Male infertility affects millions of couples worldwide, posing significant challenges to those trying to conceive. However, advances in reproductive medicine have introduced innovative procedures to address male infertility issues effectively. Testicular Sperm Aspiration (TESA), Percutaneous Epididymal Sperm Aspiration (PESA), and Microsurgical Epididymal Sperm Aspiration (MESA) are cutting-edge techniques that have revolutionized assisted reproductive technology. This essay explores the significance, procedures, and outcomes of TESA-PESA-MESA in the treatment of male infertility.

Understanding TESA, PESA, and MESA:

  1. Embryo Selection: As part of the IVF process, multiple embryos are typically created through the fertilization of eggs with sperm in a laboratory setting.
  2. Zona Pellucida Thinning: Before the embryo transfer, the embryologist selects the most viable embryos for implantation. A specialized laser is then used to create a small hole or thinning in the zona pellucida of the selected embryos.
  3. Facilitating Hatching: The purpose of creating this small opening is to assist the embryo in breaking out of its protective shell during the hatching process, making it easier for the embryo to attach itself to the uterine lining.
  4. Embryo Transfer: After the LAH procedure, the embryos are transferred into the woman’s uterus through a catheter. This step is typically performed a few days after egg retrieval and fertilization.

Benefits of IVF with Laser-Assisted Hatching Treatment:

  1. Testicular Sperm Aspiration (TESA): TESA is a minimally invasive procedure designed to extract sperm directly from the testicles of men with impaired sperm production or blockages in the reproductive tract. A fine needle is inserted into the testicular tissue, and a small sample of tissue is aspirated. The extracted sperm can then be used for various assisted reproductive techniques, such as Intracytoplasmic Sperm Injection (ICSI) during in vitro fertilization (IVF).
  2. Percutaneous Epididymal Sperm Aspiration (PESA): PESA is a similar technique to TESA, but it involves aspirating sperm from the epididymis, a coiled tube located on the back of each testicle that stores and transports sperm. PESA is commonly used for men with obstructive azoospermia, where sperm are produced but cannot reach the ejaculate due to blockages in the reproductive tract.
  3. Microsurgical Epididymal Sperm Aspiration (MESA): MESA is the most intricate of the three procedures, and it requires microsurgical expertise. During MESA, a small incision is made in the scrotum, allowing the surgeon to access the epididymis under a high-powered microscope. Sperm are then retrieved directly from the epididymal tubules. MESA is often chosen when the sperm retrieved through PESA are not adequate or if the couple wants to preserve additional sperm for future use.

Benefits of choosing Delfinium Fertility and IVF Centre

Delfinium Fertility Centre offers cutting-edge procedures like PESA and TESA for couples who are coping with male infertility reasons like low sperm count, poor sperm motility, or sperm abnormalities. We want to provide every couple the best chance of success by offering complete treatments for male infertility.

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