TESA is a medical procedure or procedure performed on men with fertility problems that involves collecting sperm for IVF/ICSI? This medical procedure is performed under local anesthetic in the operating room and is coordinated with your partner’s egg retrieval. A needle is inserted into the testicles and the tissue/semen is removed. TESA is performed on men with obstructive azoospermia (s/p vasectomy). Sometimes TESA does not provide enough testicular tissue/semen and an open testicular biopsy is required.

Who needs TESA?

Irreversible obstruction of the genital tract. Male partners who do not have sperm in their semen are indicated for TESA. Patients with failed vasectomy reversal. It is also suitable for partners with primary testicular problems resulting in insufficient sperm production or non-obstructive azoospermia. It is especially recommended for people who have had a vasectomy or who are missing the vas deferens.