Nisha IVF Centre, Ahmedabad, clarifies how painful is the TESA procedure
Nisha IVF Centre, Ahmedabad, clarifies how painful is the TESA procedure

Azoospermia is one of the reasons for male factor infertility. The ejaculate of men with azoospermia does not contain sperm. With advancements in IVF procedures such as testicular sperm aspiration (TESA), IVF specialists can retrieve sperm from the testis or epididymis and proceed with an IVF cycle as planned.

Dr Nisarg Patel, leading IVF specialist in Ahmedabad and the founder of the Nisha IVF centre, states, 'I recommend the TESA procedure to men with obstructive azoospermia as there are higher chances of successfully retrieving the sperm. Moreover, it is a minor procedure and does not cause much pain to the patient.'

Doctors recommend TESA for men who have undergone vasectomy, those with congenital absence of vas deferens, or those who have an obstruction due to an injury or infection that prevents sperm discharge from the testes.

The IVF specialist plans to perform the TESA procedure 24 hours before or on the date decided for the oocyte pick-up.  The TESA procedure is done under local anesthesia, so the patient does not experience any pain. After the procedure, the patient may experience swelling, bruising, or discomfort in the testicles for several days. Also, the doctors prescribe painkillers and antibiotics to manage pain and avoid infection. The patient can resume normal activities in a day or two.

Patients who undergo TESA recover faster and experience less pain, whereas, in an open testicular procedure, the patient takes at least a week to recover and experiences more pain.

The TESA procedure takes less than an hour which further depends upon the quality and the quantity of the sperm/tissue retrieved. First, the doctor uses a small needle and a special syringe to extract testicular tissue from the epididymis or testicle, which is immediately sent to a laboratory for examination for motile spermatozoa. If inadequate sperm is retrieved, the doctor proceeds with a further aspiration to retrieve more sperm or tissue.  Dr Nisarg Patel states in certain cases of azoospermia or patients with small testicles, retrieving the sperm is difficult or unsuccessful. And for such cases, we perform open testicular surgeries.  

Highly experienced IVF specialist Dr Nisarg Patel and his team have established the Nisha IVF centre in Ahmedabad, which offers advanced fertility treatments, including IVF, ICSI, FET, blastocyst culture and transfer, and oocyte and semen freezing. They cater to patients from Gujarat, nearby states and abroad too.

Dr Nisarg Patel is known for his expertise in IVF treatment and setting up IVF centres pan India and Nepal. He is an expert in managing recurring IVF failure cases and has performed over 8000 IVF cycles with a success rate of 60%.

Patients can reach out to Nisha IVF Centre at 201, 2nd Floor, Bhavya Shopping Complex, opp. Govt Tubewell, Bopal, Ahmedabad, Gujarat 380058, India. They can call on 9081233800, 2717233800 or email at

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