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).
IVF Information Event
30th December, 6pm
Our free Virtual Information Event is designed to help answer your questions & provide you with all the information you need to feel confident in taking the next steps in your IVF journey.
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.
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.
Our IVF success rates
We are very proud to have consistently achieved excellent success rates across all age groups.
Clinical pregnancies per treatment cycle | IVF & ICSI | 2021 | Vitanova
Download our IVF brand brochure
At Livio, we believe high-quality fertility care shouldn't be a luxury. We offer clear and upfront treatment costs for IVF treatment, starting from just 2,750 kr. Plus, we have flexible payment plans to help make your journey even easier.
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Livio's IVF Costs
Our IVF Package includes:
- Clinical advice
- Monitoring scans (in Copenhagen)
- Egg collection
- Embryology
- Embryo transfer
The freezing of eggs is paid separately
The cost of Mild IVF will depend on your individual circumstances and your personalised treatment plan will be explained to you in more detail after your virtual consultation.
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.
IVF Treatment Frequently Asked Questions
A doctor will be the first person that you will see.
Of course.
The first step is for you to come in for an advanced ultrasound scan and a virtual consultation. The first appointment is the scan; this is an internal scan with an advanced 3D Doppler scanner and will help us assess the blood flow in the ovaries, follicles and womb as well as checking ovarian reserve. We perform a 3D scan to assess the cavity of the womb to rule out any problems for implantation. They will also check for obstructions such as cysts and polyps. Following on from the scan you will have your virtual consultation where the doctor will go through the results and your medical history and devise a personalised treatment plan for you based on these.
Do I have to come for the scan on a particular day of my cycle?
No, you can come for the scan on any day of the cycle, including during your period if you are comfortable with this - it doesn’t make any difference from the scanning point of view.
Do I have to have the scan done again if I’ve had one elsewhere?
We request that every patient have a scan within 3 months before starting any treatment. It is at the doctor’s discretion whether they will accept a scan from another clinic; however most doctors prefer to have a scan performed at CREATE because our doctors have been highly trained in scanning methods and will be able to assess multiple aspects of your fertility. Our scanners are 3D Doppler scanners and look at the blood flow in the ovaries and womb as well as checking ovarian reserve.
Should I bring anything with me?
If you have medical notes, from previous treatment for example, you can send copies of these to us in advance to be added to your file. Otherwise you do not need to bring anything with you.
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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.
Related services
Ultrasound Scan + Virtual Consultation From only £200*
Our Advanced 3D Doppler Ultrasound Scan makes a detailed assessment of your fertility potential
Discuss your fertility health with a highly experienced fertility consultant and get a tailored IVF treatment plan.
*Terms & conditions apply.
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