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Fighting Infertility: Exploring MESA Sperm Retrieval

Harnessing the Power of MESA Sperm Retrieval

Men with low sperm count or a blockage in their reproductive tract can undergo MESA surgical sperm retrieval, a fertility treatment that involves collecting sperm from the epididymis and testis. If other treatments have failed to work, couples may be able to conceive a child with the help of this procedure.

For 15 years, the professional doctors at V Fertility Center in Vejthani Hospital have been helping patients with a full range of services using cutting-edge assisted reproductive technology.

What is MESA Sperm Retrieval?

MESA, or Microsurgical Epididymal Sperm Aspiration, is part of the IVF (In vitro fertilization) process and a good option for those struggling with infertility. Most men with motile sperm are viable candidates, and this procedure is used to collect sperm for use in IVF treatments. It is important to note that MESA is usually only needed if traditional methods of sperm collection, such as ejaculation, are not possible.

MESA is used to retrieve sperm from the epididymis, which is a tube located on the back of the testicles. The procedure is typically used for men who have blockages in their reproductive system, have poor sperm production or quality, or have had a vasectomy.

Patients have the option to freeze their sperm for use later, and the procedure is typically done as an outpatient on the day that their partner’s eggs are harvested. The patient’s condition and whether there are any blockages in their scrotum determine the type of procedure used to retrieve the sperm.

The Process

MESA sperm retrieval is performed under general anesthetic and is a minimally invasive procedure. During the procedure, the doctor will make a small incision in the scrotum and use an ultrasound to identify the sperm-producing areas of the testicles or epididymis. A small needle is then used to suction the sperm out from the epididymis.

The sperm retrieved is then evaluated for quality and quantity. Healthy sperm collected is used in assisted reproductive procedures such as IVF or intracytoplasmic sperm injection (ICSI). The process is often successful and can help people struggling with infertility to achieve their dream of having a baby.

Common Conditions

The most common conditions that require MESA sperm retrieval include:

• Azoospermia: the absence of sperm in the ejaculate
• Obstructive azoospermia: an obstructed passage of sperm
• Varicocele: enlarged veins in the scrotum
• Retrograde ejaculation: sperm deposited in the bladder instead of exiting through the penis

Other conditions that can lead to a need for this procedure include a history of testicular biopsy, prior surgeries or radiation to the testis, infection or trauma to the testis, and failed vasectomy reversal.


While the procedure can be successful, it carries potential risks that should be considered.

The risks associated with MESA include infection, bleeding, and damage to surrounding organs. Additionally, there is a risk of inadvertently damaging the testis during the procedure. In some cases, if the sperm retrieved is immature or does not meet the quality needed for fertilization, the process may need to be repeated.

On the other hand, MESA sperm retrieval can be very effective for men with azoospermia who are hoping to father a child. While there are potential risks and complications associated with the procedure, the benefits can be life-changing for many couples. It is important to talk to your doctor about the risks and benefits of the procedure, as well as the success rates, before making a decision.

Success Rates

The procedure’s success depends on several factors, such as the patient’s age, sperm count, and fertility history. Generally, the average success rate of MESA is between 20-25%, with higher rates seen in younger patients. The number of sperm retrieved can vary widely, with some patients yielding up to 10 million sperm per session while others yield only a few hundred.

To get the most out of MESA sperm retrieval, it is essential to consult a fertility specialist and discuss your options. The fertility specialist will be able to assess your circumstances and recommend the best course of action. Your fertility specialist will also be able to explain the possible risks and complications, as well as the potential success rate, based on your case.

At Vejthani, we understand the stress and anxiety and how difficult infertility can be and that’s why we are committed to providing compassionate care. We strive to make the process of IVF and MESA sperm retrieval as successful and comfortable as possible, and our team of experts is here to answer any questions you may have.

We also believe in providing a comprehensive approach to patient care. Our hospital offers a variety of treatment plans tailored to the individual needs of each patient to help ensure that the best possible outcomes are achieved. We also provide various support services, such as counseling and support groups, to ensure that our patients are well taken care of throughout the treatment process. We’re here to provide the support and guidance necessary to help you reach your goal of starting a family.

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