Book an Appointment
+91-7899912611
fertility treatments

All You Need to Know About MESA

  • 4.7 (6 Votes)
  • 11389 views

Through MESA sperm can be retrieved to freeze for ivf treatment or ivf procedure. Expelled sperm is later used for test tube baby or ivf treatment or procedure

Microsurgical epididymal sperm aspiration (MESA) refers to the retrieval of sperm-containing fluid from optimal areas of the epididymis that are chosen and tested utilizing high-power optical magnification provided by an operating magnifying lens. Recovered sperm is subsequently used for intracytoplasmic sperm injection (ICSI) to induce fertilization and pregnancy.

MESA is considered by numerous experts to be the best quality technique for sperm retrieval in men with obstructive azoospermia given its high yield of quality sperm, excellent reported fertilization and pregnancy rates, and low risk of complications. In any case, MESA must be performed in an operating room, requires microsurgical skills and is only helpful for reproduction using ICSI.

Test tube baby, ivf procedure, ivf

What is MESA?

Azoospermia or the condition of no sperm ejaculation or can be called as male infertility, happens either because there is the blockage in the reproductive tract or a deficiency in sperm production gland. For many men with this type of infertility problems, a surgical procedure is necessary to extract sperm directly from the epididymis, where mature sperm are stored, or the testicles, where they are produced.

Microsurgical Epididymal Sperm Aspiration or MESA is a relatively painless and minimally invasive procedure performed under local anesthesia.

Only a very small incision need be made under local anesthesia to be able to access the epididymis. Using magnification, the tiny epididymal tubules can be seen and open several to get the sperm contained inside. Usually, enough sperm can be obtained to freeze for various cycles of IVF. The sperm that is expelled is always checked immediately under a microscope.

ivf procedure, ivf

When to go to MESA?

This technique works well in conditions where sperm is being produced in adequate number but is blocked from traveling from the testicle to the ejaculate in below cases:

  • A prior vasectomy
  • Prior hernia repair with mesh
  • Blockage of the seminal vesicles
  • Cystic fibrosis
  • Immotile cilia syndrome

MESA is also the procedure of choice because of the ability to retrieve a large number of sperms that may be cryopreserved (frozen) and used in future cycles. Many men may be candidates for a reconstructive vasoepid dymostomy and at the same time of sperm harvest, thus increasing the chances of having sperm appear in the ejaculation. Recovery time from the operative procedure is only a few days and complications are rare and listed below:

  • Infection
  • Severe pain in the abdomen
  • Damage to the testicle

To know ways to optimize sperm health please read our article on Sperm Optimization. Moreover, in case you want to know your sperm count health then refer to our article on Normal Sperm Count.

Dr. Neha Gupta

About The Author

Infertility Specialist, IVF Specialist Dr. Neha Gupta
Gurgaon

Dr. Neha Gupta is an Obstetrician and Gynaecologist in Gurgaon. She has been practicing for many years now. Her rich experience in Normal Vaginal Delivery, Intrauterine Insemination (IUI), In-Vitro Fertilization (IVF), Hysterectomy and Tubectomy makes her the most preferred names in Gurgaon. She has acquired MBBS in 2004, DNB from National Board of Examinations in 2009 and MS - Obstetrics and Gynaecology from Maulana Azad Medical College in 2009. She is a member of the Royal College of Obstetricians and Gynaecologists, London. Dr. Neha Gupta has an expertise in Intrauterine Insemination and is practicing at Fortis Memorial Research Institute in Gurgaon. You can get the contact details of Dr. Neha Gupta at elawoman.com

SOURCES AND REFERENCES:

  1. Vitamins and minerals to help increase sperm count sperm-containing, Elawoman - 2017
  2. What is icsi ICSI, Elawoman - 2017
  3. Treatments used for infertility issues in couples infertility, Elawoman - 2017
  4. What are the functions of uterus? reproductive, Elawoman - 2017
  5. 11 reasons why couples go for ivf IVF, Elawoman - 2017
  6. Intrauterine insemination may help you conceive sperm, Elawoman - 2017
  7. Five important things that optimize sperm quality Sperm Optimization, Elawoman - 2017
  8. What is a normal sperm count for pregnancy? Normal Sperm Count, Elawoman - 2017

6 Comments

user_img

Arun Bhattarai

What to do if MESA treatment fails, should I try again MESA or go for some other treatment? Please suggest!

Dec. 19, 2018, 3:25 p.m. 4.5

user_img

Mukesh Ballap

Thanks for sharing a really informative article. I don't have any doubt for MESA treatment now and I am surely gonna try this as I have azoospermia and I think MESA might help me out.

Oct. 3, 2018, 11:56 p.m. 5.0

user_img

Gautam Mishra

MESA treatment should always be done with IVF ICSI. If ICSI is not performed with MESA, then chances of conception are lower.

Feb. 15, 2018, 4:32 p.m. 4.5

user_img

Richa Jindal

Test tube baby through IVF is helping a lot of infertile couples. It's a boon to medical field.

Aug. 31, 2017, 5:54 p.m. 4.5

user_img

Rekha Agarwal

A woman must lay down for at least 20-30 mins while going through IUI procedure. It will help in better movement of sperms inside the body.

Aug. 31, 2017, 5:53 p.m. 5.0

user_img

Sanjeela Kushwaha

Technology like MESA and TESA have only added to the effectiveness of a regular IVF process.

Aug. 31, 2017, 4:08 p.m. 4.5

View all comments

Leave a Comment

Rating

Disclaimer

The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

Related Article view all

Fertility Treatments
Advantages and Disadvantages of ZIFT
Dr. Mukta Kapila
Dr. Mukta Kapila 4.5 (1 Votes)

Advantages and Disadvantages of ZIFT

Termed as the modified version of IVF, Zygote IntraFallopian Transfer (ZIFT) is an Assisted Reproductive Technology (ART) method, used in cases where blocked fallopian tube/s make it impossible for sperm to reach egg for fertilization. Know more about ZIFT process, its cost and advantages.

Read More

Fertility Treatments
Embryo Freezing, Embryo Cryopreservation and Thawing Process
Dr. Neha Gupta
Dr. Neha Gupta 4.5 (1 Votes)

Embryo Freezing, Embryo Cryopreservation and Thawing Process

Embryo freezing is a process that allows an embryo to be frozen for a specific period for future pregnancy. Enhance your understanding on processes of Slow Programmable Freezing and Vitrification along with benefits and disadvantages of embryo freezing.

Read More

Fertility Treatments
What are the Chances for IVF Treatment Success?
Dr. Arti Gupta
Dr. Arti Gupta 4.8 (6 Votes)

What are the Chances for IVF Treatment Success?

A number of factors can impact the result in an IVF cycle. Hence one must be aware of the fact that factors like age, previous pregnancy records, type of infertility problem and life-style etc are very much capable of deciding the fate of the IVF cycle. Success rate for young couples is more than 40% while couples aged more than 35 years have lesser chances of IVF success.

Read More

More From Author

Fertility Treatments
Treatment For Male Infertility
Dr. Neha Gupta
Dr. Neha Gupta 4.7 (5 Votes)

Treatment For Male Infertility

Men have various options in terms of infertility treatment that ran...

Read More

Fertility Treatments
Treatments Used for Infertility Issues in Couples
Dr. Neha Gupta
Dr. Neha Gupta 4.9 (5 Votes)

Treatments Used for Infertility Issues in Couples

We are no more in the age when infertility had no combat. Today var...

Read More

Fertility Basics
Noticeable Sign of Infertility in Women
Dr. Neha Gupta
Dr. Neha Gupta 4.8 (8 Votes)

Noticeable Sign of Infertility in Women

Fertility in women is affected by a number of factors. Female infer...

Read More

Trending Articles

surrogacy
surrogacy

5 Best Surrogacy Doctors in India

Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate. The list has been categorized on the basis of doctors fame, experience, reviews, ratings, and cost. Dr. Mohit Saraogi from Saraogi Hospitals and IRIS IVF Centre and Dr. Kaberi Banerjee from Advanced Fertility Centre top the list of the best surrogacy doctors in India.

Read More 4.5 (1 Votes)

IVF
ivf

Best IVF Doctors in India with Highest Success Rates

Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities. Dr. Nisha Bhatnagar, Dr. Kaberi Banerjee and Dr. Anjali A Deval top the list of such IVF doctors in India due to their unique pricing system, popularity and high success rate.

Read More 4.7 (3 Votes)

surrogacy
surrogacy

Top Surrogacy Centres in India with Highest Success Rates

In this article we bring you the best Surrogacy Centers and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate to help you make the best choice. Aveya IVF and Surrogacy Centre and Advanced Fertility and Surrogacy Centre tops the list of such surrogacy centres in India due to their low treatment costs, popularity and high success rates.

Read More 4.8 (2 Votes)