For many couples facing infertility, the journey to becoming parents can be full of emotional and physical challenges. One common issue is male infertility, sometimes caused by a lack of sperm in the semen, a condition called azoospermia. Thankfully, with medical advancements like MESA (Microsurgical Epididymal Sperm Aspiration), there is new hope. MESA is a gentle and precise procedure where doctors collect sperm directly from the epididymis, allowing couples to try assisted methods like IVF or ICSI to achieve pregnancy.
In Kathmandu, which is becoming a popular place for fertility treatments in Nepal, the Nepal IVF Centre is known for offering advanced services like MESA. With modern facilities and skilled doctors, the centre gives couples a reliable and affordable option for treating male infertility.
In this article, we’ll explain everything you need to know about the MESA procedure — how it works, what the MESA treatment cost in Kathmandu, the benefits, possible risks, and success rates — all in a simple, friendly, and easy-to-understand way.
What is MESA?
MESA (Microsurgical Epididymal Sperm Aspiration) is a surgical technique used to retrieve sperm directly from the epididymis. The epididymis is a tightly coiled tube where sperm mature and are stored before ejaculation. This procedure is ideal for men who have obstructive azoospermia—a condition where sperm production is normal but a blockage prevents sperm from reaching the semen.
Unlike some other sperm retrieval methods, MESA is performed using an operating microscope, which allows for greater precision and minimises damage to surrounding tissues.
MESA Procedure at Nepal IVF Centre, Kathmandu
At the Nepal IVF Centre in Kathmandu, MESA is carried out by skilled andrologists using microsurgical techniques in a sterile operating room environment. Here’s what the process typically looks like:
1. Pre-Procedure Evaluation
Before the procedure, patients undergo a thorough evaluation which includes:
- Semen analysis to confirm azoospermia.
- Hormonal tests (FSH, LH, Testosterone).
- Scrotal ultrasound to assess the epididymis and testicles.
- Genetic testing in some cases.
The fertility team uses these reports to determine if MESA is the right treatment for the patient.
2. Anesthesia
MESA is usually done under general or regional anesthesia, ensuring the patient feels no pain during the procedure. It’s typically an outpatient surgery, meaning patients can return home the same day.
3. Microsurgical Sperm Aspiration
Using a surgical microscope, the surgeon makes a small incision in the scrotum to expose the epididymis. They then locate a tubule that contains sperm and aspirate fluid using a fine needle. The fluid is immediately checked under a microscope to confirm the presence of motile sperm.
4. Sperm Collection and Storage
Once sperm are retrieved, they are:
- Processed and frozen (cryopreserved) for future use in IVF or ICSI.
Sometimes used fresh on the same day if the female partner is undergoing egg retrieval.
5. Post-Procedure Recovery
After the procedure:
- Patients rest for a few hours at the centre.
- Mild pain or swelling may occur but usually resolves within a few days.
- Most patients can return to normal activities in 2–3 days.
MESA Treatment Cost in Kathmandu
One of the major reasons why many couples prefer Kathmandu for fertility treatments is the affordability. Compared to metro cities, the cost of procedures like MESA here is significantly lower—without compromising on quality.
At Nepal IVF Centre in Kathmandu , the MESA procedure typically costs between ₹45,000 to ₹70,000. This cost may vary based on factors such as:
- Type of anesthesia used (local vs general)
- Inclusion of sperm freezing or storage
- Consultation and diagnostic charges
- Whether the sperm is used immediately or preserved for later use
Benefits of MESA (Microsurgical Epididymal Sperm Aspiration)
MESA is a preferred treatment for men facing certain types of infertility, especially those with obstructive azoospermia. Here are some of the key benefits:
1. Minimally Invasive & Safe
MESA is a microsurgical procedure that is performed using high-precision techniques. It minimizes tissue damage and has a low risk of complications when done by experienced professionals like those at Nepal IVF Centre in Kathmandu.
2. High Sperm Quality
Unlike other methods, MESA allows the doctor to select motile and mature sperm directly from the epididymal tubules. This increases the chances of successful fertilization during ICSI.
3. Better Outcomes in ICSI
MESA is often paired with ICSI (Intracytoplasmic Sperm Injection), where a single sperm is injected into an egg. Higher sperm quality from MESA often results in better fertilization and embryo development.
4. Ideal for Men with Obstructive Azoospermia
MESA is specially designed for men whose sperm production is normal, but there’s a blockage preventing the sperm from being released during ejaculation. It bypasses the blockage entirely.
5. Option to Freeze Sperm
The procedure usually collects a large number of sperm, allowing patients to freeze and store them for multiple IVF cycles—reducing the need for repeat surgeries.
6. Performed Under Anesthesia
The patient feels no pain during the procedure as it’s done under local or general anesthesia. Recovery is also quick in most cases.
7. Outpatient Procedure
Most MESA procedures are done on an outpatient basis, meaning you can go home the same day and resume normal activities in a few days.
Risks and Considerations of MESA
While MESA is generally a safe and effective procedure, it’s important to be aware of a few potential risks and factors to consider before undergoing the treatment.
1. Surgical Risks
Although rare, as with any surgical procedure, there can be minor risks such as:
- Infection
- Bleeding or swelling
- Discomfort or pain at the surgical site
Proper post-operative care and antibiotics (if prescribed) usually prevent or manage these issues.
2. Anesthesia-Related Effects
Since MESA is done under anesthesia, there may be temporary effects like:
- Drowsiness
- Nausea
- Mild allergic reactions
These usually subside within a few hours.
3. Not Suitable for All Infertility Types
MESA is ideal for obstructive azoospermia, but not effective for non-obstructive azoospermia (where sperm production itself is low or absent). A proper diagnosis is crucial before opting for this procedure.
4. Possibility of Repeat Procedures
Sometimes, the first MESA attempt may not retrieve enough viable sperm, and a second procedure might be needed. However, this is rare when done at a centre like Nepal IVF with experienced specialists.
5. Emotional and Financial Stress
Dealing with infertility can be emotionally draining, and procedures like MESA combined with IVF/ICSI may be costly. However, understanding the success rates and benefits can help make a confident decision.
Success Rate of MESA at Nepal IVF Centre in Nepal
Nepal IVF Centre in Kathmandu has become a trusted name for male infertility treatments, especially procedures like MESA. Their success rate with MESA is considered one of the highest in the region, thanks to expert doctors, modern technology, and personalised care.
Key Highlights of Success at Nepal IVF:
- High Sperm Retrieval Rate
The centre reports a 90–95% success rate in retrieving viable sperm during the MESA procedure, especially for patients with obstructive azoospermia. - Strong IVF-ICSI Outcomes
Once sperm is retrieved through MESA, it’s used in IVF with ICSI (Intracytoplasmic Sperm Injection). The fertilization and pregnancy success rates at Nepal IVF are significantly high — around 60–70%, depending on the female partner’s health and age. - Customized Fertility Planning
Each case is handled individually, with thorough testing and counselling sessions to ensure the best strategy for the couple. - Experienced Team
The fertility specialists at Nepal IVF Centre are trained in advanced microsurgical techniques, ensuring precise and careful sperm extraction with minimal discomfort. - Supportive Environment
The centre offers emotional support and detailed guidance at every step, helping couples stay informed and positive throughout their journey.
Why choose the Nepal IVF Centre?
A compassionate service provider like Nepal IVF Centre is an expert in the field of parenthood and supports patients in making their parents’ dreams come true. We, at Nepal IVF Centre, have in place a fully experienced team that works round the clock to custom-create specialised IVF treatment strategies for all patients. We guarantee attentive and sophisticated care to all patients while using specialised technology to maximise success rates.
Our understanding of the IVF emotional journey enables us to actively support you throughout the process. Furthermore, my treatment options include very affordable and quality value statements, making IVF available to more families. Lastly, in our firm belief, the combination of success and comfort, along with a welcoming environment, makes us the best choice for people planning to start or grow a family.
Conclusion
If you or your partner are facing male infertility challenges, especially due to obstructive azoospermia, MESA at Nepal IVF Centre in Kathmandu can be a highly effective solution. With advanced surgical techniques, expert fertility specialists, and personalized care, Nepal IVF ensures high success rates at an affordable cost. Their commitment to providing transparent pricing, emotional support, and state-of-the-art care makes them a top choice for couples seeking fertility treatment.
Whether you’re just starting your journey or have faced failed attempts before, Nepal IVF Centre could be your next step toward building the family you’ve always dreamed of.
Frequently Asked Questions (FAQs)
Is MESA a painful procedure?
No, MESA is performed under anesthesia, so there’s no pain during the procedure. Patients may experience mild discomfort or swelling afterward, but recovery is usually quick.
Can the sperm retrieved through MESA be frozen for future use?
Yes, the sperm obtained through MESA can be cryopreserved (frozen) for future IVF cycles, which can save costs and avoid repeated procedures.
Is MESA better than TESA?
MESA is usually preferred for men with obstructive azoospermia and when high-quality sperm is needed. It’s less invasive than TESA in some cases and provides more motile sperm.
How long does it take to recover after MESA?
Recovery after MESA is quick. Most patients resume normal activities within 1–2 days, although strenuous activity should be avoided for about a week.
Is MESA covered by health insurance in India?
Generally, MESA is not covered under most standard health insurance plans in India. However, it’s best to check with your provider, as some plans may cover parts of the IVF procedure.