{"id":688,"date":"2026-05-18T03:29:53","date_gmt":"2026-05-18T03:29:53","guid":{"rendered":"https:\/\/giftfertilitybangkok.com\/service\/sperm-retrieval-from-testis-pesa-tese\/"},"modified":"2026-07-10T04:23:55","modified_gmt":"2026-07-10T04:23:55","slug":"sperm-retrieval-from-testis-pesa-tese","status":"publish","type":"service","link":"https:\/\/giftfertilitybangkok.com\/en\/service\/sperm-retrieval-from-testis-pesa-tese\/","title":{"rendered":"Sperm Retrieval from Testis (PESA\/TESE)"},"content":{"rendered":"\n\n\t<div class=\"ast-breadcrumbs-wrapper\">\n\t\t\t<div class=\"ast-breadcrumbs-inner\"><nav role=\"navigation\" aria-label=\"Breadcrumbs\" class=\"breadcrumb-trail breadcrumbs\" ><div class=\"ast-breadcrumbs\"><ul class=\"trail-items\" ><li  class=\"trail-item trail-end\"><span><a href=\"https:\/\/giftfertilitybangkok.com\/en\/\" rel=\"home\"><span >Home<\/span><\/a><\/span><\/li><\/ul><\/div><\/nav><\/div>\n\t\t<\/div>\n<h1>\n\t\t\tSperm Retrieval from Testis (PESA\/TESE)\t<\/h1>\n\t<p>An option for men who have no sperm detected in semen analysis or have a blockage in the sperm duct. Sperm is retrieved directly from the epididymis or testicular tissue and used in conjunction with ICSI treatment.<\/p>\n\t\t\t<a href=\"https:\/\/giftfertilitybangkok.com\/en\/book-appointment\/\"  target=\"_self\">\n\t\t\t\t\t\t\tBook Your First Appointment\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"tel:02-653-3331\"  target=\"_self\">\n\t\t\t\t\t\t\tCall 02-653-3331\n\t\t\t\t\t<\/a>\n\t<p>About<\/p>\n<h2>\n\t\t\tWhat is PESA\/TESE?\t<\/h2>\n\tSperm retrieval from the testis is a procedure in which the doctor uses a fine needle or a minor surgical technique to collect sperm from the epididymis or testicular tissue. The sample is then processed in a laboratory to identify viable sperm.<br \/>\nThe selected sperm is used with the female partner&#8217;s eggs through ICSI, a technique that enables fertilization even in cases with very low sperm count or no sperm found in semen.\n<h2>\n\t\t\tPESA \/ TESE\t<\/h2>\n\t<p>A specialized sperm retrieval technique for male infertility cases where no sperm is found in semen, but sperm may still be present in the epididymis or testicular tissue.<\/p>\n\t<ul>\n\t\t<li>\t\t\n\t\t1<p>Used in combination with ICSI<\/p><\/li>\t<\/ul>\n\t<ul>\n\t\t<li>\t\t\n\t\t2<p>Suitable for men with no sperm detected in semen analysis<\/p><\/li>\t<\/ul>\n\t<ul>\n\t\t<li>\t\t\n\t\t3<p>Performed by specialized medical and laboratory teams<\/p><\/li>\t<\/ul>\n\t<p>Techniques<\/p>\n<h2>\n\t\t\tDifference between PESA and TESE\t<\/h2>\n\t<p>Both procedures aim to retrieve sperm directly from the male reproductive system. However, the location and method of collection differ depending on the doctor&#8217;s evaluation.<\/p>\n\t<p>PESA<\/p>\n<h3>\n\t\t\tPercutaneous Epididymal Sperm Aspiration\t<\/h3>\n\t<p>A fine needle is used to pass through the skin of the scrotum into the epididymal tube to aspirate sperm. The procedure typically takes about 10-20 minutes, and patients can usually rest for around 1 hour before returning home.<\/p>\n\t<p>TESE<\/p>\n<h3>\n\t\t\tTesticular Sperm Extraction\t<\/h3>\n\t<p>A small surgical procedure is performed to remove a tiny sample of testicular tissue, which is then examined under a microscope to retrieve sperm. The procedure is usually done under anesthesia, and mild pain or discomfort may occur afterward, typically improving within a few days.<\/p>\n\t<p>How It Works<\/p>\n<h2>\n\t\t\tWhat happens after sperm retrieval?\t<\/h2>\n\tAfter the sample is collected, embryologists transfer it to a standardized laboratory to identify and select viable sperm. The sperm is then used in conjunction with the ICSI procedure.<br \/>\nThis process helps improve the chances of successful fertility treatment in cases where no sperm is found in the semen, while also considering egg quality and the overall treatment plan of the female partner.\n\t<ul>\n\t\t<li>\t\t\n\t\t1<h3>Doctor evaluates the cause of azoospermia (no sperm found in semen)<\/h3><\/li>\t<\/ul>\n\t<ul>\n\t\t<li>\t\t\n\t\t2<h3>Selects the appropriate method: PESA or TESE<\/h3><\/li>\t<\/ul>\n\t<ul>\n\t\t<li>\t\t\n\t\t3<h3>Retrieves sperm from the epididymis or testicular tissue<\/h3><\/li>\t<\/ul>\n\t<ul>\n\t\t<li>\t\t\n\t\t4<h3>Sperm is identified and selected in the laboratory<\/h3><\/li>\t<\/ul>\n\t<ul>\n\t\t<li>\t\t\n\t\t5<h3>Viable sperm is used in the ICSI procedure<\/h3><\/li>\t<\/ul>\n\t<p>Who Should Consider<\/p>\n<h2>\n\t\t\tWho is PESA\/TESE suitable for?\t<\/h2>\n\t<p>Doctors may recommend PESA or TESE in cases where no sperm is found in the semen analysis, or when sperm cannot be released through the ejaculate due to underlying conditions.<\/p>\n\t\t\t\t<p>Male infertility caused by blocked sperm ducts<\/p>\n\t\t\t\t<p>Congenital absence of the vas deferens<\/p>\n\t\t\t\t<p>Men who have undergone vasectomy and later wish to have children<\/p>\n\t\t\t\t<section>\nObstruction caused by infection or previous surgery\n<\/section>\n\t\t\t\t<section>\nNo sperm detected in routine semen analysis\n<\/section>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/giftfertilitybangkok.com\/wp-content\/uploads\/2026\/05\/\u0e20\u0e32\u0e1e-giftfertility-56-scaled.webp\" alt=\"\u0e20\u0e32\u0e1e giftfertility-56\" height=\"1440\" width=\"2560\" title=\"\u0e20\u0e32\u0e1e giftfertility-56\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t<p>Benefits<\/p>\n<h2>\n\t\t\tAdvantages of Direct Sperm Retrieval from the Testis\t<\/h2>\n<h3>\n\t\t\tExpands options in cases with no sperm detected\t<\/h3>\n\t<p>Helps retrieve sperm from the epididymis or testicular tissue even when no sperm is found in the semen.<\/p>\n<h3>\n\t\t\tCan be used with ICSI\t<\/h3>\n\t<p>Retrieved sperm can be used with ICSI to achieve fertilization with the egg.<\/p>\n<h3>\n\t\t\tSuitable for duct-related problems\t<\/h3>\n\t<p>An option for men with blocked sperm ducts, congenital absence of the vas deferens, or previous vasectomy.<\/p>\n<h3>\n\t\t\tPersonalized treatment planning\t<\/h3>\n\t<p>The doctor selects the most appropriate method based on the underlying cause, medical history, and test results of the male partner.<\/p>\n\t<p>Medical Note<\/p>\n<h2>\n\t\t\tWhich is better PESA or TESE?\t<\/h2>\n\t<p>The choice between PESA and TESE depends on the cause of azoospermia, the type of blockage, semen analysis results, and evaluation by a fertility specialist. In some cases, a less invasive method may be tried first, while in others, direct testicular sperm retrieval may be more appropriate.<\/p>\n\t<p>Start with Confidence<\/p>\n<h2>\n\t\t\tConsult PESA\/TESE Sperm Retrieval\t<\/h2>\n\t<p>If no sperm is found in semen analysis or there is a history of blocked sperm ducts, you can consult Gift Fertility Centre Bangkok for a proper evaluation and personalized treatment plan.<\/p>\n\t\t\t<a href=\"https:\/\/giftfertilitybangkok.com\/en\/contact-us\/\"  target=\"_self\">\n\t\t\t\t\t\t\tSchedule a Free Consultation\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/giftfertilitybangkok.com\/en\/book-appointment\/\"  target=\"_self\">\n\t\t\t\t\t\t\t Book Your First Appointment\n\t\t\t\t\t<\/a>\n\n","protected":false},"featured_media":2649,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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