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MESA, TESA & Micro-TESE Procedures in Delhi

MESA, TESA, and Micro-TESE are advanced sperm retrieval procedures used in selected male infertility cases, especially when sperm is absent in semen or when surgically retrieved sperm is needed for assisted reproduction. At She Delhi, these procedures are planned with careful andrology evaluation and integrated IVF-ICSI support.

About the Condition

These procedures are used to retrieve sperm directly from the male reproductive tract or testicular tissue when sperm is not available in the ejaculate.

  • MESA stands for Microsurgical Epididymal Sperm Aspiration.

  • TESA stands for Testicular Sperm Aspiration.

  • Micro-TESE stands for Microsurgical Testicular Sperm Extraction.

The choice among these depends on whether azoospermia is obstructive or non-obstructive, the medical history, and the fertility plan of the couple.

Causes or Situations Where It May Be Needed

These procedures may be advised for:

Obstructive azoospermia

Non-obstructive azoospermia in selected cases

Absent sperm in semen sample

Need for sperm retrieval for IVF-ICSI

Previous failed sperm retrieval situations requiring advanced planning

Who Needs This Treatment

These procedures may be suitable for:

Men diagnosed with azoospermia

Couples planning IVF-ICSI using retrieved sperm

Men with reproductive tract blockage

Men requiring advanced surgical sperm retrieval after andrology review

At She Delhi, the decision to move to the treatment is made only after proper consultation and investigation.

Your path to parenthood

IVF is not just a medical procedure — it’s a journey filled with hope, resilience, and emotional strength. For many, it represents a second chance at building the family they’ve always dreamed of. With supportive care and advanced technology, IVF continues to be a beacon of possibility in the field of reproductive health.

Surrogacy Care

Helping individuals and couples.

Parenthood Path

Helping individuals and couples.

Hopeful Journey

Helping individuals and couples.

Treatment Procedure

Male Fertility Work-Up

Semen analysis, hormonal testing, clinical evaluation, and diagnostic classification of azoospermia are completed first.

Step 01

Procedure Selection

The doctor recommends MESA, TESA, or Micro-TESE based on whether the issue is likely obstructive or non-obstructive and what retrieval method offers the best chance.

Step 02

Sperm Retrieval Procedure

The selected procedure is performed under planned medical conditions to obtain sperm for immediate or future use depending on the treatment plan.

Step 03

Lab Coordination

Retrieved sperm is assessed and may be used with ICSI if the couple is proceeding with IVF.

Step 04

Follow-up & Fertility Planning

The male procedure is coordinated with the female partner’s cycle and the broader reproductive strategy.

Step 05

Benefits & Success Rate

These procedures can offer a fertility opportunity to couples even when sperm is absent in semen. Success depends on the cause of azoospermia, the type of retrieval procedure chosen, testicular function, sperm recovery outcome, and female partner fertility factors. The right procedure selection is critical for improving chances.

Why Choose She Delhi

Advanced male infertility work-up linked to procedure choice

IVF-ICSI integrated planning for couples

Clear counselling on realistic expectations

Personalised reproductive treatment rather than generic advice

Ready to Take The Next Step
in Your Fertility Journey?

Frequently asked question

Yes, they are commonly linked with IVF-ICSI treatment.

No. The procedure depends on the type and cause of azoospermia.

In selected cases, retrieved sperm may be preserved according to the treatment plan.

It is chosen after male infertility evaluation and diagnosis.