PESA & TESA Treatment
Male infertility can have many causes, but issues concerning sperm are the most common. PESA (Percutaneous Epididymal Sperm Aspiration) and TESA (Testicular Sperm Aspiration) are methods primarily intended for men with azoospermia, a condition where there are no sperm in the semen. In PESA and TESA, sperm are extracted directly from either the testicle or the epididymis through needle biopsies.
What is PESA & TESA
PESA is primarily used for men with obstructive azoospermia, where there is a blockage in the vas deferens (e.g., due to scarring after infection or sterilization) that prevents sperm from entering the semen. In PESA, sperm are retrieved from the epididymis. TESA is usually used as a first-line method for men with non-obstructive azoospermia, where the problem lies in sperm production itself rather than in sperm transport. TESA involves retrieving sperm directly from the testicle through needle biopsies. Both PESA and TESA are performed under local anesthesia.
Who is it for?
- For men suffering from azoospermia (absence of sperm in the semen), PESA or TESA can be a very effective treatment.
What are the benefits of PESA & TESA?
PESA/TESA are methods that give men with azoospermia an opportunity to have biological children by extracting sperm directly from the testicles or epididymis for use in IVF treatment with ICSI (intracytoplasmic sperm injection).
Your PESA (Percutaneous Epididymal Sperm Aspiration) Treatment Journey: step-by-step
Anesthesia
The patient receives local anesthesia or general anesthesia.
Insertion
A thin needle is inserted into the epididymis.
Aspiration
Fluid is aspirated from the epididymis.
Analysis
An embryologist analyzes the fluid under a microscope.
Freezing of sperm
If live sperm are found, they can be frozen for later use in IVF.
Your TESA (Testicular Sperm Aspiration) Treatment Journey: step-by-step
Anesthesia
The patient receives local anesthesia or general anesthesia.
Insertion
A thin needle is inserted into the testicle.
Aspiration
Tissue is aspirated (sucked out) from the testicle.
Analysis
An embryologist analyzes the tissue under a microscope.
Freezing of sperm
If live sperm are found, they can be frozen for later use in IVF.
A breakdown of our PESA TESA Prices
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
Surgical retrieval of sperm (PESA/TESA)
Includes aspiration and storage for one year. Additional cost for pathology analysis (PAD) applies, as well as for extended storage after one year.
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
Diagnostic TESA (needle aspiration)
Examination of presence of sperm in the testicle
Possible freezing of sperm and 1 year of storage
Storage of sperm from the 2nd year
Pathology analysis (PAD)
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
Surgical retrieval of sperm (PESA/TESA)
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
Surgical retrieval of sperm (PESA/TESA)
*Please note that below section on Missed appointments/Uteblivna besök applies to all treatments sections, and clinics.
*Missed appointments
Please note that missed appointments or appointments cancelled less than 24 hours before the scheduled time will be charged SEK 400 (applies to both region-funded and private appointments).
Please note that any blood tests taken in preparation for your visit will be charged in the event of a missed/cancelled appointment without a new doctor’s appointment being booked.
Payment must be made no later than 10 days after the invoice date.
For IVF treatment, payment must be received before egg aspiration. The invoice will be sent at the start of treatment. We reserve the right to adjust prices due to cost increases, new medical recommendations, and/or the introduction of new laws and regulations.
Surgical sperm retrieval (PESA/TESA)
(Includes freezing of sperm; if no sperm are obtained, 2,000 SEK will be refunded)
Our prices
An IVF treatment is an individual process. Therefore, it is also difficult to estimate the total cost of treatment leading to a pregnancy. Within the Livio group, we strive to maintain as consistent pricing as possible, but the varying conditions at different clinics may sometimes result in slight price differences from clinic to clinic. Please feel free to consult us, and we will guide you!
By completing this form you agree to be kept up to date with news, events, relevant research and promotions from Livio.
We take data very seriously and we want you to be clear how we store, manage and utilise your data throughout your journey with us. You can find more about how we will process and protect your data by reading our Privacy Policy.
Your funding options
In collaboration with Human Finans, Livio offers the possibility of advantageous loans and financing for your fertility treatment. For example, it is possible to take an interest-free loan for an IVF treatment and split the payment over 6 or 12 months.
You can contact Human Finans by phone at 08-560 201 15 or visit their website for more information and free advice.
Possible Side Effects of PESA & TESA Treatment
Some tenderness may occur after the procedure and usually you are not on sick leave for more than up to 2 days.
PESA & TESA Treatment Frequently Asked Questions
TESA takes tissue samples from the testicle, while PESA extracts fluid from the epididymis. PESA is mainly used when an obstruction in the vas deferens is suspected.
Both procedures are performed under local anesthesia, which minimizes pain during the procedure. Some tenderness may occur afterwards.
The chance varies depending on the cause of azoospermia. Your doctor can give a more accurate prognosis based on your individual situation.
The Livio clinics - your Nordic partner
Livio is the largest provider of fertility treatments in the Nordic countries with clinics in Sweden, Norway and Iceland. Our aim is to provide the highest quality fertility treatments and best results in the area of reproductive medicine.
