TESA/ PESA Cost in India

The cost of TESA/PESA in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.

TESA and PESA collect sperm directly from the testicle or epididymis using a fine needle. The sperm is then used for ICSI. The cost depends on:

• Technique: PESA, TESA, TESE or micro-TESE.
• Anaesthesia: local or general.
• Sperm freezing
• IVF/ICSI cycle: usually charged separately.

Sperm retrieval alone usually costs less than this range. Ask whether IVF and ICSI are included.

Surgical retrieval is used for men with no sperm in the ejaculate (azoospermia). This can be due to a blockage, a previous vasectomy or problems with sperm production. Tests before the procedure help predict whether sperm is likely to be found.

• PESA: needle into the epididymis, mainly for blockages.
• TESA: needle into the testicle.
• Micro-TESE: open surgery with a microscope, for low sperm production.

The HFEA explains that surgically collected sperm is used with ICSI, where one sperm is injected into each egg. It notes that sons may inherit the father's infertility, especially when there is a genetic cause on the Y chromosome. Genetic testing and counselling may be worth considering.