Pesa

29 clinic(s) offering PESA (Percutaneous Epididymal Sperm Aspiration) treatment in 26 countries
Pesa
Fertility Center in San Diego Verified

Situated on the stunning Pacific Coast of California, San Diego Fertility, strives to provide the most advanced IVF treatments available today. The leading fertility clinic in San Diego specializes in Japanese Minimal Stimulation IVF, also known as Mini IVF — a safe and cost-effective alternative to the high stimulation protocols universally performed throughout the United States.

WOW, Where do we start… My husband and I struggled with infertility issues for 5+ years. We had tried IUI for 4 months in our home state and sadly it never worked, in 2016 we decided to save and save some more to be able to afford IVF and a nice vacation for this process. Of course the first thing was to find the right place to travel to, and that’s when we came across this AMAZING CLINIC. LIV Fertility Center was our miracle path for us to start our family; first we researched the clinic, read reviews of people like us that went there chasing a dream just like we were. When we finally agreed to call and set up an appointment our first impression was beyond our expectations, Dr. Stetson and Dr. Flores got on a call with us right away, we explained what we were dealing with and it was instant that we felt like they understood us, they both answered our questions and doubts, and provided us with all the information needed to start our Journey, honestly we didn’t look anymore after talking to these two great doctors. We scheduled our visit, I am so thankful for Alonso, he was able to handle all of our questions after scheduling our visit and he dealt with me time after time before our arrival to the clinic, every time I emailed him, his response was so fast, I was never worried about getting a hold of them. The day finally came and we were so excited and so nervous, but it all went so smoothly, we got so close to the people that we met at LIV, starting with the Doctors again, Dr. Stetson and Dr. Flores were so welcoming, I was lucky enough to start our stimulation shots that very same day of our visit, Our nurses were INCREDIBLE ELI and ANITA were such sweet ladies, Eli walked my husband through the procedure of taking the shots so that he could do them for me back at the hotel on the days we were not at the clinic, Both Eli and Anita always made me feel so comfortable, they were both so caring and gentle. Esther and Vanessa were also a great asset, coming into the clinic felt like family were there expecting us, these two girls make it so easy for you to come in and they welcome you with a smile each time, they would constantly ask how we were doing and feeling. Karlita which is the lab director would email us every day on the process of our embryos, every step at LIV was being followed with such care and priority, not once did I have to check in with them because they were keeping us update every time, Our Transfer was done by Dr. Velez and Dr. Stetson. I felt so comfortable both on the day of retrieval and day of transfer, I felt safe, and these Doctors did everything in their power to make us feel like this. My favorite part of all was Dr. Stetson being able to respond to my texts with any concern or question I had, this was throughout the process and after we came back home, this really made us feel so cared for, We cannot Thank Liv enough for the amazing help they provided us with. We strongly encourage anyone struggling with infertility to give them a chance to be part of your journey; I feel like God put them in our path, they are a bunch of professionals that felt like a family, Wish we could give them more then 5 stars on this review. We just got our first positive blood test, so THANK YOU LIV, THANK YOU for helping our dream come to a reality. With Love... Lizeth & Ivan ♡
March 2017
When my husband and I started researching clinics we were mostly looking at data: success rates, costs, staff experience, etc. The LIV Clinic has all of those things, but they also have a staff that makes you feel like family. The hospitality and genuine concern of the entire staff is invaluable. Knowing they are there to help every step of the way makes the journey much easier. What we discovered was that the measurable things were what made all the difference. Thank you LIV for our wonderful experience, we are blessed to have found you. You have forever changed our lives for the better.
March 2017
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LIV Fertility Center Verified

We LIV to get you to a place you LOVE. To contact our team, please call: English +1 (855)-534-5340 | Spanish +1 (855)-534-5342 | Local +52 (322)-297-2077 At LIV, our fertility specialists are some of the most renowned experts in the field. Our center believes in a team approach to fertility treatment. We trust in our multiple and complimentary medical disciplines to lead you on your journey to pregnancy success. Our goal is to provide you affordable and safe fertility care in Mexico, saving you nearly 50 percent when compared to United States and Canada. Both inside and outside of the center, LIV gives you the confidence to explore and enjoy an intimate experience in Puerto Vallarta.

I can't recommend Imer Reproduccion Humana enough. For the past three years my wife and I have been trying to have a child to no avail. Needless to say, without fertility treatments our chances of having a child were slim. On the US side the prices for fertility were more than I could afford. After further research I found Imer fertility center in Tijuana. From the very beginning the staff was very professional, explaining in detail the process my wife and I would go through. After setting up an initial appointment I saw the fertility center and met the staff. I was pleased to see how clean the facility is and how courteous the people are, especially our Dr. Sandra Y. Orendain who could communicate in English and Spanish and genuinely seemed to love her job and helping couples. Once we had ample information, my wife and I proceeded with treatment. From the moment treatment began patience was a requirement. Fertility treatments greatly increased our odds to conceive but it wasn't 100% guaranteed. The facility center is in Tijuana which meant going back and forth from the US to Mexico over and over. Everything tack together would get stressful which is where patience and resolve come in but my wife an I were determined to see it through After the fertility treatments were over, we were thrilled beyond belief to hear my wife was pregnant. I can't describe how happy we were to see our baby for the first time in the ultrasound. My life now consist of cleaning 6 dirty diapers minimum a day, sleeping 2 to 6 hours a night and I couldn't be happier. We have a beautiful baby boy and I can't thank Dr Sandra and her staff enough for our little miracle. I highly recommend to anyone having difficulty conceiving children to set up a consultation and see for yourself. You'll be thankful you did in 9 months. With Love and endless thanks
May 2016
IMER Reproduccion Humana is a clinic who really cares and helps you achieve your dream of becoming parents. Dr. Sandra Orendain is a wonderful Doctor, she is very professional, caring, and really cares about her patients needs and concerns. From the first time I went to the clinic I felt comfortable the staff was very kind and caring. Gisela who is the clinics coordinator was so wonderful from day one, I kept in contact with her through out my whole IVF process and she never left a questioned that I had unanswered she was very helpful! My IVF journey with IMER clinic was a first time success thank you to Dr. Sandra Orendain for making our dreams come true of becoming parents and the staff who helped me and my husband thank you so much because of you we were blessed with baby twins.
October 2015
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Tijuana Infertility Clinic Verified

Tijuana Infertility Clinic is made up of a qualified medical team and IVF professionals who offer highly specialized areas in the study diagnosis and treatment of infertility for males and females.

We traveled from Montana to Cancun in 2016. We initially decided on Irega because of cost, and the friendliness of Tori in the emails we exchanged leading up to our decision. My husband and I were nervous at our first visit, but everyone was just so friendly and welcoming we were quickly at ease. We were very happy with how warm the clinic was, and glad that it was inside the hospital just in case our worst fears happened. They didn't, and every exam and procedure went perfectly. Dra. Myra was great, and she made sure we understood everything before we left each appointment. And every nurse we worked with made us feel right at home. Our twins are now 8 months old, and we couldn't be happier. If we ever decide to go through IVF again, Irega would be our first and only choice!! We were so happy to be able to have a small vacation together while undergoing this emotionally and physically difficult part of life. Irega and it's staff are wonderful!
November 2017
IREGA Clinic was exceptional! Coming from the states, Tori helped us navigate everything we needed to ensure all was in order. The Dr.'s and staff were welcoming and the location of the clinic in the hospital assured me of the quality of care I would receive. We were blessed with our first after 6 IUI's. After 6 unsuccessful IUI's trying for our second and being 38, it was time to try another tactic. A mini-vacation to Cancun and affordable costs compared to the US made the decision easy for us. I had some minor issues responding, but the Dr.'s came up with a plan and were willing to give things a little more time before calling off the cycle. We were able to proceed and I am now 30 months pregnant with Baby #2. We couldn't be more pleased with the outcome of the trip. Baby #2 completes our family but I would come back again. Thank you IREGA staff!
October 2017
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16 more treatments
Irega Cancun Verified

To contact our team
please call: 011-521-998-802-1515
Irega Cancun is home to a professional team of fertility care experts who are passionate about making your dreams of having a baby come true and we guarantee it with our IVF Guarantee program.

Excelente
May 2014
Had a great experience the whole staff is very nice and carrying and ery professional. I would definitely recommend it to anyone.
October 2013
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25 more treatments
The Colombian Center for Fertility and Sterility Verified

The globally recognized Colombian Center for Fertility and Sterility (CECOLFES) offers couples the opportunity to identify and solve the problems encountered in having children.

PESA (Percutaneous Epididymal Sperm Aspiration) Overview

Percutaneous epididymal sperm aspiration (PESA) is a sperm retrieval method that removes sperm. PESA can be carried out in advance or when the female partner is ovulating. If performed in advance, the sperm will need to be frozen (sperm freezing) and then stored until it is required for IVF with ICSI (microinjection). Epididymal sperm tolerates the freeze-thaw process very well. PESA is similar to a related technique called microsurgical epididymal sperm aspiration (MESA).

 

The main difference between the two is that MESA uses a microscope to help find sperm while PESA does not. During PESA, sperm are aspirated “blindly” from the epididymis through the skin. As PESA is a less invasive procedure than MESA, it is often attempted first. It can also be performed more than once in the same epididymis. PESA is considered to be the most successful when sperm production in the testis is normal. However, this method has a tendency to retrieve sperm that are less mature and have lower motility so repeated procedures may be required.

 

The main disadvantage of percutaneous epididymal sperm aspiration is that the sperm sample may be contaminated with blood. This is because the percutaneous puncture can damage blood vessels and the epididymal tubule. Another disadvantage is that low quantities of sperm are sometimes collected. PESA is generally an effective sperm aspiration technique and the subsequent IVF pregnancy rate compares favorably with other techniques.

 

The percutaneous epididymal sperm aspiration procedure is normally performed in an outpatient clinic under local anesthetic – with or without sedation. The recovery period for percutaneous epididymal sperm aspiration (PESA) procedure is about one day. Once 10-20 million sperm are retrieved, the epididymal tubule is closed with a microscopic stitch and the sperm are further processed.

 

The cost of PESA can vary between clinics and hospitals. Many people choose to travel abroad for this medical procedure because it is often cheaper than back home. By doing this, they can save money and have a relaxing holiday at the same time. If they are having a combination of infertility treatments, the savings can reach into the thousands of dollars.

 

A Good Candidate for PESA (Percutaneous Epididymal Sperm Aspiration)

To be a good candidate for percutaneous epididymal sperm aspiration (PESA), you need to fit a number of criteria. When you first arrange a consultation with your infertility specialist, he will talk to you about what your options are and which one is the best for you.

 

There are a variety of sperm retrieval techniques that can be used to help couples with male factor causes of infertility to become pregnant. These include Microdissection TESE and Testicular Sperm Aspiration (TESA).

 

All sperm aspiration methods can be carried out in advance of the female partner’s ovulation or at the same time. IVF with ICSI (microinjection) can be carried out once healthy sperm and egg cells have been obtained.

 

Patients Who Are Good Candidates for PESA:

· Capable of normal sperm production but no sperm

· Men who have no sperm in their ejaculate because they were born with no vas deferens (the sperm-carrying tube). This is a condition referred to as congenital bilateral absence of the vas deferens (CBAVD)

· Men whose vas deferens is blocked/scarred as a result of a previous infection, trauma or vasectomy

· Men who have experienced a failed vasectomy reversal

· Patients who have already undergone earlier attempts may have the PESA procedure again

· A good candidate for PESA might be someone who suffers from anejaculation (absence of ejaculation) as a result of diabetes or a spinal cord injury.

· Men who have had a vasectomy but do not necessarily want to reverse it permanently. For example, they may only want one child and not worry about contraception again later. Also, a vasectomy reversal can be expensive and complicated

 

Patients Who Are NOT Good Candidates for PESA:

· Someone who might not be a good candidate for PESA is a man with non-obstructive azoospermia. This is because they don’t have normal sperm production and so don’t usually have sperm present in their epididymis for retrieval

· A sperm aspiration method such as PESA in these men may fail to recover enough healthy sperm so another method may be required

 

PESA (Percutaneous Epididymal Sperm Aspiration) Procedure

The percutaneous epididymal sperm aspiration (PESA) procedure is performed on men who are having sperm retrieved for IVF treatments. PESA is designed to help retrieve sperm from men suffering from obstructive azoospermia due to prior vasectomy or infection.

 

The procedure is normally performed in an outpatient clinic under local anesthetic. If the patient requires sedation, it can also be administered. PESA does not take very long (patient is discharged after 1-2 hours) and the recovery time is about one day. Mild discomfort in the groin area after the PESA procedure can be managed with regular pain medication.

 

A needle is placed into the epidymis (a tube that connects the efferent ducts of each testicle to its vas deferens) to explore for a pocket of sperm will be found and aspirated.

 

PESA is considered to be a “blind” procedure because the surgeon cannot see where he is putting the needles. Once 10-20 million sperm are retrieved, the epididymal tubule is closed with a microscopic stitch and the aspirate is flushed into a culture medium before being processed.

 

Some advantages of the PESA procedure include:

· It is successful in most cases

· It avoids a skin incision

· Costs are lower because a microscope and the skills of a micro surgeon are not necessary

· It is preferable to open surgery because it does not require general anesthetic and is technically easier

 

Some disadvantages of the PESA procedure include:

· If a blood vessel is accidentally damaged it may continue to bleed and result in a hematoma

· There can be a high rate of complications e.g. damage to the delicate epididymal tubules

· The blind nature of the procedure may require multiple, potentially damaging needle insertions

· May not be successful in obtaining enough suitable sperm cells and so require alternative infertility treatments such as Testicular Sperm Aspiration (TESA)