If you’ve been advised fertility treatment due to male factor issues, you may hear the term TESA IVF.
TESA IVF (Testicular Sperm Aspiration with IVF) is a technique used when sperm is not present in semen but can be retrieved directly from the testicles to achieve fertilization.
What is TESA IVF?
TESA IVF combines two procedures:
- TESA (Testicular Sperm Aspiration): Sperm is extracted directly from the testicles using a fine needle
- IVF/ICSI: The retrieved sperm is used to fertilize eggs in a lab
It is mainly used for severe male infertility cases.
Why TESA IVF is Done
Doctors recommend TESA IVF when:
- No sperm is found in semen (azoospermia)
- Blockage in reproductive tract
- Previous vasectomy
- Low sperm production
It offers a chance of biological parenthood even in complex cases.
TESA IVF Procedure Step by Step
1. Sperm Retrieval (TESA)
- Done using a fine needle
- Usually under local anesthesia
- Takes 10–20 minutes
2. Egg Retrieval (Female Partner)
- Eggs are collected after stimulation
3. Fertilization (ICSI)
- A single sperm is injected into each egg
4. Embryo Development
- Embryos are grown for 3–5 days
5. Embryo Transfer
- A healthy embryo is placed into the uterus
Who is a Good Candidate for TESA IVF?
You may need TESA IVF if:
- You have azoospermia (no sperm in semen)
- You had a vasectomy
- You have sperm production issues
- Previous IVF attempts failed due to male factors
Success Rate of TESA IVF
The success rate depends on:
- Female partner’s age
- Egg quality
- Embryo quality
On average, success rates are similar to IVF with ICSI:
30%–50% per cycle
Cost of TESA IVF
The cost varies based on location and clinic:
- India: ₹1,50,000 – ₹3,50,000+
- Includes IVF cycle + TESA procedure
Additional costs may apply for medications and advanced procedures.
Risks and Side Effects
TESA IVF is generally safe, but may include:
- Mild pain or swelling after TESA
- Minor bleeding or infection (rare)
- Emotional stress
Doctors take precautions to minimize risks.
Benefits of TESA IVF
- Helps men with no sperm in semen
- Enables biological parenthood
- Combined with ICSI for better fertilization
- Effective solution for male infertility
Recovery After TESA Procedure
- Mild discomfort for 1–2 days
- Avoid heavy activity temporarily
- Follow doctor’s instructions
When to See a Specialist
Consult a fertility specialist if:
- Semen analysis shows no sperm
- You’ve been diagnosed with male infertility
- Previous treatments have failed
TESA IVF is an advanced fertility solution that gives hope to men with severe infertility issues. By retrieving sperm directly from the testicles and combining it with IVF, it becomes possible to achieve pregnancy even in challenging cases.
A consultation with a fertility expert will help determine if this treatment is right for you.
FAQs About TESA IVF
What is TESA IVF?
A combination of sperm retrieval from testicles and IVF treatment.
Is TESA IVF painful?
Mild discomfort, usually done under local anesthesia.
Who needs TESA IVF?
Men with no sperm in semen or severe male infertility.
What is the success rate?
Around 30%–50% depending on factors.
How much does TESA IVF cost?
₹1.5–3.5 lakh in India.
