Pesa

20 clinic(s) offering PESA (Percutaneous Epididymal Sperm Aspiration) treatment in 22 countries
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.

We had an amazing experience here and were well taken care of. This is an amazing team and group of people here. They make you feel like family. It's not just that they know you by name when you walk in the door, or your medical history, they know you personally. Doing fertility treatments treatments is not for the faint of heart. This is quite the journey. These group of people, the doctors, the nurses, the medical staff, billing, reception, therapists, all of them, are kind, caring, and compassionate. We read the reviews before we went there and saw how great their services were from other people. We also noticed their high success rates. Well now that we have had the chance to see it first hand we are happy we chose them. We now have 6 embyro's waiting for us for implantation. We are looking forward to coming back for implantation. Thanks so much team! We look forward to coming back in July/August. :)
June 2019
My husband and I got married late in our age. I was 36 years old and he was 49 we both did not have any children from previous relationships. We had tried IVF in California, USA that was not successful and very financially draining and caused us financial hardship. Due to my age and with one ovary the cost for medication was outrageous. We had to wait a couple years to save for another try. We searched the internet and came across VisitandCare.com. There were several options that they sent to us but staff that we spoke with at LIV was very genuine and helpful. Why we selected LIV fertility clinic Dr. Stetson was very patient with us and took the time to explain the positives and the negatives about our journey. Alonso was our coordinator and was always available by email or phone. He had a great personality and put us at ease if we had any type of concerns. Overall I give LIV Fertility Clinic five stars for top tier medical advice, timely treatment, professionalism and most importantly, for delivering results. Thank you to science and love we had 2 beautiful twins (boy, girl). First impressions: the front staff of the office is warm and inviting. They were very professional and courteous. Medical care/advice: My medical team was very responsive. They went above and beyond to address all of my concerns during treatment. Karla the embryologist gave us daily updates on our embryos. Cost: The investment of time, emotion and taxation on my body was worth every penny. They were affordable for our budget. Now that I am 47 and my husband is 60 we can relax and give our full attention to our little ones that we cherish so much. Thank you Dr. Steton, Dr. Perez and LIV staff.
February 2018
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17 more treatments
Tijuana Fertility Clinic Verified

Tijuana Fertility 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.

Due to my problems with ectopic pregnancy and having one fallopian tube left that was blocked, my only option to conceive a child was through IVF only. I was losing hope and after my first consultation with Dr. Amezquita it gave me a positive feeling that I will have success in conceiving a child. My husband and I can’t afford to go with the process of IVF in San Diego, CA so I researched a lot of clinics and hospital in Mexico to find out who could help us. Then I found Tijuana Fertility Clinic and from the initial conversation that I had with Gisela (Office Coordinator) by email, she was well-detailed with the pricing and the process of the IVF. She was always quick in responding to all my questions because I worry with my body a lot of times. They gave us a positive response from the very first conversation that’s what made us decide to choose this clinic. From the clinic staffs, clinic cleanliness through the caring doctor and the caring nurses, we have no regrets go to this clinic to conceive our first child! I’m currently 7 weeks! Dr. Amezquita spoke fluent in English and was very knowledgeable when it comes to women reproductive system. He knows more than I do when it comes to women anatomy. Very impressive doctor! The front desk was also very nice and always smiling when we arrive to our appointment. And if we had trouble crossing the border because of traffic, we call the clinic and they were always flexible and understanding since we were traveling from San Diego. We highly recommend for women who are seeking to do an IVF. We love this clinic and we will go back for our 2nd child later! Thank you to Dr. Amezquita and whole staff for helping us conceive our first baby!
October 2019
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
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15 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.

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
UKCFA Verified

UKCFA offers a wide range of infertility treatments tailored to meet your needs and make you feel enlightened on your journey to Parenthood. We are run by UK’s leading IVF Fertility Consultants with a unique partnership with Cyprus IVF Centre (CIC) in Famagusta.

FIV Center Madrid Verified

FIV Center provides state-of-the-art, comprehensive fertility treatments and reproductive solutions to patients struggling with infertility. The clinic offers the most experienced fertility doctors in Madrid with both basic and advanced assisted reproductive technology for female and male couples.

I would highly recommend Fiv Center. Their communication was excellent from start to finish, all questions were answered quickly. They were professional, kind and reassuring throughout, and all staff spoke good English. I wouldn't hesitate to return in the future.
December 2018
Thank you Dr. Caballero to have made my dream come true. You and your professional team brought the happiness to our life. It´s a baby girl! No words can describe how thankful I am.
December 2018
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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)