How much does PESA cost in Nepal?

Let’s be honest—dealing with infertility is tough. And when it comes to male infertility, it often feels even more confusing and overwhelming. One such situation is when a man’s semen doesn’t have sperm, even though everything looks normal from the outside. That’s where techniques like PESA (Percutaneous Epididymal Sperm Aspiration) come in. 

It’s a small but powerful medical procedure that helps retrieve sperm from the male body—giving hope to couples who are trying for a baby. 

If you’re looking into fertility treatments in Nepal, you may be wondering how much PESA costs, how it works, whether it’s safe, and if it’s the right option for you. 

Don’t worry—I’ll explain everything in the simplest way possible, like a friend guiding you through it. By the end of this article, you’ll have a clear understanding of PESA, its cost in Nepal, and whether it’s the right path for your fertility journey.

What is PESA? (Percutaneous Epididymal Sperm Aspiration)

Let’s start with the basics.

PESA is a medical technique used to retrieve sperm from the epididymis, a small tube located behind the testicles where sperm is stored. In some men, sperm is produced normally in the testicles, but because of a blockage or a missing sperm duct, it cannot come out in the semen. PESA helps in these cases by directly collecting sperm using a tiny needle.

Think of it like this: sperm is being made, but it’s stuck behind a blocked road. PESA simply finds a shortcut to that sperm.

It’s mostly used in cases of obstructive azoospermia—a condition where the sperm is there, but blocked from release. It’s also helpful for men who’ve had vasectomy but now want children again.

How is PESA Done?

Here’s what the actual procedure looks like—it’s much simpler than it sounds:

1. Local Anesthesia: The doctor numbs the scrotal area so you won’t feel pain.
2. Needle Insertion: A fine needle is inserted through the skin into the epididymis.
3. Sperm Aspiration: A small amount of fluid is drawn out, which contains sperm.
4. Microscope Examination: The lab checks for healthy sperm to use in treatments like ICSI (Intracytoplasmic Sperm Injection).

That’s it! No big cuts, no hospital admission, and minimal discomfort. Most men walk out of the clinic in an hour.

Who Needs PESA?

Not every man with fertility issues needs PESA. This technique is mainly for:

• Men with obstructive azoospermia
  
• Men born with congenital absence of vas deferens (a tube that carries sperm)
  
• Men who’ve had a vasectomy but want kids now
  
• Men with ejaculatory issues
  
• Couples going for IVF + ICSI treatment where sperm cannot be collected naturally
  

Before recommending PESA, doctors usually do semen analysis, ultrasound, and hormone tests to figure out the root cause of infertility.

PESA Cost in Nepal

If you’re planning to go for PESA treatment in Nepal, the first question that comes to mind is—how much does it cost? Thankfully, PESA (Percutaneous Epididymal Sperm Aspiration) is one of the more affordable fertility procedures. On average, the cost of PESA in Nepal ranges from NPR 20,000 to NPR 50,000.

The exact price depends on the clinic, the doctor’s experience, the city you’re in (Kathmandu clinics are usually a bit more expensive), and whether PESA is being done alone or as part of an IVF/ICSI cycle. Some clinics offer it as a separate service, while others include it in a full fertility package.

Also, if you’re going for sperm freezing, there might be an additional yearly storage charge of around NPR 10,000 to NPR 25,000. Always ask for a full breakdown before you decide, and don’t hesitate to compare a few options. Most importantly, even though PESA is a low-cost procedure, it can be life-changing when it helps you start your family.

Is PESA Included in IVF Packages?

It depends on the clinic. Some places treat PESA as a separate procedure, while others offer it as part of an IVF-ICSI bundle.

• IVF alone in Nepal: NPR 3,50,000 to NPR 5,00,000
• ICSI: NPR 50,000 to NPR 80,000 extra
• PESA: NPR 20,000 to NPR 50,000

So, you can expect the total treatment to cost somewhere between NPR 4,00,000 to NPR 6,00,000, depending on where you go and what’s included.

What is the Success Rate of PESA?

Here’s the good news—PESA has a high success rate when the problem is due to blockage and not sperm production.

• Sperm retrieval success rate: 90–100%
• Fertilization success with ICSI: 60–75%
• Live birth rate (with IVF/ICSI): 35–50% per cycle (depends on female partner’s age and egg quality)

If PESA fails (very rare), doctors may go for TESA or TESE as a backup.

Is PESA Safe? Are There Any Side Effects?

Yes, PESA is safe, especially when done by an experienced doctor. Since it’s a needle-based procedure, there are no major risks. Some common and temporary side effects include:

• Mild discomfort or pain
• Swelling in the scrotal area
• Bruising
• Temporary redness
  

These usually go away within 24–48 hours. You can go back to work the next day. Painkillers and ice packs are enough to manage symptoms.

Can Sperm from PESA Be Frozen?

Yes! If the sperm retrieved during PESA is healthy, it can be frozen and stored for future IVF or ICSI cycles.

This is helpful because:

• You don’t need to repeat the procedure again
  
• It saves money in the long run
  
• Frozen sperm can be used for multiple cycles
  

The cost of sperm freezing in Nepal ranges between NPR 10,000 to NPR 25,000 per year depending on the clinic.

Recovery After PESA

PESA doesn’t need hospital admission. Here’s how the recovery typically goes:

Day 1–2:

• Rest at home
• Use cold packs to reduce swelling
• Take pain relief if needed

Day 3–4:

• Resume light work
• Avoid exercise, heavy lifting, or sex

Day 5–7:

• Back to normal activities
• Wear loose underwear and avoid tight jeans
  

If you feel feverish, experience excessive swelling, or any unusual symptoms—call your doctor.

Should You Be Worried About PESA?

Not really. It’s okay to feel nervous before any procedure, but the truth is, PESA is a simple, low-risk procedure that has helped thousands of couples become parents.

You are not alone. Many couples go through this. Male infertility is not something to feel ashamed of—it’s a medical condition, just like any other. The best thing you can do is be open, ask your doctor all your doubts, and support each other through this journey.

Emotional Support Matters

Going through fertility treatment is not just physical—it’s emotional too. Many couples feel:

• Stressed
• Tired
• Anxious
• Alone

It’s totally normal. The best way to get through it is to:

• Talk to each other openly
• Take breaks when needed
• Join support groups (online or local)
• Seek counseling if things feel overwhelming

Remember, no matter how hard it seems—there’s always hope.

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 specialized IVF treatment strategies for all patients. We guarantee attentive and sophisticated care to all patients while using specialized technology to maximize 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

Choosing to go through a procedure like PESA in Nepal can feel overwhelming at first, but it’s honestly one of the simpler and safer ways to retrieve sperm when natural conception isn’t possible. Whether it’s due to a blockage, past vasectomy, or other conditions, PESA offers real hope for couples struggling with male infertility. The cost is quite affordable in Nepal, ranging from NPR 20,000 to NPR 50,000, and the recovery is quick. 

The success rate is high, especially when combined with IVF and ICSI. More importantly, you and your partner are not alone in this journey—many couples go through it and come out stronger. So, take your time, speak with a fertility expert, compare clinic options, and move ahead when you’re ready. Parenthood may take a little help, but with the right support and information, your dream is absolutely within reach.

FAQs (Frequently asked questions)

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