Pesa in India

4 clinic(s) offering PESA (Percutaneous Epididymal Sperm Aspiration) treatment in India
Pesa  in India
This is the best place I have ever experienced. No one here beats around the bush, costs etc are upfront, Doctors and staff responsive and helpful, ambiance and privacy are well maintained and all in all one is well looked after. I would recommend this clinic to all my friends
February 2014
Hello. We are an hetero couple from Madrid, Spain. My husband and me were parents in 2010. We did the process in Rotunda Clinic, Mumbai. Our baby born in July 2010, and for us all the process was easy and we're very grateful to all Rotunda's staff. In our case, we needed egg donation and a surrogate. Actually, we have embryos freezing in the Clinic and we want to do another attempt for to have our second baby. If you ask me if we recommend Rotunda Clinic, our honest response is yes. Good people, good doctors, and the most important, finally we are parents.
February 2013
See all reviews
10 more treatments
Rotunda – The Center For Human Reproduction Verified

Rotunda – The Center For Human Reproduction is located in Bandra, Mumbai. As the leading fertility clinic in Mumbai, our team offers a comprehensive range of fertility services under one roof. We are renowned for our innovation, integrity, medical and technical excellence, personalized service, and consistent willingness to accept patients facing the most difficult medical challenges.

17 more treatments
IFC Embryo Health Center Verified

International fertility centre (IFC) is one of the most advanced IVF clinics in India, providing an international level of assisted reproductive treatments with the state-of-art facility at an affordable cost to allow childless couples realize their dream of having a baby.

After many unsuccessful attempts in Australia, we found Dr Nayana Patel. What an amazing and gifted woman. We started our 1st cycle in September 2011 and in October we got confirmation that we were pregnant. We welcomed our gorgeous son into the world in May 2012. The staff and clinic are amazing and supported us throughout the whole process. We had an amazing experience and would recommend Akanksha Fertility Clinic to everyone wanting a baby with no success. You will not find a better doctor, clinic, staff or service anywhere else. Do your self a favour and go through Akanksha Fertility Clinic you will not be dissapointed.
July 2016
Unhappy for us the pregnant was not happen , but we will try again,
September 2015
See all reviews
17 more treatments
Akanksha Infertility Clinic Verified

The Akanksha Infertility Clinic in Anand, Gujarat, India, has extensive experience helping international patients establish successful pregnancies, at very low costs. The clinic has been featured on the Oprah Winfrey Show, CNN and BBC news.

Thank's to Dr.Shivani and very professional team at SCI for extending our family,a boy & girl,they're just gorgeous!! Kind Regards, James family.
February 2014
Horrible experience. The doctor is a money-making operation. She uses Australian case-managers who are working illegally to manage her cases. I had a conversation with one of these case-managers and all she did for 45 minutes was trash other clinics and spread nasty rumours and stories about them. I felt this was disingenuous at best. Eventually I tried this clinic and after spending over 20 thousand pounds have nothing to show for it. Be careful of this clinic and the Australian women who run it secretly. They will push you to sign-on with their heavy marketing blitz but the results and experience are not what they promise.
October 2012
See all reviews
12 more treatments
Delhi Surrogacy - Dr Shivani Gour Verified

Dr Shivani Gour is a renowned infertility specialist who offers an individual and caring service to Intended Parents.

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)