PESA Treatment in Hyderabad
Percutaneous Epididymal Sperm Aspiration (PESA) is a minimally invasive sperm retrieval procedure designed to help men with obstructive azoospermia and certain forms of male infertility achieve biological parenthood. At Fertilica IVF, we offer advanced PESA Treatment in Hyderabad using modern fertility technologies, expert andrologists, and state-of-the-art laboratory facilities. PESA is often combined with IVF and ICSI treatments, providing couples with an effective solution when sperm cannot be naturally present in the ejaculate.

What is PESA Treatment?
PESA (Percutaneous Epididymal Sperm Aspiration) is a procedure in which sperm are retrieved directly from the epididymis using a fine needle. The epididymis is a small coiled tube located behind the testicle where sperm mature and are stored.
This procedure is commonly recommended for men who produce healthy sperm but have a blockage that prevents sperm from being released during ejaculation. The retrieved sperm can be used immediately for ICSI or frozen for future fertility treatments.
PESA may be recommended for:
- Obstructive azoospermia
- Previous vasectomy
- Congenital absence of the vas deferens
- Blockages in the reproductive tract
- Failed vasectomy reversal
- Ejaculatory duct obstruction
- Male infertility requiring surgical sperm retrieval
How Does PESA Treatment Work?
Step 1
Comprehensive Male Fertility Evaluation
A detailed assessment of reproductive health, medical history, and infertility causes is performed.
Step 2
Diagnostic Investigations
Semen analysis, hormonal testing, and scrotal ultrasound help identify obstructive causes of infertility.
Step 3
Treatment Planning
The fertility specialist determines whether PESA is the most suitable sperm retrieval method.
Step 4
IVF/ICSI Coordination
The procedure is coordinated with the female partner’s fertility treatment cycle for optimal timing.
Step 1
Local Anesthesia Administration
PESA is usually performed under local anesthesia as a day-care procedure.
Step 2
Epididymal Aspiration
A fine needle is inserted into the epididymis to collect fluid containing sperm.
Step 3
Laboratory Examination
The collected sample is immediately examined by embryologists to identify viable sperm.
Step 4
Sperm Processing
Retrieved sperm are processed and prepared for fertilization or cryopreservation.
Step 1
ICSI Fertilization
Retrieved sperm are injected directly into mature eggs through ICSI.
Step 2
Embryo Culture
Fertilized embryos are monitored and cultured under controlled laboratory conditions.
Step 3
Embryo Transfer
Healthy embryos are selected and transferred into the uterus.
Step 4
Pregnancy Monitoring
Follow-up care includes pregnancy testing, ultrasound scans, and fertility support.
PESA Treatment Success Rate in Hyderabad — What to Realistically Expect
PESA offers excellent sperm retrieval rates in men with obstructive azoospermia because sperm production is generally normal. Overall pregnancy success depends on sperm quality, embryo development, female partner’s age, ovarian reserve, and IVF/ICSI outcomes. Fertilization rates using PESA-retrieved sperm are often comparable to those achieved using ejaculated sperm.
| Female Partner Age | Success Rate | Notes |
|---|---|---|
| Under 30 Years | 55% – 75% | Highest fertilization and implantation potential. |
| 30 – 34 Years | 50% – 70% | Excellent IVF-ICSI outcomes. |
| 35 – 37 Years | 40% – 60% | Success depends on embryo quality. |
| 38 – 40 Years | 25% – 45% | Reduced ovarian reserve may affect outcomes. |
| Above 40 Years | 10% – 30% | Success primarily influenced by egg quality. |
PESA Treatment Cost in Hyderabad — Transparent Pricing at Fertilica IVF
At Fertilica IVF, we offer transparent and affordable PESA Treatment in Hyderabad. The total cost varies depending on fertility investigations, the sperm retrieval procedure, laboratory services, cryopreservation requirements, and associated IVF or ICSI treatment costs.
Our specialists provide a detailed treatment plan and complete cost breakdown before treatment begins.
What Factors Affect PESA Treatment Cost in Hyderabad?
- Fertility consultation and male infertility assessment
- Hormonal testing and semen analysis
- Scrotal ultrasound evaluation
- PESA procedure charges
- Anesthesia and procedural requirements
- Andrology laboratory services
- Sperm processing and preparation
- Sperm freezing and storage (if required)
- IVF and ICSI treatment costs
- Follow-up consultations and monitoring
PESA Treatment Cost Comparison — India & Worldwide
| Country | Approximate Cost |
|---|---|
| India | ₹20,000 – ₹60,000 |
| USA | $1,500 – $4,500 |
| UK | £1,000 – £3,000 |
| UAE | AED 3,500 – AED 10,000 |
| Singapore | SGD 1,500 – SGD 5,000 |
| City | Approximate Cost |
|---|---|
| Hyderabad | ₹20,000 – ₹60,000 |
| Bangalore | ₹25,000 – ₹70,000 |
| Chennai | ₹22,000 – ₹65,000 |
| Mumbai | ₹30,000 – ₹85,000 |
| Delhi | ₹25,000 – ₹75,000 |
Why Choose Fertilica IVF — The Best PESA Treatment Clinic in Hyderabad?
At Fertilica IVF, we offer advanced Percutaneous Epididymal Sperm Aspiration (PESA) treatment as part of our specialized male infertility services. Our experienced male fertility specialists, andrologists, and embryologists use modern sperm retrieval techniques supported by a state-of-the-art andrology laboratory to provide safe, effective, and precise care. Every patient receives a personalized fertility treatment plan based on a comprehensive evaluation of their reproductive health and the underlying cause of infertility. Our expertise in PESA, combined with advanced IVF and ICSI treatments, helps optimize fertilization outcomes and improve the chances of achieving a successful pregnancy. We maintain high laboratory quality standards while providing transparent pricing, ethical medical practices, compassionate counselling, and comprehensive fertility services under one roof, making Fertilica IVF a trusted choice for PESA treatment in Hyderabad.
PESA Treatment Eligibility — Who Can Undergo PESA Treatment in Hyderabad?
PESA treatment may be recommended for men with conditions that prevent sperm from being present in the semen despite normal sperm production. It is commonly advised for patients with obstructive azoospermia, men who have undergone a previous vasectomy or experienced a failed vasectomy reversal, and individuals with congenital absence of the vas deferens. The procedure is also suitable for patients with reproductive tract blockages, ejaculatory duct obstruction, or other conditions that prevent the normal transport of sperm. In many cases, PESA is performed to retrieve sperm for use in Intracytoplasmic Sperm Injection (ICSI) during an IVF treatment cycle. A comprehensive male fertility evaluation, including hormonal testing and diagnostic assessment, helps determine whether PESA is the most appropriate sperm retrieval technique based on each patient's medical condition and fertility goals.
How to Prepare for PESA Treatment — Pre-Treatment Checklist
Proper preparation before Percutaneous Epididymal Sperm Aspiration (PESA) treatment can help ensure a smooth procedure and improve the chances of successful fertility treatment outcomes. At Fertilica IVF, our experienced fertility specialists provide personalized care and guidance throughout every stage of the PESA process.
Medical Preparation
Complete a comprehensive fertility consultation and semen analysis before undergoing PESA treatment. Your specialist may recommend hormonal testing, ultrasound evaluation, and other diagnostic investigations to assess reproductive health and determine the most suitable treatment approach. Be sure to share your complete medical and surgical history, including any previous fertility treatments or procedures, and complete all prescribed investigations before the procedure.
Treatment Planning
Take time to understand the PESA procedure, its purpose, and the expected outcomes. Your fertility specialist will coordinate the timing of sperm retrieval with planned IVF or ICSI treatment cycles to maximize the chances of success. If appropriate, discuss sperm freezing and storage options to preserve retrieved sperm for future fertility treatments.
Lifestyle Preparation
Avoid smoking and alcohol consumption, as these factors can negatively impact sperm quality and overall reproductive health. Maintain a healthy body weight and follow a balanced diet rich in essential nutrients. Continue taking prescribed medications and fertility supplements as directed by your specialist, stay well-hydrated, and engage in regular moderate physical activity to support overall wellness.
Procedure Day Preparation
Follow all pre-procedure instructions provided by your fertility team, including fasting requirements if sedation is planned. Wear comfortable clothing on the day of the procedure and arrange transportation home if sedation or anesthesia will be used. Carefully follow all instructions from your fertility specialist to ensure a safe and comfortable treatment experience.
With advanced sperm retrieval technology, experienced fertility experts, and personalized treatment protocols, Fertilica IVF helps couples overcome male infertility challenges through safe and effective PESA Treatment in Hyderabad.
Frequently Asked Questions
Everything you need to know about PESA Treatment at Fertilica
