India
    Top Indian Cities
  • Delhi
  • Kolkata
  • Mumbai
  • Bangalore
  • Hyderabad
  • Lucknow
  • Pune
  • Ahmedabad
  • Chennai
  • Patna
  • Jaipur
  • Indore
  • Gurgaon
  • Surat
  • Bhopal
  • Nagpur
  • Varanasi
  • Noida
  • Kanpur
  • Ranchi
  • Amritsar
  • Udaipur
  • Ludhiana
  • Srinagar
  • Agra
  • Chandigarh
  • Allahabad
  • Bhubaneswar
  • Vadodara
  • Guwahati
  • Rajkot
  • Ghaziabad
  • Faridabad
    Top Global Cities
  • Abu Dhabi
  • Athens
  • Atlanta
  • Auckland
  • Bangkok
  • Bialystok
  • Bogota
  • Brno
  • Cancun
  • Cebu City
  • Chania
  • Chiang Mai
  • Chittagong
  • Colombo
  • Depok
  • Dhaka
  • Doha
  • Dubai
  • Eldoret
  • Gdansk
  • Gdynia
  • Haifa
  • Ipoh
  • Jakarta
  • Johor Bahru
  • Kathmandu
  • Katowice
  • Khon Kaen
  • Kiev
  • Klang
  • Kota Damansara
  • Kuala Lumpur
  • Limassol
  • Lviv
  • Madrid
  • Makati
  • Malacca
  • Manila
  • Mexicali
  • Mexico City
  • Minsk
  • Monroe
  • Moscow
  • Nairobi
  • New York City
  • Odessa
  • Padang
  • Penang
  • Peterborough
  • Phnom Penh
  • Phuket
  • Portland
  • Prague
  • Quezon City
  • Selangor
  • Singapore
  • Slupsk
  • Taichung City
  • Taipei
  • Tbilisi
  • Tehran
  • Tel Aviv
  • Thessaloniki
  • Tirana
  • Warsaw
  • Wroclaw
  • Zhubei
  • Zlin
    fertility treatments

    Treating male infertility with TESA - Procedure, Causes, Advantages, Disadvantages

    • 13436 views
    • 4.7   (7 Votes)

    TESA procedure is combined with IVF treatment in case of presence of obstructive and non-obstructive azoospermia for sperm retrieval process. TESA procedure is effective when cryopreservation was performed in the past. This infertility treatment is gaining excellent success rates for patients.

    Let’s Discuss in More Details About Male Infertility Treatment With TESA:

    TESA or Testicular sperm aspiration is a procedure in which a sample of sperm cells is removed from the testicle through a small needle attached to a syringe. Sperms are looked at under a microscope in the laboratory and separated from tissues. These sperms are then used to fertilize eggs or frozen for future infertility treatment. TESA (testicular sperm aspiration) may be useful for men with infertility problems caused by a blockage that keeps sperms from being ejaculated. Infertility problems may be associated with certain genetic conditions, ejaculation problems, infection, or caused by a previous vasectomy. (1)

    Cases where TESA is a requirement

    TESA is beneficial in the following conditions:

    • For couples with severe male factor infertility.
    • Obstructive azoospermia: When there are problems with the release of semen, even if sperms are produced, due to an obstruction in the reproductive tract. Obstruction can be due to a blockage in vas deferens (tubes that transport semen from the testes to the ejaculatory duct), a genetic defect (absence of vas deferens) or injury to the vas deferens due to surgery. (2)
    • Non-obstructive azoospermia occurs when there is no sperm production or a very low number of sperms. (3)
    • Retrograde ejaculation when the semen travels back into the bladder instead of being released out from the urethra.
    • For men who have had a vasectomy or who have had a failed vasectomy reversal. 

    Test tube baby, IVF, IVF treatment

    Causes of Male Infertility

    The production of sperms is a complex process and requires normal functioning of testes as well as the hypothalamus and pituitary glands that cause sperm production. (4) Some of the factors that cause infertility are:

    • Varicocele (swelling of the veins that drain the testicle) result in reduced quality of the sperms.
    • Infections such as inflammation of the epididymis, STDs (sexually transmitted diseases) can interfere with sperms production or sperms health or can cause scarring that blocks the passage of sperms. 
    • Retrograde ejaculation occurs when semen enters the bladder during orgasm instead of emerging out of the penis. Ejaculation problems may happen due to lack of ejaculation, diabetes, spinal injuries and surgery of the bladder, prostate or urethra.
    • Cancers and nonmalignant tumors can affect the male fertility directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. 
    • Men with undescended testicles may also have infertility problems because sometimes both the testicles fail to descend from the abdomen into the sac (scrotum) that normally contains the testicles. 
    • Hormone imbalances when the hypothalamus, pituitary, and testicles are altered.
    • When the tubules that transport sperms are blocked due to various causes, including inadvertent injury from surgery, prior infections, trauma or abnormal development.
    • Certain surgeries such as testicular surgeries, prostate surgeries, and large abdominal surgeries might prevent sperm while ejaculation.
    • Overexposure to certain environmental elements, including industrial chemicals, heavy metal exposure, radiation or X-rays might temporarily impair sperm count.
    • Health, lifestyle factors such as drugs taken to stimulate muscle strength and growth can cause the testicles to shrink and sperm production to decrease. 
    • Alcohol use can lower testosterone levels and cause decreased sperm production.
    • Men who smoke and consume tobacco may have a lower sperm count than that of those who do not smoke.

    Process of TESA

    Testicular Sperm Aspiration is a surgical procedure to find sperms when a male partner does not have sperms or does not have enough sperms in his ejaculate which is also known as azoospermia. TESA is slightly more complex then PESA (Percutaneous Epididymal Sperm Aspiration), patients may experience a little discomfort for a few days following the procedure. TESA treatment involves passing a fine needle straight into the testes in order to restore a small number of the seminiferous tubules. In most cases, sperms can be detached from the seminiferous tubules in a laboratory. Firstly, a detailed semen analysis is conducted, if the results indicate no sperm in the semen, the doctor may recommend surgical retrieval of sperms from the testicles. Sperm retrieval is generally performed in combination with IVF and ICSI. This allows the fertility doctor to select healthy sperms and use them to fertilize individual eggs from the female partner. The sperms obtained are separated from the fluid collected from the testes, specially prepared, and used for fertilization. Except in cases where the extracted sperm need to be frozen, for most of the couples, egg retrieval, and sperm retrieval are performed on the same day. These surgical procedures can be performed under local anesthetic or even sedation that totally depends upon the preference of the patient as well as the IVF doctor. TESA is performed in advance of an IVF cycle and sperms are cryopreserved, or coordinated with the female partner’s egg retrieval. The cost for the sperm retrieval procedure depends on several factors, including fees for anesthesia, surgical fees of the physician, charges for sperm freezing and facility fees. (5)

    IVF procedure, IVF

    Advantages of TESA

    TESA can also be useful for men who want to have children after having treatment associated with infertility, such as certain cancer treatments. Nowadays, TESA is also a widely accepted technique in the treatment of men diagnosed with OA (obstructive azoospermia), or NOA (non-obstructive azoospermia) but requires ICSI due to immature fertilization potential of testicular sperms. Since testicular biopsy is an invasive procedure, TESA has the potential to reduce surgical aspirations to single sperm retrieval by including cryopreservation. (6)

    Disadvantages of TESA

    The disadvantages of TESA are as follows:

    • Even though the surgery is successful and there are sperms in the ejaculate, the quality of those sperms parameters such as the numbers, motility, and morphology may be so low that the couple has to do IVF (In-Vitro Fertilization) or ICSI (Intracytoplasmic Sperm Injection) to achieve pregnancy. 

    • Although there are sperms in the ejaculate, overall pregnancy rates are low and In-Vitro Fertilization (IVF)-Intracytoplasmic Sperm Injection (ICSI) has to be done to achieve pregnancy. Poor sperm parameters may be caused by back pressure that develops in the testicle from preventing the sperms from getting out with ejaculation. With no way to get out, pressure builds up in the testicle and damages the factories or cells that produce sperm.
    • Studies have found that fertility medications such as Clomid, used for improving spermatogenesis in a man with low sperm counts, are generally ineffective and do not improve the sperm parameters. This is because the factories that produce sperms are damaged and cannot function properly to produce sperms. However, even though the sperm parameters are poor, the sperms that are available can be very successful in fertilizing an egg, when IVF (In-Vitro Fertilization) or ICSI is (Intracytoplasmic Sperm Injection) is done, with good pregnancy outcomes. (7)

    It is important to realize, that IVF (In vitro Fertilization) technology is required to achieve a pregnancy with the vast majority of these extraction procedures. The success rates are intimately tied to a complex and complementary program of assisted reproduction for both partners.

    Learn more about home remedies and natural supplements for treating Male infertility at OVO Fertility blog. If you are looking for Doctors for Male infertility you can call us at +917899912611.

    SOURCES AND REFERENCES:

    more

    7 Comments

    user_img

    Chiranjeevi

    I am looking forward to opting TESA treatment. Please suggest some best place for TESA treatment in Gurgaon.

    Oct. 13, 2018, 9:52 a.m. 4.5

    user_img

    Dipendra Chand

    I never studied TESA deeply. It was an interesting read, one question though, can we perform TESA for abnormal sperm morphology?

    Oct. 9, 2018, 7:49 p.m. 5.0

    user_img

    Deepika Chawdhary

    TESA is a highly effective method. My doctor suggested it after failed IUI treatment. The method is really successful for males having major fertility issues.

    Sept. 7, 2018, 2:59 p.m. 4.5

    user_img

    Sandhya Madan

    One of the biggest advantages of using TESA treatment is that during TESA ICSI immature sperms are also capable of fertilizing female eggs.

    Dec. 4, 2017, 3:41 p.m. 4.5

    user_img

    Laura Miller

    When planning for a test tube baby, avoid all kinds of addictive drugs.

    Aug. 31, 2017, 5:49 p.m. 5.0

    user_img

    Isabella Smith

    A Healthy sperm count is the most essential part of the IVF procedure. More than 40 million sperm per ejaculation is the ideal range.

    Aug. 31, 2017, 5:47 p.m. 4.5

    user_img

    Sanjeela Sharma

    IVF treatment has a higher success rate with couples below the age of 40.

    Aug. 31, 2017, 4:08 p.m. 5.0

    View all comments

    Leave a Comment

    Rating

    Disclaimer

    The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

    It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ovo Health being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

    More From Author

    Fertility Treatments
    Male infertility - Causes of Infertility, Male infertility tests

    Male infertility - Causes of Infertility, Male infertility tests

    posted on 30 Jul 2019 4.7/ 5

    Most of the men with male infertility issues think about how to increase sperm count. Male infertility causes include chemotherapy, genetic abnormalities, undescended te…

    Read More

    Fertility Treatments
    Most In Demand Infertility Treatments for Couples with high success rates

    Most In Demand Infertility Treatments for Couples with high success rates

    posted on 30 Jul 2019 4.7/ 5

    The most in-demand infertility treatments for couples with high success rates include Intrauterine insemination (IUI), In vitro fertilization (IVF), Intracytoplasmic Spe…

    Read More

    Fertility Basics
    Most Noticeable Signs of Infertility in Women - In Menstrual Cycle and Ovulation

    Most Noticeable Signs of Infertility in Women - In Menstrual Cycle and Ovulation

    posted on 12 Jun 2019 4.7/ 5

    Signs of infertility in women are crucial to be noted for timely infertility treatment. Some of the most noticeable signs of infertility include abnormal or absent perio…

    Read More

    Related Article view all

    Fertility Treatments
    Male infertility - Causes of Infertility, Male infertility tests

    Most of the men with male infertility issues think about how to increase sperm count. Male infertility causes include chemotherapy, genetic abnormalities, undescended testicle, and infections of testicles. Male infertility tests includes Sperm Analysis test, Testicular Biopsy, and Hormone Evaluation.

    Read More

    Fertility Treatments
    Most In Demand Infertility Treatments for Couples with high success rates

    The most in-demand infertility treatments for couples with high success rates include Intrauterine insemination (IUI), In vitro fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI) and surrogacy. The IVF success rates depends on age, quantity, quality of sperms and a woman's health to hold a pregnancy.

    Read More

    Fertility Treatments
    Effect of infertility drugs on Premature Menopause - When to worry, What to do

    Premature menopause concerns most of the woman who are still away from the phase of menopause. Infertility drugs especially ovulation induction drugs can impact the periods in your 40's. So, it is important to consult your infertility specialist before you reach any self conclusion.

    Read More

    Trending Articles

    surrogacy
    surrogacy

    5 Best Surrogacy Doctors in India

    posted on 27 Dec 2018 4.5 / 5(1 Votes)

    Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate. The list has been categorized on the basis of doctors fame, experience, reviews, ratings, and cost. Dr. Mohit Saraogi from Saraogi Hospitals and IRIS IVF Centre and Dr. Kaberi Banerjee from Advanced Fertility Centre top the list of the best surrogacy doctors in India.

    Read More

    IVF
    ivf

    Best IVF Doctors in India with Highest Success Rates

    posted on 19 Dec 2018 4.7 / 5(3 Votes)

    Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities. Dr. Nisha Bhatnagar, Dr. Kaberi Banerjee and Dr. Anjali A Deval top the list of such IVF doctors in India due to their unique pricing system, popularity and high success rate.

    Read More

    surrogacy
    surrogacy

    Top Surrogacy Centres in India with Highest Success Rates

    posted on 20 Dec 2018 4.8 / 5(2 Votes)

    In this article we bring you the best Surrogacy Centres and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate to help you make the best choice. Aveya IVF and Surrogacy Centre and Advanced Fertility and Surrogacy Centre tops the list of such surrogacy centres in India due to their low treatment costs, popularity and high success rates.

    Read More