analysis shows no sperm, usually due to blockage or issues with sperm release, even though sperm production may still be present.

Are PESA and TESA painful procedures?

Both procedures are minimally invasive and usually performed under local anaesthesia. Most patients experience only mild discomfort.

How long do PESA and TESA procedures take?

The procedures typically take 20–30 minutes and are usually done as day-care treatments.

How soon can normal activities be resumed after the procedure?

Most patients can return to normal daily activities within a day or two, as recovery is usually quick.

Why choose Ayaansh Hospital for PESA and TESA in Bangalore?

Ayaansh Hospital offers experienced fertility specialists, advanced diagnostic support, ethical treatment planning, and seamless integration with IVF-ICSI care for optimal outcomes.

Which is the best hospital for hysteroscopy in Bangalore?

Yes PESA and TESA sperm retrieval techniques are performed by fertility specialists who are experts in male infertility and surgical sperm retrieval techniques.

Does Ayaansh Hospital treat complex male infertility cases?

Yes, Ayaansh Hospital manages both simple and complex male infertility cases, including obstructive and non-obstructive azoospermia.