Male infertility contributes to nearly 50% of all
infertility cases, and in India, increasing awareness is pushing more men to
seek diagnosis and treatment. One revolutionary solution for azoospermia — a
condition where no sperm is found in the ejaculate — is TESA or Testicular
Sperm Aspiration.
At the forefront of this breakthrough is New World
Fertility, offering expert care, advanced technologies, and impressive success
rates. This blog dives into how TESA works, who it's for, success factors,
costs in India, and why it’s changing lives.
What is TESA?
TESA is a minimally invasive procedure used to retrieve
sperm directly from the testicles when sperm is absent in the ejaculate. This
procedure is crucial for men with:
- Obstructive
azoospermia: Sperm is produced but cannot reach the semen due to
blockages.
- Non-obstructive
azoospermia: The body produces very few or no sperm.
- Ejaculation
disorders: Where natural ejaculation isn’t possible.
In TESA, a fine needle is used under local anaesthesia to
aspirate tissue from the testicle, which is then examined to extract viable
sperm for use in IVF with ICSI (Intracytoplasmic Sperm Injection) or for
cryopreservation.
Who Should Consider TESA?
TESA is often recommended when:
• There's a history of vasectomy or congenital absence of the vas deferens.
• Previous semen analysis shows zero or very low sperm count.
• Ejaculation is impaired due to injury, diabetes, or spinal cord issues.
• Couples want to explore ICSI using the male partner’s sperm instead of a donor.
Step-by-Step: How TESA Works:-
- Consultation and Diagnosis: Hormonal tests, semen analysis, and scrotal ultrasound.
- Procedure
Day: TESA is done under local anaesthesia. It takes 15–30 minutes.
- Lab
Evaluation: The aspirated tissue is examined by embryologists to find
viable sperm.
- Post-care:
Minor swelling or discomfort is normal. Recovery usually occurs within 2–3
days.
TESA vs Other Techniques:-
Method |
Invasiveness |
Use Case |
Retrieval Rate |
TESA |
Minimally invasive |
Obstructive azoospermia |
High |
TESE |
Surgical biopsy |
Obstructive & mild non-obstructive |
Moderate |
Micro-TESE |
Microsurgery |
Severe non-obstructive azoospermia |
40–60% |
TESA is often the first-line choice due to its simplicity
and lower cost. If unsuccessful, more advanced procedures like Micro-TESE may
be considered.
TESA Procedure Cost in India:-
In India, the cost of TESA varies depending on the location,
clinic expertise, and whether it’s combined with IVF or ICSI.
At New World Fertility, we believe in transparent and affordable care for all our patients:
- Average TESA Cost: ₹25,000 – ₹45,000 per cycle
- Value Packages Available: We offer customised packages that combine TESA with IVF and ICSI, making treatment more affordable and convenient.
Unlike many centers that add hidden charges, we ensure you
know exactly what to expect, both medically and financially.
TESA IVF Success Rates at New World Fertility:-
TESA's success is based on several factors:
- Type of Azoospermia: Obstructive types have higher success with sperm retrieval.
- Sperm Quality: Maturity and motility of retrieved sperm affect fertilisation.
- Female Partner’s Health: Egg quality and uterine environment play crucial roles.
At New World Fertility, our success rates for TESA
+ IVF with ICSI range between 45% and 65%, significantly higher than the
national average.
This is due to:
- Advanced
andrology labs
- In-house
embryologists with global training
- Latest
micromanipulation tools
- Personalised
protocols for each couple
Latest Trends in India:-
- Rise
in Male Fertility Screenings: More Indian men are opting for early
diagnosis and treatment.
- TESA
+ ICSI Preferred Combo: Clinics are increasingly using TESA with ICSI
to overcome even severe male factor infertility.
- Fertility
Tech Upgrades: AI-assisted sperm sorting and embryo grading are
improving outcomes in centers like New World Fertility.
- Medical
Tourism: India remains a top destination due to affordability and
internationally trained specialistst.
Why Choose New World Fertility?
- Holistic
Fertility Care: From diagnosis to treatment and emotional support.
- Affordability
without Compromise: Transparent pricing, zero hidden costs.
- Above-Average
Success Rates: 45–65% with TESA-IVF cycles.
Final Thoughts:-
TESA is more than just a medical procedure — it's a
life-changing opportunity for couples struggling with male infertility. With
expert handling, modern lab technologies, and a dedicated fertility team, New
World Fertility is proud to lead the way in helping Indian couples build
families.
If you or your partner has been diagnosed with azoospermia,
take the next step by consulting with our fertility experts. TESA may just be
the solution you’ve been waiting for.