These methods are often used if the man is sterilized or has azoospermia. TESE/PESA is the surgical removal of semen and takes place under local anaesthesia.

PESA (Percutaneous Epidydimal Sperm Aspiration) is when the sperm are sucked out of the epididymis with a thin needle.

TESE (Percutaneous Epidydimal Sperm Aspiration) is an operative retrieval of sperm from the testicle. A biopsy is taken, which the embryologist then places under a microscope in the hope of finding live sperm that can be used for IVF treatment.

Male patient in modern clinic interior
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