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TESA is a surgical sperm retrieval technique for men with azoospermia — the absence of sperm in the ejaculate. SheIVF lists 3 verified TESA specialists in Hyderabad who perform this procedure with confirmed credentials and transparent fees.
TESA (Testicular Sperm Aspiration) is a minimally invasive surgical procedure in which sperm is directly aspirated from the testis using a fine needle. It is performed under local anaesthesia and is typically combined with ICSI to achieve fertilisation. TESA is used when sperm cannot be found in the ejaculate — a condition called azoospermia — and is performed by andrologists and fertility specialists at accredited clinics in Hyderabad.
TESA is recommended for men diagnosed with azoospermia — either obstructive (where sperm production is normal but blocked) or non-obstructive (where sperm production is impaired). Common causes of obstructive azoospermia include vasectomy, congenital absence of the vas deferens, infection, or prior surgery. Non-obstructive azoospermia requires more careful assessment — your specialist in Hyderabad will perform a hormonal and testicular evaluation before recommending TESA.
TESA is performed as a day procedure under local anaesthesia in Hyderabad. A fine needle is inserted into the testis and a small amount of testicular tissue is aspirated. The sample is immediately examined by an embryologist for the presence of sperm. If sperm are found, they are used for ICSI on the same day or cryopreserved for a future cycle. The procedure takes 15 to 30 minutes. Most men can resume light activity within a day or two.
TESA success in retrieving sperm depends on the type and cause of azoospermia. For obstructive azoospermia, sperm retrieval is successful in approximately 90 percent or more of cases. For non-obstructive azoospermia, retrieval rates vary — typically 40 to 60 percent depending on the underlying cause. ICSI fertilisation rates using TESA sperm are 60 to 70 percent. Your specialist in Hyderabad will provide a realistic assessment.
TESA costs in Hyderabad include the procedure fee and the ICSI cycle if combined with IVF. Indicative consultation fees for TESA specialists in Hyderabad are listed on SheIVF. Ask your clinic whether TESA and IVF-ICSI are offered as a combined package.
When choosing a TESA specialist in Hyderabad, look for a urologist or andrologist with specific experience in surgical sperm retrieval. Ask about their sperm retrieval rates for your type of azoospermia. The quality of the embryology team who processes the retrieved sperm is equally important — ensure the clinic has an experienced IVF-ICSI laboratory.
TESA is a minor surgical procedure with a low complication rate. Possible complications include bruising, minor bleeding, discomfort, and a very small risk of infection. Repeat TESA may be required if the first attempt is unsuccessful. Discuss all options including sperm cryopreservation to plan for future cycles with your doctor in Hyderabad.
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PESA (Percutaneous Epididymal Sperm Aspiration) retrieves sperm from the epididymis and is used for obstructive azoospermia. TESA retrieves sperm directly from the testis and is used for both obstructive and non-obstructive azoospermia. Your specialist in Hyderabad will recommend the appropriate technique.
TESA is performed under local anaesthesia, so you should not feel pain during the procedure. Mild discomfort and bruising are common for a few days after. Most men resume normal activity within 1 to 2 days.
Yes. Retrieved sperm can be cryopreserved for use in future IVF-ICSI cycles, avoiding the need for repeat TESA. Discuss cryopreservation with your specialist in Hyderabad at the time of the procedure.
If no sperm is found with TESA, micro-TESE (microsurgical testicular sperm extraction) may be recommended as it retrieves a larger tissue sample. Discuss all options with your specialist in Hyderabad before proceeding.
SheIVF lists 3 verified TESA specialists in Hyderabad. Compare by experience and consultation fee to find the right specialist for surgical sperm retrieval.