💰 Cost in India
₹30,000 – ₹1,00,000
📊 Success Rate
Sperm retrieval success: 50–70% (TESA); 80–90% (MESA)
⏱️ Duration
30–60 minutes; 2–3 days recovery
📂 Category
⚕️ Procedures

What is TESA / MESA?

💡 TESA (Testicular Sperm Aspiration) and MESA (Microsurgical Epididymal Sperm Aspiration) are surgical sperm retrieval techniques used when no sperm is present in the ejaculate. Retrieved sperm is used with ICSI to achieve fertilisation.

TESA and MESA are surgical procedures used to retrieve sperm directly from the male reproductive tract. They are used when no sperm is present in the ejaculate. In TESA, a fine needle is inserted into the testis to extract sperm-containing tissue. In MESA, sperm is taken from the epididymis under a microscope — giving a higher yield and better quality. Both procedures are used for men with azoospermia, ejaculatory dysfunction, or failed vasectomy reversal. Retrieved sperm is used with ICSI to achieve fertilisation.

🇮🇳 India Context: TESA / MESA is widely assessed and treated across major Indian fertility centres including Chennai, Mumbai, Bangalore, Delhi, and Hyderabad.

When is TESA / MESA used?

  • Obstructive azoospermia — vasectomy, absent vas deferens, epididymal blockage
  • Non-obstructive azoospermia — impaired sperm production (micro-TESE preferred)
  • Ejaculatory dysfunction — retrograde ejaculation, spinal cord injury
  • Failed vasectomy reversal

Risks and considerations

⚠️ Haematoma (most common), infection, testicular atrophy (rare), failure to retrieve sperm (especially in non-obstructive azoospermia). Performed under local or general anaesthesia. Always discuss risks with your fertility specialist before treatment.

Cost of TESA / MESA in India

The typical cost of tesa / mesa in India ranges from ₹30,000 – ₹1,00,000. Costs vary by city, clinic reputation, and additional procedures required.

Use our Fertility Tools → | Compare costs by city →

⚠️

Azoospermia

Azoospermia means there is no sperm in the ejaculate. It affects about 1% of all…

🔬

ICSI (Intracytoplasmic Sperm Injection)

ICSI is an advanced fertility technique. A single healthy sperm is injected dire…

🔬

Semen Analysis

Semen Analysis is the main test for evaluating male fertility. A semen sample is…

📚 Learn More

Azoospermia →ICSI →

🏥 Find Specialists for TESA / MESA in India

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Medical Disclaimer: This page is for educational purposes only and does not constitute medical advice. Reviewed by Dr. Priya Sharma (MBBS, MD OB-GYN). Success rates and costs are approximate and vary by clinic and individual case. Always consult a qualified fertility specialist. Last updated: April 2026.