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Testicular Sperm Aspiration (TESA) Abroad

A list of leading international hospitals offering Testicular Sperm Aspiration (TESA) to foreign patients.

Medipol Mega University Hospital, Istanbul, Turkey

Medipol Mega Hospital Complex is a modern medical facility with four specialist hospitals and an extensive selection of high caliber medical devices available for use. The hospital provides treatments in a wide variety of medical fields in its 470 bed facility.

4 listed fertility specialists:

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Assoc. Prof. Dr. Ebru Öztürk

IVF, Gynecology and Obstetrics Specialist

Assist. Prof. Dr. Mustafa Acet

IVF, Gynecology and Obstetrics Specialist

Prices

Procedure Prices

TESA

upon request

Instituto Bernabeu

Instituto Bernabeu is staffed by recognised fertility and assisted reproduction specialists. Thousands of patients from over 60 different countries have entrusted Instituto Bernabeu with their dream of becoming parents

17 listed fertility specialists:

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Dr. Belén Lledó

Director of the Molecular Biology and Genetics Department

Dr. Jorge Ten

Director of the Reproductive Biology Department

Prices

Procedure Prices

TESA

upon request

Assuta Hospital

The new Assuta Hospital was opened in 2009, and claims to be the most modern hospital in the middle east.

Prices

Procedure Prices

TESA

upon request

Grupo Hospitalario Quirón

Quirón has an internationally prestigious medical staff, the largest in the sector, and is also the principal hospital network in terms of patient numbers and care facility area. The group administers 38 healthcare centers, more than 2,864 hospital beds and 7,500 associate doctors.

Prices

Procedure Prices

TESA

upon request

Successful Parents India

Successful Parents India is a branch of a European based head office of Successful Parents Agency. The Agency operates in India and accepts clients for fertility treatments in New Delhi: surrogacy, egg donation (Indian and Caucasian egg donors), PGD (not sex selection), as well as many other service

6 listed fertility specialists:

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Olga Tsisarenko

Co-Founder of Successful Parents Global, Chief Patients Coordinator

Neelam Chhagani

Director of Successful Parents India

Prices

Procedure Prices

TESA

upon request

Hospital Ruber Internacional

The Ruber International Hospital is designed as a "whole hospital". thus achieving maximum efficiency in the organization and development of the various medical, welfare, educational and research activities.

Prices

Procedure Prices

TESA

upon request

Liv Hospital, Istanbul, Turkey

Liv Hospital is the only institution in Turkey co-authorized Center of Excellence Accreditation in colorectal surgery, robotic surgery and bariatric surgery by the Surgical Review Corporation (SRC) and provides advanced technology and treatments to its international patients with its 159 bed capacit

Prices

Procedure Prices

TESA

upon request

IVF Panama Centro De Reproduccion Punta Pacifica

The clinic offers a range of fertility procedures: in vitro fertilization through a natural cycle, in vitro fertilization with laser assisted hatching, cryopreservation of embryos and oocytes, and pre-implantation genetic diagnosis.

Listed fertility specialist:

Dr. Mario Vega

Medical Director of the IVF Clinic

Prices

Procedure Prices

TESA

2,500 US$

Nova Clinic

Nova Clinic is a ISO certified specialist medical center for infertility and reproductive health, offering IVF, artificial insemination, egg donor programs, and surrogacy services. There are 10 fertility specialist at the clinic, and complete laboratory facilities.

6 listed fertility specialists:

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Dr. Ogorodnikov Denis

Reproductologist, Gynecologist

Prices

Procedure Prices

TESA

610 US$

AltraVita

A specialized clinic for reproductive medicine located in Moscow, Russia. Pregnancy rates at the clinic among women aged below 38 is 50% after the first cycle of IVF, 77% after the second cycle, and 90% after the 3rd.

23 listed fertility specialists:

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Dr. Sergey Yakovenko

General Director, Head of Embryological Laboratory

Dr. Vladimir Litvinov

Chief of Staff

Prices

Procedure Prices

TESA

upon request

Fertility clinics abroad (Page 1 of 2)

About TESA

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.


What is testicular sperm aspiration (TESA)?

TESA is a sperm retrieval technique that can be used either as a diagnostic procedure to detect azoospermia (a medical condition whereby a man has no sperm in his seminal fluid), or as a procedure to recover sperm from the testicles of men who have obstructions or ejaculatory problems which cannot be treated by any other methods.


Who performs the procedure?

The sperm aspiration procedure is usually performed by a specialist (urologist) that specialize in cases of male fertility. In some cases, it can be done by a reproductive endocrinologist who has is a doctor with a specialty in infertility.

If the sperm is obtained on the same day as the eggs it can be used fresh. I not it can be frozen and used later. However, it has to be thawed before use. Usually, the sperm aspirated is enough for multiple attempts of IVF.

Sperm retrieved from the seminiferous tubules in a TESA procedure are usually less mature and less motile than sperm which are found in ejaculated semen. Therefore, intracytoplasmic sperm injection (ICSI) a special form of IVF is used to achieve fertilization with TESA sperm. It involves injecting a single sperm into each egg.


What happens in a TESA treatment cycle?
  • A TESA treatment cycle involves a woman going through a stimulated IVF cycle whereby the ovaries are stimulated to produce multiple eggs.
  • In the testicular sperm aspiration procedure, a very fine needle is passed into the testicles. The patient is usually under local anesthesia. A tiny amount of material is removed from the network of tiny tubes where sperm are produced (seminiferous tubules). The seminiferous tubules are then processed in the laboratory, where they are checked for the presence of sperm, which can be either used to fertilize eggs or frozen for future use. If the sperm sample was previously frozen, it is thawed and prepared on the day the egg is collected.
  • Doppler ultrasonography is sometimes used during testicular sperm aspiration. It guides the aspiration to increase accuracy, avoid blood vessels and reduce hematoma formation.

Are any tests required before treatment?

The doctor will perform tests which will help to predict if the sperm can be obtained at the biopsy. Tests are also important because they show the presence of any conditions that could cause problems in children born from the procedure. The tests performed include:

  • Hormone tests: Follicle stimulating hormone (FSH), luteinizing hormone (LH) and testosterone levels are measured. Abnormally high FSH and LH and low testosterone are an indication that the testicles are not functioning properly. They also indicate that chances of obtaining sperm are low.
  • Physical examination: If the testicles are very small, it means the chance of obtaining sperm are low. In addition, conditions such as congenital absence of the vas deferens can be identified through physical examination.
  • Chromosome analysis: Chromosomal abnormalities may make producing sperm for some men impossible. Although it may not cause other problems other than sperm production, it can cause problems for the children born.
  • Cystic Fibrosis testing: Cystic fibrosis is common in men who have absent vas deferens. If the gene is present, then it increases the chances of the child being affected. If the man but not the woman carries the gene, the treatment can continue.
  • HIV and Hepatitis: All individuals storing eggs, sperms or embryos are screened for HIV and hepatitis B and C. These rules out any chance of cross contamination in the embryo storage vessels and in the laboratory.

The female partner will also undergo tests to check the womb and hormonal tests to ensure she can produce eggs.

Learn more about TESA

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