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Why TESA (Testicular Sperm Aspiration) Is a Crucial Procedure for Male Fertility

Introduction

Many couples face challenges with fertility. Sometimes, the cause is male infertility. In such cases, doctors may suggest a procedure called TESA, or Testicular Sperm Aspiration. TESA helps collect sperm directly from the testicles. This method is often used when sperm cannot be found in semen. But why TESA? This blog will explain what TESA is, why it is done, and what you can expect from this male infertility treatment.

What is TESA?

TESA stands for Testicular Sperm Aspiration. It is a simple medical procedure. During TESA, a doctor uses a thin needle to take a small sample of tissue from the testicle. The goal is to find healthy sperm in men who have little or no sperm in their semen. These sperm can then be used in fertility treatments, such as IVF (in vitro fertilization) or ICSI (intracytoplasmic sperm injection).

Why is TESA Recommended?

Doctors may recommend TESA for several reasons. Most often, it is suggested for men with:

  • No sperm in their semen (a condition called azoospermia)
  • Blocked tubes that carry sperm (obstructive azoospermia)
  • Previous failed attempts to collect sperm by other methods
  • Genetic or hormonal problems affecting sperm production

    • Sometimes, TESA is the only way to find sperm for fertility treatment. For example, if a man has had a vasectomy or was born without the tubes that carry sperm, TESA can help. In many cases, TESA gives hope to couples who want to have a child of their own.

    How is TESA Performed?

    The TESA procedure is usually quick and safe. Here is a step-by-step overview:

  • First, the doctor numbs the area with local anesthesia to prevent pain.
  • Next, a thin needle is inserted into the testicle.
  • The doctor gently removes a small amount of tissue.
  • This tissue is checked in a lab for healthy sperm.
  • If sperm are found, they are saved for use in IVF or ICSI.

    • Most men can go home the same day. The procedure does not require a large cut or stitches. Because of this, recovery is usually fast.

    Benefits and Risks of TESA

    TESA offers several benefits for couples facing male infertility:

  • It allows sperm collection when none are found in semen.
  • The procedure is quick and minimally invasive.
  • It can be done on the same day as egg collection for IVF.
  • TESA increases the chances of having a biological child.

    • However, like any medical procedure, TESA has some risks. These may include:

  • Mild pain or swelling in the testicle
  • Bruising or minor bleeding
  • Rarely, infection at the site

    • Most side effects are mild and go away within a few days. Still, it is important to follow your doctor’s advice after the procedure.

    What to Expect: Recovery and Results

    After TESA, most men feel well enough to return to normal activities within a day or two. However, some may have mild discomfort or swelling. Using ice packs and wearing supportive underwear can help. Doctors usually advise avoiding heavy lifting for a few days.

    Lab experts will check the tissue for healthy sperm. If sperm are found, they can be used right away or frozen for future use. TESA fertility success depends on the cause of infertility and the quality of the sperm found. In many cases, TESA helps couples achieve pregnancy through IVF or ICSI.

    Frequently Asked Questions about TESA

  • Is TESA painful? Most men feel only mild discomfort. Local anesthesia is used to numb the area.
  • How long does the TESA procedure take? The procedure usually takes about 20 to 30 minutes.
  • Can TESA be repeated? Yes, TESA can be done more than once if needed.
  • What if no sperm are found? Sometimes, no sperm are found. Your doctor will discuss other options with you.
  • Is TESA available in my city? Many fertility clinics offer TESA in major cities and towns. Check with your local clinic for details.

    • Conclusion

    In summary, TESA is a helpful option for men facing infertility. It allows doctors to collect sperm when other methods do not work. The procedure is quick, safe, and often successful. If you are considering fertility treatment, consult a fertility specialist to learn if TESA is right for you.