TESE/TESA/MESA

• TESE: Testicular Sperm Extraction
• TESA: Testicular Sperm Aspiration
• MESA: Microsurgical Epididymal Sperm Aspiration

These are procedures used to retrieve sperm from the testicles or epididymis for use in assisted reproductive technologies (ART) such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). They are typically performed when sperm cannot be obtained through ejaculation due to conditions such as obstructive azoospermia or non-obstructive azoospermia.

Who is TESE/TESA/MESA suitable for?

• Azoospermia: These procedures are suitable for men diagnosed with azoospermia, a condition characterized by the absence of sperm in the ejaculate.
• Obstructive Azoospermia: TESE, TESA, and MESA are often performed in cases of obstructive azoospermia, where sperm production is normal but there is a blockage preventing sperm from being ejaculated.
• Non-Obstructive Azoospermia: TESE may also be considered for men with non-obstructive azoospermia, where there is impaired sperm production in the testes.

What does TESE/TESA/MESA involve?

• Sperm Retrieval Procedure: TESE, TESA, and MESA are minor surgical procedures performed under local anesthesia or sedation.
• TESE (Testicular Sperm Extraction): In TESE, a small incision is made in the scrotum, and a sample of testicular tissue is extracted to retrieve sperm.
• TESA (Testicular Sperm Aspiration): TESA involves inserting a needle into the testicle to aspirate fluid and tissue containing sperm.
• MESA (Microsurgical Epididymal Sperm Aspiration): MESA is performed by making a small incision in the scrotum and using a microscope to locate and aspirate sperm from the epididymis, a coiled tube located on the back of the testicle where sperm are stored and matured.
• Recovery: Recovery time after these procedures is usually short, and men can typically resume normal activities within a day or two.

What are the symptoms of TESE/TESA/MESA?

• Discomfort or Pain: After the procedure, men may experience mild discomfort, swelling, or bruising in the scrotal area. This discomfort is usually temporary and can be managed with over-the-counter pain medication.
• Bleeding or Infection: While rare, there is a risk of bleeding or infection at the site of the procedure. It's important to follow post-procedure care instructions provided by the healthcare provider to minimize these risks.
• Emotional Impact: Men undergoing TESE, TESA, or MESA may experience emotional stress or anxiety related to the procedure and the underlying infertility diagnosis. Counseling or support from healthcare providers or mental health professionals may be beneficial.