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TESA & PESA Treatment

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TESA & PESA – Advanced Sperm Retrieval Techniques at Jananam Fertility Centre

At Jananam Fertility Centre, we offer Testicular Sperm Aspiration (TESA) and Percutaneous Epididymal Sperm Aspiration (PESA) —two highly effective surgical sperm retrieval techniques for men facing azoospermia (absence of sperm in the ejaculate).

For men who cannot produce sperm naturally through ejaculation due to blockages, low sperm production, or previous vasectomy, TESA and PESA provide a direct method of retrieving viable sperm, which can then be used in IVF/ICSI treatments to achieve pregnancy.

By combining expert medical care, cutting-edge technology, and a patient-centered approach, we help couples overcome male infertility and take a step closer to parenthood.

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Understanding TESA & PESA – What’s the Difference??

Both TESA and PESA involve surgical sperm extraction, but the approach differs depending on whether the cause of azoospermia is obstructive or non-obstructive.

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TESA (Testicular Sperm Aspiration)

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TESA is a minimally invasive technique where a fine needle is inserted into the testicle to extract sperm-containing tissue. The extracted tissue is then processed in the laboratory to retrieve live sperm.

TESA is ideal for:
  • Non-Obstructive Azoospermia (NOA) – When sperm production is low or absent due to testicular dysfunction.
  • Sperm Retrieval for ICSI – Sperm collected via TESA is usually used for Intracytoplasmic Sperm Injection (ICSI).
  • Testicular Dysfunction Cases – Such as men with Klinefelter’s Syndrome or those with prior testicular trauma.

PESA (Percutaneous Epididymal Sperm Aspiration)

PESA is a procedure where a fine needle is used to extract sperm directly from the epididymis— tube where sperm is stored before ejaculation.

PESA is beneficial for:
  • * Obstructive Azoospermia (OA) – When sperm production is normal, but a blockage in the reproductive tract prevents sperm from being released.
  • *Failed Vasectomy Reversal – For men who had a vasectomy but now wish to conceive.
  • * Congenital Absence of Vas Deferens (CAVD) – A genetic condition where men are born without the tube that transports sperm.
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TESA vs. PESA

TESA vs. PESA – A Detailed Comparison

Feature TESA (Testicular Sperm Aspiration) PESA (Percutaneous Epididymal Sperm Aspiration)
Procedure Type Needle inserted into the testicle to extract tissue and sperm Needle inserted into the epididymis to retrieve sperm
Best for Non-obstructive azoospermia (low or no sperm production) Obstructive azoospermia (normal sperm production but blocked ducts)
Anesthesia Used Local anesthesia (mild sedation if needed) Local anesthesia (mild sedation if needed)
Sperm Quality Sperm may be immature and require ICSI Sperm is more mature and motile
Recovery Time 24–48 hours 24 hours
Risk of Pain/Swelling 2Minimal Minimal
Usage in ART Usually combined with ICSI for fertilization Can be used in IVF or ICSI

Who Needs TESA & PESA?

TESA and PESA are recommended for men facing:

PESA is beneficial for:
  • * Obstructive Azoospermia (OA): Blockage in the reproductive tract due to vasectomy, infections, trauma, or genetic absence of vas deferens.
  • * Non-Obstructive Azoospermia (NOA): Poor or absent sperm production caused by hormonal imbalances, testicular failure, or genetic conditions.
  • * Men with Retrograde Ejaculation: A condition where semen enters the bladder instead of exiting through the penis.
  • Failed Vasectomy Reversal Cases: When a vasectomy reversal surgery is unsuccessful, sperm can still be retrieved directly.
  • Men with Low Sperm Count (Severe Oligospermia): If sperm concentration is too low for natural conception, surgical retrieval can be an option.

Step-by-Step TESA & PESA Process at Jananam Fertility Centre

  • Comprehensive medical history and semen analysis to confirm azoospermia.
  • Ultrasound & hormone testing to assess testicular function.
  • Genetic screening if required for conditions like Klinefelter’s Syndrome or Y-chromosome deletions.

  • Anesthesia: Both TESA & PESA are performed under local anesthesia, with mild sedation if necessary.
  • Procedure Duration: The procedure typically takes 20–30 minutes and is day-care based (no hospital stay required).
    • Sperm Extraction:
  • PESA: A fine needle is inserted into the epididymis, and fluid containing sperm is aspirated.
  • TESA: A fine needle is inserted into the testicle to collect sperm tissue, which is processed to extract viable sperm.

  • The collected sperm is processed in our advanced IVF lab.
  • If necessary, sperm is cryopreserved (frozen) for future IVF/ICSI cycles.

  • Patients can resume normal activities within 24–48 hours.
  • Mild discomfort and swelling subsides within a few days.
  • Detailed post-procedure instructions are provided for optimal healing.

Success Rates of TESA & PESA

The success of sperm retrieval depends on the underlying cause of azoospermia:

TESA Success Rate:
  • * Sperm retrieval is 30–50% in non-obstructive azoospermia (depends on testicular function).
  • * 90% success rate in cases of obstructive azoospermia when combined with ICSI.
    • PESA Success Rate:
  • 80–90% success rate in sperm retrieval for obstructive azoospermia.
  • Higher fertilization rates due to the collection of mature sperm.

When combined with IVF/ICSI, TESA & PESA offer promising pregnancy success rates, helping couples conceive despite severe male infertility challenges.

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Lifestyle Tips to Improve Sperm Health Before TESA/PESA

Even if sperm needs to be retrieved surgically, improving overall sperm health can boost success rates.

  • Eat a nutrient-rich diet with plenty of antioxidants (Vitamin C, Zinc, Omega-3s).
  • Avoid smoking, alcohol, and recreational drugs, which can damage sperm DNA.
  • Exercise moderately, but avoid excessive heat exposure to the testes (e.g., saunas, hot tubs).
  • Consider supplements like CoQ10 and L-carnitine for sperm energy and motility.
  • Manage stress through meditation or counseling, as stress can impact sperm quality.

Why Choose Jananam Fertility Centre for TESA & PESA?

  • Expert-Led Procedures – Conducted by highly trained urologists and andrologists.
  • State-of-the-Art IVF Lab – Advanced sperm processing, cryopreservation, and ICSI integration.
  • Personalized Treatment Plans – Tailored for each patient’s unique fertility condition.
  • High Success Rates – Proven track record in sperm retrieval and IVF/ICSI pregnancies.
  • Comprehensive Care & Emotional Support – A stress-free journey with compassionate specialists.

Take the First Step Towards Parenthood

If you are struggling with male infertility or azoospermia, our TESA & PESA procedures can help retrieve viable sperm and give you the opportunity to conceive through assisted reproductive technology.

What our patients say...

Jananam Fertility Centre
4.9
Based on 1210 reviews
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Ankita Paul
09:32 26 Feb 25
This place is magical. Once you step in, you will know how positive the ambience and people are. Everybody from Doctors, to nurses, to reception Ma'am, Pharmacy guy, finance & Billing team, and not to forget our food team and building guards are incredibly polite, supportive and humble.I got success in my first attempt itself. Their charges are also economical and line of treatment is very simple. They won't put you in a loop and charge unnecessarily so please be rest assured that you are in safe hands.Dr. Vani and her team is experienced and always there to support you during and after your treatment. I really wish all the women who want to conceive, please go to Dr. Vani once. In my case, Fate played an important role in making me come here but I would like to recommend this place to everyone who is going through any fertility challenge. Stay blessed and positive.They have accommodation facility also available so in case you are from different city, you don't need to worry about anything. Just leave your worries outside and enter with positivity, rest everything will be taken care by Dr. and her team. You will not see any fancy billboards or advertisements about this clinic because Jananam is known for their work and results and not the branding.I am truly thankful to Jananam for everything.
Priyanga Arul
14:48 25 Feb 25
The treatment you gave me, Iam four months pregnant, thanking you Dr.Vani madam and staff
Hindumathi TK
12:13 21 Feb 25
Hi AllThis is our second visit to Jananam for our next baby.Due to age constraints, we were little afraid on the possibility of pregnancy.But, Again Jananam made it possible for us. I'm in my 5th month now and Thanks a Million to Dr.Vani Mam and all others who supported usFirst Review:Mark my Words. Jananam is the Final and Successful destination for childless couples.You would not have even heard of this Fertility Center, as there is no much advertisements as compared to others.But they are doing THE BEST JOB, silently with great hospitalityWe after trying multiple doctors and treatments, ended up at Jananam after seeing Google Reviews.I seriously have lost all my hope of child bearing in these 7 years of my marriage life facing failures only in any of my treatments.And it was diagnosed to be Unexplained Infertility! Hope you all know how it hurts!!!Thought of giving a last try at Jananam with no idea, except the positive Google Reviews.To our surprise, now I'm 12 weeks Pregnant :)We started our treatment on March 2021, and May 7th was MY DAY, When Dr. Vani Mam announced, it was a good and healthy pregnancy!!!I bow to Dr.Vani Mam, Dr. Mangalam Mam and Dr. Prema Mam, who were supportive and kind hearted.And our Special Thanks to the Sisters and Lab Technicians, who guided as throughout the treatment process without any mess.Also a special mention to the Receptionist, Billing person and the entire team for their prompt responses for our queries.Last but not least, they are doing excellent without any interruptions even during this corona pandemic times.Thank You Jananam!!! :)
raji software
09:20 21 Feb 25
Hi this is Rajeswari Arunchakkaravarthi. I am very happy and greatful to write this review.I am one of the old patient of Jananam. I have been doing my ivf from 2016.My 1st experience in Jananam was amazing and easy. Dr. vani mam was one of the greatest Doctor and kindest human being I have met.She will treat us in very smooth and polite way, v can ask all our doubts, she'll answer it very kindly. Even all nurses and staffs are very friendly and helping. Canteen persons and food was also very good and healthy.I stayed in Jananam for 3 full months. It feeled like staying in my home.Rooms were very clean and tidy,bathroom was so hygienic.Food was on time,tasty and healthy.I have saw many fertility center, but Jananam was the only place I can trust.By God's grace and Dr. Vani mams help I conceived on 2024.now I am 4months pregnant. We are very thankful and greatful to Dr. vani mam and whole Jananam team. I strongly recommend Jananam fertility center,the one stop solution for all ur fertility problems.
Safana Ameen
17:58 18 Feb 25
Hello, iam one of the patients among Jananam Fertility Centre (way to find our dream). Becoming a mother is one of the biggest dreams for every women. I was married for 6 years and still couldn't become a parent. Underwent so many treatment procedures in many different hospitals. Finally approached Jananam referred by one of our relatives and consulted Dr.Vani. Jananam is the place where every patient can be treated specifically special and their protocols and care after every procedures are worthy which eventually helps ppl to achieve their dream of becoming parents. Their advance treatment procedures and their effective responses for our doubts and their hospitality makes us warm and comfortable and also provide us with a strong confidence. Dr.Vani is the best doctor in treating infertility problems and also in counselling the patients and helping them to build confidence and hope within themselves. Nurses also respond politely and patiently anytime whenever we approach. Even the billing team and reception ppl also help patients, in their own way. Thanks to Dr.Vani Sundarapandian and her team for helping us to become what we desired for.
Daphne Jonathaan
17:40 15 Feb 25
My experience at Jananam hospital has been overwhelmingly positive.From the moment I walked in, I felt welcomed and supported by the compassionate staff and Nurses.Dr.Vani mam is incredibly knowledgeable and took the time to explain everything clearly, answering all my questions with patience and understanding.The nurses are truly exceptional; they are kind, caring, and always went above and beyond to make me feel comfortable. The facilities are modern and clean, creating a calming and reassuring environment. Navigating fertility treatment can be a challenging journey, but Jananam hospital has made it so much easier with their expertise and genuine care. I highly recommend this hospital to anyone seeking fertility treatment; they are truly dedicated to helping their patients achieve their dreams.I am extending my heartfelt thanks Dr. Vani mam who works really hard to make our dreams come true.
Dhakshnamoorthy J
07:03 22 Jan 25
'Jananam ' takes the best care, which actually made us feel like 'home'. Jananam was referred to us by a really great doctor from a big reputed health care centre, the strong recommendation for Jananam & Dr. Vani mam was immense.Jananam proved us how true it is. The way they care, replaced our fear into trust. Each and every steps were observed & performed by the main doctor, Dr. Vani mam itself. The procedure, the cost and everything is so transparent & not money minded at all. The warmth and the care the entire environment provide is such a bliss. Dr. Vani Mam's welcoming smile has flewed away our worries and she is so reachable for all the doubts. All the sisters and the working staffs (Anju, Yuvarani, Shaija, Aishwarya, Rebina, Tosmi, Parvin, Suguna,Karuthammal, Danalakshmi, Sineka, Yuvashree, Nithyanandan) are very approachable & kind to us. For every call we made to reception and to the sisters was immediately addressed and soughted out.Anybody who is reading this review and expecting for your little miracle to happen, please step in Jananam, Dr.Vani mam will guide you with exactly what you want & the entire Jananam will hold hands and help you to attain your little miracle happen.
Asha Tara
03:10 15 Jan 25
My husband and I visited Jananam in May 2024 with lots of hopes. Dr. Vani was very friendly and knowledgeable in providing us with right recommendations. The nurses were very diligent and helpful in setting up subsequent meetings and follow ups. Overall, we returned with complete happiness. Jananam has played a very important role in our life.
Geetha Mani
09:39 04 Jan 25
We were suggested Jananam Fertility Centre by a close friend of mine and We can't thank her enough. Dr Vani Mam is a Fertility medicine expert with splendid clinical acumen. She was quick to identify the possible obstacles in our journey to parenthood and suggest the best possible treatment. We are ever grateful to her for initiating us into the joy of pregnancy. I would like to add that she prescribes only the very necessary investigations and medications, maintaining high standards and ethics.The entire place has very positive vibes putting us at ease. All sisters are quick and kind in responding to our queries always with a smile. The reception staff help us fix and maintain appointments smoothly. The billing section staff, financial counsellor, lab staff, pharmacist all work in splendid coordination avoiding any stress for us. This also contributes to the shorter waiting times. They have a canteen above providing safe, tasty and affordable food. The entire place is neat and tidy thanks to the housekeeping staff.As someone who has undergone the stress associated with multiple cycles of fertility treatment we would definitely recommend Jananam for anyone longing for parenthood. This place and the people instill us with hope and work with us right from the first visit.
kishore kumar babu
11:19 01 Jan 25
I recently visited Jananam Fertility center to seek treatment for fertility-related issues, and I am pleased to share my experience.The doctors at Jananam Fertility Center are highly skilled and knowledgeable. They took the time to explain the treatment options thoroughly and answered all my questions patiently. Their approach was reassuring and compassionate, which made the entire process less stressful.The nursing staff and administrative team were exceptionally supportive. They were approachable, attentive, and ensured that I was comfortable throughout the process.The hospital maintained transparency in terms of treatment plans, expected outcomes, and costs. There were no hidden charges, and everything was explained upfront.The hospital environment was clean, hygienic, and welcoming. It felt less like a medical facility and more like a place of hope.Over all, I highly recommend Jananam Fertility Center to anyone seeking fertility treatment. They combine expertise, care, and state-of-the-art facilities to ensure the best possible outcomes. We are very grateful to Dr Vani and entire team of Jananam fertility centre for making our life so meaningful.Rating: ⭐⭐⭐⭐⭐ (5/5)Feel free to adjust based on your specific experience!
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