Tesa in India

5 clinic(s) offering TESA (Testicular Sperm Aspiration) treatment in India
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.

Since the very first time I have visited , I have never felt that I am meeting Doctor but always felt that he is our brother. Infertility couple always needs psychological support from doctor and staff but we have got something more than this , that is love and affection from Rotunda. Can not express in words. Best guidance, best treatment, personal attention and family feeling. What else we desire? No suggestions. Everything is just very nice as it should be. We are sure that this is going to be best address in India for Infertility. We would like to say something more than Thank you to all of you. Rotunda group.
July 2017
My wife Janki delivered a baby girl last evening, as membranes ruptured the delivery had to be done at 36 weeks. The baby is just 2.25 kg but all is fine and hope things go well. Though we have not been in much correspondence over the last few months, never for a moment did we forget the contribution of Rotunda towards the happiness. We are enjoying today. I will be grateful for this life of course, if not the next. For what you have given us we will never forget Rotunda, we can never forget the beautiful gift that you have given us. We will most definitely drop in with the baby during the course of the first year of her life. I cannot just say thank you as that is too less. Regards and best wishes for Rotunda.
July 2017
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19 more treatments
Advance Fertility and Gynaecology Centre Verified

Denoted as the top IVF clinic in Delhi, Advance Fertility and Gynecology Centre, is an outstanding Assisted Reproduction Centre located in the heart of South Delhi, easily accessible via all forms of transportation. Located next to a major metro station, even those without easy access to four wheelers can easily find their way as the clinic is on the main road. A Delhi location convenient for IVF patients as they usually need to visit the clinic more frequently than other categories of patients.

By your blessings, our small daughter is now an active child of 3+ and plans to join school next year from the present pre schooling. She is smart, quick learner, less eater, very caring and dance and music lover. Thank you so very much Dr Banerjee.
July 2017
Dr Kaberi Banerjee is rated as one of the best IVF doctors in Delhi and a leading infertility specialist in India.
July 2017
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20 more treatments
Dr Khandeparkar's IVF Center Verified

Following the footsteps of our founder, Dr. Khandeparkar’s Nursing Home, continues to provide best possible and affordable healthcare and infertility management to all sections of the society, each with a personal touch. Dr. Shubhada Khandeparkar has added a new asset – Dr. Khandeparkar’s Infertility & IVF Centre, located at Dadar, in the heart of Central Mumbai, to Dr. Khandeparkar’s Nursing Home and Hospital.

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.

00 1 323 904 9010 ext: 1047
00 44 20 3322 9575 ext: 1047
00 973 1619 8085 ext: 1047
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
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19 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.

00 1 323 904 9010 ext: 1065
00 44 20 3322 9575 ext: 1065
00 973 1619 8085 ext: 1065
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
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14 more treatments

Testicular Sperm Aspiration (TESA) Overview

Sperm aspiration methods in infertility treatments were designed to collect sperm from three different parts of the reproductive tract: the vas deferens, epididymis and testicles. Testicular sperm aspiration (TESA) is a procedure used to obtain sperm from the testicles.

 

TESA is a relatively new technique and does not involve surgery. The sperm obtained is intended for specific use in IVF with ICSI (microinjection).

 

This is because not enough sperm can be retrieved for use in intra uterine insemination (IUI). The IUI procedure requires larger quantities of healthy and motile sperm than IVF. If you so desire, you can get your sperm frozen for later use. This is particularly useful in cases where there is no ejaculate or no sperm in the ejaculate. It also means that you don’t have to undergo TESA again. Bear in mind that testicular sperm do not freeze or thaw as well as sperm obtained from other locations and they are also more challenging to work with in the laboratory.

 

TESA can be carried out on two types of patients: men with obstructive azoospermia (sperm production is normal but it can’t reach the ejaculate because there is a blockage) and men with non-obstructive azoospermia (sperm production is too low to even reach the ejaculate). In addition, men in certain situations or who have particular conditions can be good candidates for TESA as opposed to other aspiration techniques.

 

The cost of TESA varies significantly from location to location. Some clinics include most of the services in your final cost while other clinics only charge for the procedure itself. Be sure to discuss what you will actually be paying for with your fertility specialist. The cost of TESA abroad can often work out to be much more affordable and many medical tourists are travelling overseas so they can undergo this procedure.

 

A Good Candidate for Testicular Sperm Aspiration (TESA)

There are a number of sperm retrieval procedures available so you should discuss which one is best suited for you with your fertility specialist. A good candidate for TESA may also be a good candidate for percutaneous epididymal sperm aspiration (PESA) or a good candidate for microdissection TESE.

 

There are significant advantages and disadvantages of each that need to be carefully considered. For example, patients undergoing the TESA procedure as an infertility treatment should be aware that testicular sperm is the least fertilizable.

 

Good Candidates for Testicular Sperm Aspiration

· Sperm aspiration techniques are usually carried out on men who have the most severe types of male factor infertility. These include azoospermia (no sperm in ejaculate), non-motile sperm or necrospermia (dead sperm)

· TESA can help men with obstructive azoospermia (their sperm production is normal but it can’t reach the ejaculate because there is a blockage somewhere). As sperm cells are not often present in the epididymal tissue of patients with this condition, procedures such as percutaneous epididymal sperm aspiration (PESA) are inappropriate for obtaining sperm from them

· TESA can also help men with non-obstructive azoospermia (their sperm production is too low to reach the ejaculate). However, men with this condition might need to have a few areas of their testis sampled before enough viable sperm cells are found

· Good candidates for TESA include men who can still produce sperm even though they can no longer ejaculate

· Men who have had their prostate removed

· Men with spinal cord injuries

· Men with neurological conditions (such as multiple sclerosis)

· If a man has had a vasectomy but later wants to reverse it, he may be a good candidate for TESA, if the procedure was carried out less than 10 years before

· If a vasectomy reversal has already been performed but it was unsuccessful, a second surgery is generally not recommended. In this case, the man would be a good candidate for TESA followed by IVF with ICSI (microinjection)

 

Testicular Sperm Aspiration (TESA) Procedure

The TESA procedure is an infertility treatment that can be carried out on a patient with obstructive azoospermia or non-obstructive azoospermia. Obstructive azoospermia is when there is normal sperm production but it can’t reach the ejaculate because there is a blockage. A man with this condition has normal FSH and testosterone levels, had a testis biopsy that turned out to be normal or had a vasectomy.

 

Non-obstructive azoospermia is when sperm production is too low to reach the ejaculate. The testicular sperm aspiration (TESA) procedure is usually performed by a urologist who specializes in male fertility cases or by a reproductive endocrinologist (infertility specialist).

 

The TESA Procedure with Obstructive Azoospermia

· Testicular Sperm Aspiration is an outpatient procedure performed under local anaesthetic with or without sedation

· The TESA procedure can be carried out on the day of the wife's ovulation or at an earlier time. In this latter case, the sperm would be washed, frozen and stored (sperm freezing) until ready to be used and then thawed

· The sperm from the testis is retrieved by needle aspiration and does not require surgery

· Basically, the surgeon holds the testis in his hand and then inserts a hollow needle (aspirator) into the testis through the stretched scrotal skin. It doesn’t matter where the needle is inserted because there are enough sperm everywhere

· Testis tissue is removed using the needle and then placed into test tubes or petri dishes containing culture medium. The TESA procedure can be repeated on the same testis or the other one until enough sperm has been obtained. The sperm is then processed by the lab

· TESA recovery takes about one day and there are very low risks of complications and side effects such as bleeding and infection

 

TESA Procedure with Non-Obstructive Azoospermia

· It is sometimes difficult to obtain sperm from men with this condition because they have such low rates of sperm production. Their sperm production can often be inconsistent or patchy

· Rather than undergoing the TESA procedure, fertility specialists often recommend that men with non-obstructive azoospermia consider other sperm aspiration procedures such as microdissection TESE