All You Need to Know About MESA
IVF, IUI, ICSI, FET, TESA
Home Blog Fertility Treatments All You Need to Know About MESA
06 February 2017

All You Need to Know About MESA

All You Need to Know About MESA
author_img
Written by Dr. Neha Gupta
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

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 for 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:

  1. A prior vasectomy
  2. Prior hernia repair with mesh
  3. Blockage of the seminal vesicles
  4. Cystic fibrosis
  5. 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:

  1. Infection
  2. Severe pain in abdomen
  3. Damage to the testicle

You May Also Like

Fertility Treatments
blog_img

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. Advanced Fertility and Aveya IVF tops the listof such surrogacy centres in India due to their low treatment costs, popularity and high success rates.
Read More

Dr. Srilatha Gorthi
Fertility Treatments
blog_img

Here is a list of best IVF doctors in Kolkata with their Rating, Success Percentages, IVF package costs, Services offered and Centre details. Dr.SubiditaChatterjee and Dr.IndraniLodhtop the list of such IVF doctors in Kolkata due to their unique pricing system, popularity and highest success rates.
Read More

Dr. Mehul
Fertility Treatments
blog_img

Find the list of most affordable IVF centres in Navi Mumbai with their Rating, Success Rate, Services and IVF package costs. MITR Hospital and Rajgobind Hospital top the list of such IVF centres in Navi Mumbaibecause of their unique pricing system.
Read More

Dr. Sheetal Sawankar

More From Author

Fertility Treatments
blog_img

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

Dr. Neha Gupta
Fertility Treatments
blog_img

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

Dr. Neha Gupta
Fertility Basics
blog_img

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

Dr. Neha Gupta

3 Comments

user_img
Isla Clark
Aug. 31, 2017, 4:08 p.m.
Avocados,walnuts and strawberries can help in increasing sperm count. A healthy sperm count elevates the success rate of IVF treatment
user_img
Ava Hill
Aug. 31, 2017, 5:53 p.m.
a woman must lay down for at least 20-30 mins while going through ivf procedure. It will help in better movement of sperms inside the body.
user_img
Alvin Smith
Aug. 31, 2017, 5:54 p.m.
Test tube baby through ivf is helping lot of infertile couples. Its a boon to medical field.
CATEGORIES