Struggling with infertility can be one of the most difficult phases in a couple’s life. When natural conception is not possible, many turn to assisted reproductive technologies like IVF or ICSI. But in some cases, especially where there is no sperm in the male partner’s semen, a procedure called TESA – Testicular Sperm Aspiration – becomes necessary.
TESA is a minor surgery that helps extract sperm directly from the testicles, and it has helped many couples fulfill their dream of having a baby. In Nepal, this procedure is becoming more common as fertility awareness grows. If you or someone you know is considering TESA, it’s important to understand how it works, who needs it, what recovery looks like, and of course, how much it costs.
This guide covers everything about TESA cost in Nepal in a friendly and easy-to-understand way, just like a friend explaining things over a cup of tea.
What is TESA?
TESA stands for Testicular Sperm Aspiration. It is a medical procedure used to retrieve sperm directly from the testicles when a man cannot produce sperm in the semen naturally.
This happens in cases of azoospermia, which is the complete absence of sperm in ejaculation. Azoospermia can be of two types:
Obstructive Azoospermia: When sperm is being produced in the testicles, but it cannot come out due to a blockage or absence of the vas deferens.
Non-obstructive Azoospermia: When the sperm production itself is very low or completely absent.
TESA is especially useful in the first condition but may still work in the second, depending on the individual case. The sperm retrieved is usually used in ICSI (Intracytoplasmic Sperm Injection), where a single sperm is injected into an egg.
Who Needs TESA?
TESA is not required for every fertility case. It is specifically recommended for:
- Men with azoospermia (no sperm in semen)
- Men who had a vasectomy and want biological childre
- Men with blockages in sperm ducts
- Men with failed sperm production, but with some live sperm in the testicles
- Couples undergoing IVF/ICSI, where sperm retrieval is difficult
Doctors generally conduct semen analysis, hormone tests, and ultrasounds before suggesting TESA. If any trace of sperm cannot be found in the ejaculation, TESA becomes a possible solution.
How is TESA Performed?
TESA is a simple and quick outpatient procedure that takes around 15–30 minutes. Here’s how it usually works:
- Local Anaesthesia – The doctor numbs the scrotal area, so there’s no pain.
- Needle Insertion – A small needle is inserted into the testicle to aspirate a small amount of tissue or fluid.
- Sperm Extraction – The sample is examined under a microscope to locate and collect live sperm.
Lab Use – If healthy sperm is found, it is preserved for immediate or future use in procedures like IVF or ICSI.
TESA doesn’t require any cuts or stitches. Most patients go home the same day and recover within 1–2 days.
TESA Cost in Nepal
The cost of TESA (Testicular Sperm Aspiration) in Nepal usually ranges between NPR 25,000 to NPR 60,000, depending on the clinic, location, and the expertise of the doctor. TESA is generally a one-time, day-care procedure done under local anesthesia, so the charges are lower compared to more complex surgeries. However, if TESA is being done as part of an IVF or ICSI treatment, it might either be included in the overall package or charged separately.
The total price may also vary if the sperm is being frozen for future use, as storage and freezing come with additional costs. Clinics in Kathmandu or other major cities might charge slightly more due to advanced facilities. It’s always a good idea to ask for a full breakdown of costs, including consultation, lab charges, anaesthesia, and post-procedure care. Some clinics also offer discounts or bundled fertility packages, which can make it more affordable for couples.
Overall, while TESA is not extremely expensive in Nepal, it’s still important to plan your finances well and choose a trusted clinic to ensure both safety and success in your fertility journey.
Are TESA and IVF/ICSI Charged Separately?
Yes, often TESA is charged separately from IVF or ICSI. So, if you are undergoing IVF:
- IVF cost in Nepal: Around NPR 3,50,000 to NPR 5,00,000
- TESA as an add-on: NPR 25,000 to NPR 60,000
Some clinics offer package deals that include IVF, ICSI, TESA, embryo freezing, and transfer. These bundles may be more affordable in the long run.
What is the Success Rate of TESA?
TESA success depends on why there’s no sperm in the semen. Here’s an estimate:
- Obstructive Azoospermia: 90–100% sperm retrieval success
- Non-obstructive Azoospermia: 30–50% success (TESA may fail in some)
If TESA fails, doctors may recommend TESE or Micro-TESE as a backup. It’s important to follow your doctor’s suggestion based on your test results.
Is TESA Painful or Risky?
Most patients describe TESA as slightly uncomfortable but not painful. Since local anaesthesia is used, the pain is minimal. After the procedure, you may feel:
- Mild soreness in the scrotum
- Swelling for a day or two
- Slight bruising
These symptoms usually go away within 48 hours. If there’s unusual pain, fever, or bleeding, contact your doctor immediately.
Risks are rare but may include:
- Infection
- Internal bleeding
- Swelling
- Temporary discomfort
Recovery After TESA
Recovery is usually fast and easy. Here’s what to expect:
Day 1–2:
- Rest at home
- Avoid physical work or lifting
- Use an ice pack if swelling occurs
Day 3–5:
- Resume light activities
Avoid sexual activity and masturbation
Day 6–7:
- Resume normal life if there are no complications
Wear comfortable underwear and follow your doctor’s post-op instructions properly.
Can You Use TESA Sperm for Future IVF Cycles?
Yes, in many cases, the sperm retrieved during TESA can be frozen and stored for future use. This means if your first IVF or ICSI cycle doesn’t work, you don’t need another TESA procedure.
Sperm freezing charges are separate and may cost NPR 10,000 to NPR 30,000, depending on the clinic and duration of storage.
Should You Be Worried About TESA?
Not at all. TESA is a very safe, tested, and effective procedure. Thousands of couples have successfully had children using sperm retrieved through TESA.
However, choosing the right clinic and doctor is crucial. Talk openly with your fertility expert, ask questions, and discuss all your options. Being well-informed is the best way to feel confident and comfortable.
Emotional and Relationship Support
Infertility treatment can take an emotional toll. It’s common to feel stress, anxiety, or even guilt. But remember:
- You are not alone
- Male infertility is just as common as female infertility
- Getting medical help shows strength, not weakness
Talk to each other. Be patient. If needed, speak to a counselor or join a support group. Mental well-being is just as important as physical treatment.
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
TESA is a powerful medical option that gives hope to couples facing male infertility, especially in cases of azoospermia. It’s a safe and effective procedure that allows sperm to be retrieved directly from the testicles, making IVF or ICSI possible.
In Nepal, the cost of TESA generally ranges from NPR 25,000 to NPR 60,000, depending on the clinic, doctor, and overall treatment plan. Many fertility clinics offer TESA as part of their assisted reproduction services, often bundled with IVF or ICSI.
If you’re considering TESA, take your time to understand the procedure, ask the right questions, and choose a clinic that offers professional care and emotional support. With the right help, what feels impossible today could be a beautiful reality tomorrow.
Frequently Asked Questions (FAQs)
1. u003cstrongu003eIs TESA painful?u003c/strongu003e
TESA is usually not painful because it is done under local anesthesia. You might feel mild discomfort or soreness for a day or two after the procedure, but it’s manageable with rest and prescribed medicine.
2. u003cstrongu003eCan I return to work immediately after TESA?u003c/strongu003e
Most people can return to light work within 1–2 days. However, avoid heavy lifting, exercise, or sexual activity for at least 5–7 days as recommended by your doctor.
3. u003cstrongu003eWhat happens if TESA doesn’t retrieve any sperm?u003c/strongu003e
If TESA fails to find sperm, your doctor may recommend more advanced procedures like TESE or Micro-TESE, which are still safe and effective for many cases.
4. u003cstrongu003eHow long can TESA-retrieved sperm be stored?u003c/strongu003e
Sperm retrieved through TESA can be frozen and stored for several years, depending on the clinic’s policy. You’ll need to pay an annual storage fee.
5. u003cstrongu003eIs TESA only for IVF or ICSI?u003c/strongu003e
Yes, sperm collected via TESA is usually not suitable for natural pregnancy. It is used in assisted reproductive techniques like u003cstrongu003eIVF with ICSIu003c/strongu003e, where sperm is injected directly into the egg.
6. u003cstrongu003eIs TESA safe in Nepal?u003c/strongu003e
Yes, TESA is considered safe in Nepal when performed by qualified fertility specialists in reputed clinics. Always choose a centre with proper lab facilities and experienced doctors.