Testicular Sperm Aspiration/Extraction (TESA/TESE)

Testicular Sperm Aspiration (TESA) and Testicular Sperm Extraction (TESE) are specialized fertility procedures used to retrieve sperm directly from the testicles in men who have difficulty releasing sperm through ejaculation or have certain types of male infertility. These procedures are commonly recommended when sperm are absent or unavailable in the semen due to blockages or problems with sperm production.

TESA involves using a fine needle to aspirate sperm from the testicular tissue, usually under local anaesthesia. TESE involves making a small incision to collect tiny samples of testicular tissue, from which sperm can be extracted in the laboratory. The choice of procedure depends on the individual’s condition and fertility assessment.

The retrieved sperm can be used in Assisted Reproductive Technology (ART), particularly Intracytoplasmic Sperm Injection (ICSI), where a single sperm is injected directly into an egg to support fertilisation.

Both procedures are performed by experienced fertility specialists, with appropriate anaesthesia and medical supervision. Recovery time is generally short, although it may vary depending on the technique used and individual circumstances. These procedures offer an important option for men seeking to achieve biological parenthood when sperm cannot be obtained through normal ejaculation.