PESA & TESA

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PESA & TESA

What are PESA and TESA?

PESA (Percutaneous Epididymal Sperm Aspiration) and TESA (Testicular Sperm Aspiration) are minor
surgical procedures used to collect sperm directly from the male reproductive tract when none are
present in the ejaculate.

  •  PESA involves extracting sperm from the epididymis (the tube where sperm mature).
  • TESA involves extracting sperm directly from the testicular tissue.
  • Comprehensive Evaluation: Thorough testing, including hormonal profiles and genetic
    counseling, to determine the cause of azoospermia and the best retrieval method.
  • The Procedure: Performed under local anesthesia or light sedation. Using a fine needle, our
    urologist aspirates fluid and tissue from the epididymis (PESA) or testicle (TESA).
  •  Immediate Sperm Processing: The retrieved sample is immediately taken to our advanced
    andrology lab where embryologists work to find and prepare any viable sperm for use in
    ICSI.
  • Quick Recovery: The procedure takes about 20-30 minutes, and most men can go home the
    same day with minimal discomfort.

Q: What is the difference between PESA, TESA, and TESE?
A: PESA and TESA are needle-aspiration techniques. TESE (Testicular Sperm Extraction) is a more invasive open biopsy that removes a small piece of testicular tissue. We start with the least invasive option (PESA/TESA) first.

Q: Will PESA/TESA affect my testosterone levels or masculinity?
A: No. These procedures are designed to retrieve sperm without affecting the testicle’s primary function of producing testosterone. Your hormone levels and male characteristics will not be altered.

Q: If sperm is found, can it be used for a normal IVF cycle?
A: The number of sperm retrieved is usually very low and not motile. Therefore, they are always used with ICSI, where a single sperm is injected directly into an egg.

Q: What are my next steps?
A: Your next step is to schedule a consultation with our team. We will review your history and guide you on the best diagnostic and treatment path. Call us at 083103 09167 or schedule online at www.drjyotibandi.in.

  • Expert Collaboration: A combined effort between our experienced urologist and our skilled embryologists ensures the best possible chance of retrieving and identifying viable sperm.
  • High Retrieval Success Rates: We have high success rates in obtaining sperm for use in ICSI from these procedures.
  • Minimally Invasive Approach: These needle-based procedures are much less invasive than open surgical methods, leading to less pain and faster recovery.
  • Seamless Integration: The retrieved sperm is used immediately in our lab for IVF/ICSI, creating a smooth, integrated process for you and your partner.
  • Name: Dr. Jyoti Bandi
  • Specialization: Reproductive Medicine & Fertility Specialist ( Gynecologist and Fertility Specialist)
  • Qualifications: MBBS, MS (OBG), DMAS (Germany), DRM (Germany), MCG (AAA, Dubai)
  • Experience: 13+ Years Experience Overall
  • Focus: Helping couples achieve their dream of parenthood with compassion and advanced medical care.

Female Fertility

  • In Vitro Fertilization (IVF)
  • Intrauterine Insemination (IUI)
  • Intracytoplasmic Sperm Injection (ICSI)
  • Frozen Embryo Transfer
  • Hysteroscopy
  • Blastocyst Culture And Transfer
  • Laser Assisted Hatching (LAH)
  • Laparoscopy for Infertility

Advance Treatments

  • Sequential Transfer
  • Endometrial Rejuvenation
  • DNA Fragmentation Index (DFI)
  • Micro TESE
  • Artificial Intelligence Embryo Selection
  • Preimplantation Genetic Testing (PGT-A)
  • Paternal Lymphocyte Immunization (PLI)
  • Magnetic Activated Cell Sorting (MACS)

Advance Treatments

  • Sequential Transfer
  • Endometrial Rejuvenation
  • DNA Fragmentation Index (DFI)
  • Micro TESE
  • Artificial Intelligence Embryo Selection
  • Preimplantation Genetic Testing (PGT-A)
  • Paternal Lymphocyte Immunization (PLI)
  • Magnetic Activated Cell Sorting (MACS)

Male Fertility

  • PESA & TESA
  • Semen Freezing
  • Varicocele

Infertility Assessment

  • Semen Analysis
  • Sonography Test
  • Doppler Tests & Urological Procedures

Donor Programme

  • Sperm Donor
  • Egg Donor
  • Embryo Donor

Infertility Consultation

  • Ovulation Induction & Cycle Monitoring
  • Natural Pregnancy
  • Infertility Counselling

Fertility Preservation

  • Embryo Freezing (Cryopreservation)
  • Egg Freezing
  • Sperm Freezing

Infertility Technologies

  • Time Lapse Embryo Monitoring
  • Laser Assisted Hatching (LAH)
  • Preimplantation Genetic Screening & Diagnosis
  • Sperm DNA Fragmentation
  • High Success Rates: We achieve high success rates in IVF with personalized protocols.
  • Expert Leadership: Your care is led by Dr. Jyoti Bandi, a renowned specialist with over 13 years of clinical expertise.
  • State-of-the-Art Lab: Our advanced embryology lab offers the latest techniques like Blastocyst culture and Assisted Hatching.
  •  Transparent & Ethical Care: You’ll receive a clear, transparent treatment plan with honest pricing.
  •  Compassionate Support: We provide supportive counseling and care that respects your journey. Our 4.9★ Google Rating from happy parents speaks to our commitment.
  • Name: Dr. Jyoti Bandi
  • Specialization: Reproductive Medicine & Fertility Specialist
  • Qualifications: MBBS, MD (Obstetrics & Gynecology), Fellowship in Reproductive Medicine
  • Experience: 13 Years Experience Overall  (10 years as specialist)
  • Focus: Helping couples achieve their dream of parenthood with compassion and advanced medical care.
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