A Hopeful Breakthrough in Male Fertility Care
For many couples facing infertility, the assumption is often that challenges lie with the woman. But in reality, male infertility accounts for nearly 40% of all infertility cases. In some of these, the issue is so profound that sperm is absent in the ejaculate — a condition known as azoospermia. For such situations, medical advancements like the TESA procedure (Testicular Sperm Aspiration) have opened new doors to fatherhood.
At Dr. Richa Gangwar’s clinic, we offer the TESA procedure in Lucknow as part of our advanced fertility solutions, helping men with specific conditions become biological fathers with expert care and compassionate guidance.
What Is TESA?
TESA (Testicular Sperm Aspiration) is a minimally invasive procedure where sperm is directly extracted from the testicular tissue using a fine needle. It’s used primarily in men who have:
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Azoospermia (no sperm in ejaculate)
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Obstructive conditions like vas deferens blockage
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Failed vasectomy reversal
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Prior surgeries or trauma affecting sperm pathways
The extracted sperm can then be used for ICSI (Intracytoplasmic Sperm Injection), a highly advanced form of IVF where a single healthy sperm is injected into an egg, offering hope even in severe male infertility cases.
When Is TESA Recommended?
TESA is typically recommended when standard semen analysis shows no sperm (azoospermia) but other fertility parameters, like hormone levels or testicular function, suggest the potential for sperm production within the testes.
It may also be used in cases where previous sperm retrieval attempts have failed, or in men with congenital absence of the vas deferens (as seen in some genetic conditions). At Dr. Richa Gangwar’s clinic, we conduct detailed male fertility evaluations before recommending TESA, ensuring the approach is appropriate, safe, and likely to succeed.
What to Expect During the TESA Procedure
TESA is performed under local or mild sedation. A fine needle is inserted into the testicle to aspirate a small amount of tissue. The sample is immediately examined under a microscope by an embryologist to detect viable sperm.
The procedure typically takes less than 30 minutes and does not require a hospital stay. Mild discomfort or swelling may occur, but most men recover fully within a day or two.
All procedures are done with full confidentiality, comfort, and clinical safety — as part of our commitment to providing the best fertility care in Lucknow.
TESA and ICSI: A Powerful Combination
Once sperm is retrieved through TESA, it is used in an ICSI cycle, where a single sperm is injected into each mature egg in the laboratory. This process bypasses the need for natural sperm motility and increases the chances of successful fertilization — even when only a few sperm are available.
Our expert team guides each couple through every step of the TESA-ICSI process, offering emotional support and clinical transparency. Together, these procedures have helped many couples in Lucknow achieve their dream of parenthood.
Success Rates and Considerations
TESA success depends on factors like:
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Presence of viable sperm in the testicles
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Underlying cause of azoospermia
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Female partner’s egg quality and reproductive health
When viable sperm are retrieved and combined with ICSI, pregnancy success rates can be as high as 40–50%, especially when the female partner is under 35.
At Dr. Richa Gangwar’s clinic, success is not just measured by statistics, but by the trust we build and the hope we restore — making us a preferred center for advanced male infertility treatment in Lucknow.
Compassionate, Confidential, and Comprehensive Care
Male fertility challenges can often be emotionally isolating, but they don’t need to be. At our clinic, we create a safe space for men and couples to talk openly, ask questions, and receive expert care without stigma or pressure.
Our team handles every case with respect, privacy, and clarity, ensuring that every man feels supported — not just treated.
