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Testicular Sperm Aspiration (TESA) Abroad

A list of leading international hospitals offering Testicular Sperm Aspiration (TESA) to foreign patients.

Sheba Medical Center

The largest medical center in Israel and the Middle East, internationally renowned for it's medical excellence. Around 31,000 inpatients are treated annually.

Listed fertility specialist:

Dr. Raoul Orvieto, MD

Gynecology and Fertility

Prices

Procedure Prices

TESA

upon request

Guven Hospital

Founded in 1974, Ankara Güven Hospital provides health services at modern and international standards with its 1600 experienced staff, 254 beds, 12 operating rooms and an area of 40,000 square meters.

Our priority is patient confidence. We strive for excellence.

Prices

Procedure Prices

TESA

800 US$

Fundacio Puigvert

Fundació Puigvert state-of-the-art high technology equipment, including robotic surgery and minimally invasive approach, together with some of the world’s leading specialists and over 60 years of experience, allow the clinic to have served over 600.000 patients

Listed fertility specialists:

Prof. Ana Polo

Director of the the Reproductive Medicine

Prof. Eduard Ruiz Castañé

Director of the Andrology Department

Prices

Procedure Prices

TESA

upon request

Be Parent Surrogacy

We have helped many parents struggling with infertility achieve their dream of parenthood by committing ourselves to provide comfortable, caring treatment to each of our patients, from every walk of life to the best of our ability.

Prices

Procedure Prices

TESA

500 US$

Successful Parents India

Successful Parents India is a branch of a European based head office of Successful Parents Agency. The Agency operates in India and accepts clients for fertility treatments in New Delhi: surrogacy, egg donation (Indian and Caucasian egg donors), PGD (not sex selection), as well as many other service

6 listed fertility specialists:

view all >

Olga Tsisarenko

Co-Founder of Successful Parents Global, Chief Patients Coordinator

Neelam Chhagani

Director of Successful Parents India

Prices

Procedure Prices

TESA

upon request

IVF Panama Centro De Reproduccion Punta Pacifica

The clinic offers a range of fertility procedures: in vitro fertilization through a natural cycle, in vitro fertilization with laser assisted hatching, cryopreservation of embryos and oocytes, and pre-implantation genetic diagnosis.

Listed fertility specialist:

Dr. Mario Vega

Medical Director of the IVF Clinic

Prices

Procedure Prices

TESA

2,500 US$

Perfection Medical Spa & Plastic Surgery

A plastic and aesthetic surgery center for plastic, cosmetic and reconstructive surgeries, other nonsurgical beauty procedures and postsurgical rehabilitation.

Prices

Procedure Prices

TESA

upon request

MITERA General, Maternity-Gynecology & Children’s Hospital

Mitera hospital is a specializes hospital for women and children, with comprehensive pediatric, gynecological and maternal healthcare services. It is affiliated with Harvard’s Mass General Hospital for Children and Yale Children’s Hospital.

Prices

Procedure Prices

TESA

upon request

Centre Chirugical AMBROISE-PARÉ

In 2006, the clinic was acquired by an independent group Hexagone Hospitalisation, expanding and doubling its capacity to more than 200 beds.Clinique Ambroise Paré is a leader in chemotherapy, dialysis and In-Vitro Fertilization and is the first private facility

Prices

Procedure Prices

TESA

upon request

Sevenhills Hospital

SevenHills Group of Hospitals (SHHL) has been delivering Healthcare services at the highest level, since past 25 years. SevenHills Hospital, Mumbai, is a world class integrated Healthcare Delivery System, that provides comprehensive Healthcare...

Listed fertility specialist:

Dr. Gouri Sultane Gupta

Consultant in Assisted Reproduction

Prices

Procedure Prices

TESA

upon request

Fertility clinics abroad (Page 1 of 1)

About TESA

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.


What is testicular sperm aspiration (TESA)?

TESA is a sperm retrieval technique that can be used either as a diagnostic procedure to detect azoospermia (a medical condition whereby a man has no sperm in his seminal fluid), or as a procedure to recover sperm from the testicles of men who have obstructions or ejaculatory problems which cannot be treated by any other methods.


Who performs the procedure?

The sperm aspiration procedure is usually performed by a specialist (urologist) that specialize in cases of male fertility. In some cases, it can be done by a reproductive endocrinologist who has is a doctor with a specialty in infertility.

If the sperm is obtained on the same day as the eggs it can be used fresh. I not it can be frozen and used later. However, it has to be thawed before use. Usually, the sperm aspirated is enough for multiple attempts of IVF.

Sperm retrieved from the seminiferous tubules in a TESA procedure are usually less mature and less motile than sperm which are found in ejaculated semen. Therefore, intracytoplasmic sperm injection (ICSI) a special form of IVF is used to achieve fertilization with TESA sperm. It involves injecting a single sperm into each egg.


What happens in a TESA treatment cycle?
  • A TESA treatment cycle involves a woman going through a stimulated IVF cycle whereby the ovaries are stimulated to produce multiple eggs.
  • In the testicular sperm aspiration procedure, a very fine needle is passed into the testicles. The patient is usually under local anesthesia. A tiny amount of material is removed from the network of tiny tubes where sperm are produced (seminiferous tubules). The seminiferous tubules are then processed in the laboratory, where they are checked for the presence of sperm, which can be either used to fertilize eggs or frozen for future use. If the sperm sample was previously frozen, it is thawed and prepared on the day the egg is collected.
  • Doppler ultrasonography is sometimes used during testicular sperm aspiration. It guides the aspiration to increase accuracy, avoid blood vessels and reduce hematoma formation.

Are any tests required before treatment?

The doctor will perform tests which will help to predict if the sperm can be obtained at the biopsy. Tests are also important because they show the presence of any conditions that could cause problems in children born from the procedure. The tests performed include:

  • Hormone tests: Follicle stimulating hormone (FSH), luteinizing hormone (LH) and testosterone levels are measured. Abnormally high FSH and LH and low testosterone are an indication that the testicles are not functioning properly. They also indicate that chances of obtaining sperm are low.
  • Physical examination: If the testicles are very small, it means the chance of obtaining sperm are low. In addition, conditions such as congenital absence of the vas deferens can be identified through physical examination.
  • Chromosome analysis: Chromosomal abnormalities may make producing sperm for some men impossible. Although it may not cause other problems other than sperm production, it can cause problems for the children born.
  • Cystic Fibrosis testing: Cystic fibrosis is common in men who have absent vas deferens. If the gene is present, then it increases the chances of the child being affected. If the man but not the woman carries the gene, the treatment can continue.
  • HIV and Hepatitis: All individuals storing eggs, sperms or embryos are screened for HIV and hepatitis B and C. These rules out any chance of cross contamination in the embryo storage vessels and in the laboratory.

The female partner will also undergo tests to check the womb and hormonal tests to ensure she can produce eggs.

Learn more about TESA

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