PESA Treatment in Bangalore
Facing azoospermia or blockage in sperm transport? Percutaneous Epididymal Sperm Aspiration (PESA) is a simple and effective procedure to retrieve sperm directly from the epididymis, helping you achieve biological fatherhood. At Vriksh Fertility, we offer advanced sperm retrieval techniques with expert care to support successful fertilization through ICSI.
The PESA Journey
From diagnosis to fertilization. PESA is performed to retrieve sperm directly from the epididymis in cases of blockage.
Consultation & Evaluation
Assessment of semen reports and medical history.
Diagnostic Testing
Hormonal profile, ultrasound, and confirmation of obstructive azoospermia.
PESA Procedure
Needle aspiration of sperm from epididymis.
Sperm Processing
Selection of viable sperm in the lab.
Fertility Treatment
ICSI procedure for fertilization.
What is PESA?
PESA is a procedure where sperm is retrieved from the epididymis (a tube behind the testicle where sperm matures) using a fine needle. A needle is inserted into the epididymis, fluid containing sperm is aspirated, and sperm is processed and used for ICSI. It is needed when there is blockage in the sperm transport pathway, vasectomy or congenital absence of vas deferens, or ejaculatory disorders. PESA is particularly effective when sperm production is normal but blocked.
Your PESA Treatment – Step by Step
Your complete guide to the PESA process
Pre-Procedure Evaluation
Confirmation of azoospermia, hormonal and imaging tests
Procedure
Local anesthesia, needle aspiration from epididymis, collection of sperm-rich fluid
Laboratory Processing
Isolation of healthy sperm, preparation for fertilization
Fertilization
ICSI to inject sperm into egg
Recovery
Short recovery with minimal discomfort
Do You Need PESA?
PESA is recommended for men with obstructive sperm transport issues.
Male Factors
- Obstructive azoospermia
- Normal sperm production but blocked pathway
Medical Conditions
- Previous vasectomy
- Congenital absence of vas deferens
- Infection-related blockage
Fertility-Related Factors
- No sperm in semen
- Planning IVF with ICSI
Advantages vs. Potential Risks
Advantages
Minimally invasive and quick
No major surgery required
High success in obstructive azoospermia
Can be repeated if needed
Short recovery time
Potential Risks
Mild discomfort or swelling
Limited sperm retrieval in some cases
May require alternative techniques (TESA/micro-TESE)
Not suitable for non-obstructive azoospermia
When is PESA Recommended?
Understanding the specific medical conditions and scenarios where PESA offers the best path forward.
Obstructive Azoospermia
Normal sperm production but blocked pathway
Post-Vasectomy Cases
Sperm retrieval needed
Congenital Absence of Vas Deferens
Structural blockage
Ejaculatory Disorders
Sperm not delivered naturally
Failed Sperm Retrieval in Semen
No sperm found
Planning IVF with ICSI
Sperm needed for fertilization
Why Choose Vriksh Fertility?
Proven Success
Consistently higher success rates than the national average through personalized protocols.
World-class Lab
State-of-the-art embryology labs with clean-room technology and AI-driven monitoring.
Holistic Support
Integrating medical care with nutrition counseling, yoga, and mental health support.
Frequently Asked Questions about PESA
PESA is a procedure to retrieve sperm from the epididymis using a fine needle.
It is performed under local anesthesia, so discomfort is minimal.
Men with obstructive azoospermia and normal sperm production.
Typically 15–30 minutes.
No, it is a day-care procedure.
No, it is used for IVF/ICSI.
High success rate in obstructive azoospermia cases.
Minor swelling or discomfort, but serious complications are rare.
Usually within 1–2 days.
Alternative techniques like TESA or micro-TESE may be recommended.
Browse All Treatment Options
Take the First Step Towards Parenthood
Consult with our experienced fertility specialists at Vriksh Fertility Centre, Bangalore.