Some men have little or no sperm in their ejaculate or are impotent, meaning cannot produce ejaculate. The absence of sperm is a medical condition known as azoospermia. It's difficult for such men to make their partner pregnant through sexual intercourse so would need direct sperm retrieval from their testis (organ producing the sperm) or epididymis (organ storing the sperm). The retrieved sperm may be used immediately to fertilise the egg with the help of an assisted reproduction technique- IVF or ICSI or frozen and stored in the sperm bank for future use.
There are different sperm harvesting procedures in Hyderabad available such as TESE and TESA at the best infertility treatment clinic, Sree Nandaka Fertility & Research Center.
TESE (Testicular Sperm Extraction) and TESA (Testicular Sperm Aspiration) are the advanced sperm retrieval techniques in Hyderabad recommended in case a couple is not able to have a biological child because of male factor infertility. Both techniques have the same purpose but differ in their procedure.
TESE or TESA is needed in cases where viable sperm is required for use in in-vitro fertilization and in men who are not able to provide it naturally. It is recommended for men who have non-obstructive azoospermia- the condition wherein testicles are not producing enough sperm or have obstructive azoospermia- the condition wherein the sperm passing out of the penis is not possible during ejaculation of semen, because of some blockage. TESE is even performed in cases of spermatogenic failure or men diagnosed with testicular cancer who need viable sperm for cryopreservation.
For more details on Surgical Sperm Retrieval TESE / TESA Procedure in Hyderabad, get in touch with experts at Sree Nandaka Fertility & Research Center.
The fertility specialists at Sree Nandaka Fertility & Research Center determine the most appropriate method of sperm harvesting in Hyderabad based on the thorough physical examination and semen analysis of the patient. The sperm harvesting is done directly from the testicles or epididymis. Epididymis is preferred to obtain sperm wherever possible, as the sperm collected from epididymis responds better to cryopreservation.
If the patient is on medications that could clot the blood, the fertility specialist in Hyderabad should be informed about them. For safety reasons, their intake must be avoided for at least a week beforehand. Moreover, the patient must avoid intake of food or drinks at least 6-8 hours before the procedure.
TESE is either done in the specialist’s clinic on a patient under local anaesthesia or in the patient in an operating room under IV sedation/ general anaesthesia. If local anaesthesia is used, it is injected alongside the spermatic cord to numb the nerves of the testicles. Once the anaesthesia has taken its effect, the fertility specialist makes a small incision (about an inch) through the skin on the front of the scrotum, the outer fibrous layer of the testicle, to reveal the testicle. The specialist then removes small pieces of tissue from the testicles and excises the seminiferous tubules through the incision. Finally, the outer layer of the testicle and the skin cut is sutured using dissolvable stitches. A portion of the harvested testicular tissue is then examined under a microscope to check for testicular cancer and the remaining tissue is either incubated to extract the sperm which is further used for IVF/ICSI or cryopreserved.
The patient who goes for TESA first receives anaesthesia. Once the anaesthesia has taken its effect, the specialist inserts a thin needle into the testes of the patient. With the help of the needle, the specialist aspirates the fluid and tissues of the testes using negative pressure. The harvested sample is then processed in the embryology laboratory to extract the sperm. Since the extracted testicular sperm is immature, intra cytoplasmic sperm injection technique is then performed for successful fertilization.
Following the procedure, the patient is expected to do the following:
At Sree Nandaka Fertility & Research Center we have highly reputed and experienced fertility specialists in Hyderabad with proven expertise in performing testicular sperm extraction or aspiration. If you want to find out about your candidacy for testicular sperm extraction or aspiration, quickly schedule a consultation with one of our fertility specialists. If you have any further questions, we will be happy to answer them all. We feel proud to serve couples seeking a transformative path of testicular sperm extraction or aspiration at the best possible price.
The length of the procedure depends upon the testicle's structure and the ease of the lab technician to identify the sperm. The overall procedure of TESA can last anywhere between 15 to 45 minutes whereas the TESE procedure can take approximately 1-2 hours to get over.
The procedure is carried out on a patient lying unconscious or numb as a result of the effect of general anaesthesia or local anaesthesia. Therefore, the patient feels no discomfort throughout the procedure. However, the patient can expect to feel mild pain or discomfort post-procedure.
TESA/TESE is generally a safe procedure, usually showing minimal side effects when performed at good clinics by skilled and experienced hands. The potential side effects include bleeding, testicular redness, testicular inflammation, hematoma, infection, and reduced testicular volume at the wound site.
The procedure can cause a small risk of damage to the patient’s testicles. Following sperm retrieval, some men experience a decline in their testosterone hormone levels that further leads to problems with their sexual function, muscle weakness, sleep, and anxiety. Men who already have fertility issues are slightly more likely to develop testicular cancer.
IVF with TESA has a success rate of up to 60%, which is why more and more couples are opting for it. However, the global success rate of the TESE procedure in the case of patients with obstructive azoospermia typically ranges between 50 to 70%. In the case of non-obstructive azoospermia, the success rate is 20 to 40%.
The total price of testicular sperm aspiration in Hyderabad is individually calculated. It may vary from one patient to another depending upon different factors including the medical issue, the doctor’s expertise, the reputation and location of the chosen clinic, the procedure complexity, and associated complications (if any). To know the exact cost of TESA/TESE in Hyderabad in your case or information on any financial assistance, it's recommended that you refer to one of the fertility specialists at Sree Nandaka Fertility & Research Center.
Sree Nandaka Fertility & Research Center, Testicular Sperm Extraction Clinics in Hyderabad, India is highly recommended for men who need this procedure.
The clinic is ranked as the top-ranked fertility treatment clinic, and if you are looking for the best solutions to have your own children, then you can go for these treatment options available like TESA/TESE for overcoming infertility.