Best MESA Centres in Chennai

Average Ratings 4/5 35 vote(s)

Top MESA Centres in Chennai with options to book your first appointment FREE. Check Reviews, Fees, Cost, Success rates, Contact Number and Address for all MESA Treatments.

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Patients Recommended
Surrogacy & IVF Centre
Verified

Anna Nagar | Chennai

4.9 / 5 4 vote(s)

    • Fee: - Rs. 500
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 55,000
  • Intrauterine Insemination (IUI), Obstetrics and Gynecology, In Vitro Fertilization (IVF), Inferti...
Femelife Fertility - Chennai
86%
Patients Recommended
Surrogacy & IVF Centre

Ashok Nagar | Chennai

4.5 / 5 7 vote(s)

    • Fee: - Rs. 500
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 20,000
  • Abdominal Hysterectomy, Intrauterine Insemination (IUI), Pre Genetic Screening (PGD), In Vitro Fe...
Iswarya Fertility Center - Ambattur
67%
Patients Recommended
IVF and Infertility Clinic
Verified

Ambattur | Chennai

4.1 / 5 3 vote(s)

    • Fee: - Rs. 500
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 20,000
  • High Risk Pregnancy Management, Intrauterine Insemination (IUI), Obstetrics and Gynecology, In Vi...
Iswarya Fertility Center - Tambaram
67%
Patients Recommended
IVF and Infertility Clinic

Tambaram | Chennai

4.1 / 5 3 vote(s)

    • Fee: - Rs. 500
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 20,000
  • Intrauterine Insemination (IUI), Obstetrics and Gynecology, In Vitro Fertilization (IVF), Donor S...
Iswarya Womens Hospital and Fertility Center
60%
Patients Recommended
IVF and Infertility Clinic
Verified

Adyar | Chennai

4.0 / 5 5 vote(s)

    • Fee: - Rs. 500
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 20,000
  • High Risk Pregnancy Management, Intrauterine Insemination (IUI), Obstetrics and Gynecology, In Vi...
ARC International Fertility and Research Centre, Egmore
IVF and Infertility Clinic

Egmore | Chennai

2.9 / 5 2 vote(s)

    • Fee: - Rs. 1000
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 35,000
  • Laparoscopy Surgery, Infertility Assessment & Treatment, Microsurgical Epididymal Sperm Aspiratio...
Indigo Womens Center
Surrogacy & IVF Centre

Anna Nagar | Chennai

2.8 / 5 1 vote(s)

    • Fee: - Rs. 700
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 50,000
  • Gynecologist Consultation, Infertility Diagnosis and Management, Gynecological Treatment, Inferti...
Chennai Fertility Center and Research Institute
IVF and Infertility Clinic

Arumbakkam | Chennai

2.7 / 5 2 vote(s)

    • Fee: - Rs. 500
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 20,000
  • DNA Fragmentation Test, Cryopreservation and Vitrification, General Medical Consultation, In Vitr...
Srushti Fertility Centre and Womens Hospital - Ramapuram
Surrogacy & IVF Centre
Verified

Ramapuram | Chennai

2.4 / 5 2 vote(s)

    • Fee: - Rs. 600
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 16,000
  • Laparoscopy Surgery, Infertility Assessment & Treatment, Microsurgical Epididymal Sperm Aspiratio...
ARC International Fertility And Research Centre, Perungudi
IVF and Infertility Clinic

Perungudi | Chennai

2.4 / 5 2 vote(s)

    • Fee: - Rs. 1000
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 35,000
  • Obstetrics and Gynecology, Ultrasound, Infertility Assessment & Treatment, Microsurgical Epididym...
Iswarya Fertility Center - Kottivakkam
IVF and Infertility Clinic
Verified

Kottivakkam | Chennai

2.4 / 5 1 vote(s)

    • Fee: - Rs. 300
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 20,000
  • Intrauterine Insemination (IUI), Obstetrics and Gynecology, In Vitro Fertilization (IVF), Donor S...
ARC International Fertility and Research Centre, Tirunelveli
IVF and Infertility Clinic

Perumalpuram Tirunelveli | Chennai

2.3 / 5 3 vote(s)

    • Fee: - Rs. 1000
    • Microepididymal Sperm Aspiration (MESA) Cost: - Rs. 35,000
  • In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), Hysteroscopic Surgery, Semen Freez...

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Male Infertility Treatment in MESA Centres Chennai

Modern reproductive technology has developed hugely to help infertile men who were previously considered incapable of fathering a child. With advancement in medical equipment, infertility specialists can perform procedures, which involved the extraction of sperms from the various male reproductive glands.

Doctors perform this technique when a man has no or extremely low number of sperms in the semen during ejaculation. This condition is called Azoospermia and it can result from blockage of the ejaculatory system (obstructive azoospermia) or from the failure of sperm production in the testicle (non-obstructive azoospermia). Azoospermia can interrupt the production of normal sperms within the testicle but even in these cases, there are areas in the reproductive organs where normal sperms are stored.

Sperm retrieval procedures are necessary for situations where a man cannot ejaculate healthy motile sperms. The most common cause of obstructive azoospermia is a prior vasectomy but other causes may also include prior infection, prior hernia repair with mesh or other prior surgery on the testicles. Non-obstructive azoospermia is caused due to genetic conditions, past testicle infections or hormone abnormalities. All these conditions can interrupt the production of normal sperms, which lead to male infertility.

In MESA centres in Chennai perform these procedures through various techniques but the most common method is by Microscopic Epididymal Sperm Aspiration (MESA). This technique uses either surgical approach or a needle aspiration through microsurgery to the epididymis or testes in order to retrieve sperms. It is a relatively painless and less invasive procedure performed in MESA centres in Chennai under local anesthesia.MESA centres in Chennai take a diligent approach with a team of experienced infertility specialists for a seamless retrieval and preservation process. Male partner's recovery is also kept in mind during treatment.

MESA (Microscopic Epididymal Sperm Extraction)

MESA is a technique for extracting healthy sperms using a surgical microscope to open the small tubes within the epididymis. For a condition where sperm production is adequate yet an obstruction does not allow sperm to travel from the testicle to ejaculate, doctors recommend MESA. This is a commonly favored approach when harvesting sperms after a vasectomy.

An operating microscope and doctors with special skills are necessary to identify the tubes, which are most likely to contain sperms. Immediate examination follows sample retrieval to look for sperms. Sperm harvested from the epididymis generally are of better quality than the sperm harvested directly from the testicle because they get more time to mature.

This procedure begins with a general or spinal anesthetic and involves an incision in the scrotum to gain access to the epididymis. They use harvested sperm immediately or keep them frozen for future use. In cases where no sperms are found, it is necessary to look inside the testicle for viable sperm through a procedure called TESE or Testicular Sperm Extraction.

Tests before MESA Procedure

If a man is ready to proceed for MESA treatment, both the couples require going through several procedures. During the first consultation at MESA centres in Chennai, perform various laboratory and clinical tests on both partners in order to find out the possible causes of infertility. Semen analysis is one of the laboratory tests carried out to assess the infertility reports of the male partner. This test will determine whether sperm cells are present or not in the ejaculate. A doctor can conduct a repeat test if no sperm cells are found in order to confirm the results. The concerned specialist at MESA centres in Chennai reviews the reports and proceeds with the medical treatment. Doctors perform MESA treatment to correct male infertility condition called azoospermia when there are no sperm cells in the ejaculate.

Andrologists carry out the Physical examination in MESA centres in Chennai to determine the condition of each testis, epididymis and vas deferens. Small soft testes suggest impaired sperm production, while hard epididymitis or absence of palpable vasa deferentia(with normal volume testes) suggests obstruction. Doctors perform Digital rectal examination of the prostate to look for seminal vesicle dilation and palpable midline prostate abnormalities, which suggest ejaculatory duct obstruction.

To get the best semen sample and accurate results, the doctors at MESA centres in Chennai may recommend the following instructions:

The doctor also conducts a physical examination including:

MESA centres in Chennai perform the following tests:

Below factors can negatively affect the test:

Right Candidate for MESA Treatment

As with any surgical procedure, the condition of the patient is crucial to successful sperm retrieval. For men with obstructive azoospermia (OA) showing obstruction in vas deferens, blockage of the seminal vesicles, cystic fibrosis, and immotile cilia syndrome, Microsurgical Epididymal Sperm Aspiration (MESA) is the most effective procedure for sperm extraction.

A man with Nonobstructive azoospermia (NOA) is not fit for epididymal sperm retrieval as the chances of finding sperm in the epididymis and not in the ejaculate is exceedingly rare. MESA centres in Chennai first categorize the patient into OA or NOA. They look into his past record of treatments for determining the etiology of his OA. Some men also have endocrine disorders and they can benefit from hormone modulation before sperm extraction. Doctors examine post-vasectomy and testosterone reports before going for the procedure.

The reproductive goals of the couple play an important role in the selection of the optimal surgical treatment for azoospermia; therefore, they discuss them specifically. Doctors ask each couple about their opinion and beliefs about the use of assisted reproduction. Couples with objections to assisted reproduction a may also go for microsurgical reconstruction to remove an obstruction in vas deferens.

MESA Treatment Procedure

Doctors perform MESA in the operating room with general anesthesia under the operating microscope. MESA centres in Chennai generally recommend MESA treatments on conditions like obstructive azoospermia, which involves dissection of the epididymis under the operating microscope and insertion of the tube. The expert extracts semen through the epididymal tubule and collects it in the Epididymal bed. If the connection between epididymis and blood vessels is quite rich, the sperms may be contamination by blood cells that may affect sperm fertilizing capacity. They check removed sperms immediately under a microscope to examine health and motility. If they lack in quality, the doctor may remove sperm fluid directly from the testicle through the same small incision.

MESA centres in Chennai take an effective approach so that the retrieval, examination, and preservation of the sperms go seamlessly without any complications.

Harvesting the Sperms

An open surgical approach and a needle aspiration are two ways to get sperms. Each approach has certain risks and benefits, therefore, may not be appropriate for everyone. Although it is sometimes possible to harvest enough sperm for intrauterine insemination (IUI), it is more common to use harvested sperm for In-vitro Fertilization (IVF) after MESA procedure. If the couple agrees to fertilize eggs by directly injecting sperm into an egg by means of ICSI, the required amount of sperms is relatively low.The doctors use sperms immediately after examining them to fertilize an egg or cryopreserved them for a later time. The ideal technique for harvesting sperm depends on a variety of factors such as a cause of infertility, disorders in the epididymis or the type of fertility treatment.

Procedures after MESA

In MESA centres in Chennai, use a tube containing a buffered medium to mix and store the retrieved sperms. Later, they examine a drop of the mixture to assess the quality of the spermatozoa. They remove Motile sperm with good morphology directly from this dish, examine, wash and inject into the oocyte through IVF/ ICSI process. ICSI treatment is more successful than conventional IVF, both in terms of fertilization and pregnancy rates; therefore, it is common after MESA procedure. In most cases, the remaining sperms are frozen and successfully used in subsequent IVF and ICSI cycles.

An operating microscope and special skills are necessary to identify the tubes most likely to contain sperm. They examine the retrieved samples immediately to look for sperms.

Here are a few guidelines provided by MESA centres in Chennai to assist you to recover from scrotal surgery:

Cost of MESA Treatment

MESA centres in Chennai believe in improving fertility rates and helping couples conceive through various treatment procedures, therefore, a large number of hospitals in Chennai provide complete treatment at fair costs. which is very affordable. Patients are required to pay additional charges to perform additional infertility treatments like IVF and ICSI.

Success Rates after MESA Treatment                        

MESA followed by ICSI, has reported fertilization and pregnancy rates from 45 percent to 52 percent. This is one of the most successful combinations for male infertility cases as the successful fertilization rates involved with testicular and epididymal sperms are essentially equivalent to those achieved with ejaculated sperms. This state-of-the-art procedure gives couples with male factor infertility, another option besides sperm donation or vasectomy reversal.

Why Choose MESA Centres in Chennai?

MESA Centres in Chennai are highly valued for their excellent services and treatment facilities. The doctors, as well as the support staff, are experienced in performing these procedures with safety and precision. Infertility specialists or andrologists make sure that the patient is comfortable during treatment procedures. MESA Centres in Chennai are also equipped with the latest medical devices and equipment, which allow them to perform the treatments with optimum results.

If you have any queries on MESA treatment or MESA centres in Chennai, you can contact Elawoman at +91-8929020600. Elawoman has a list of highly reliable doctors and hospitals all around India to offer its patients the best treatment and care. Ela provides zero EMI medical loans to patients who require financial help. We have helped thousands of infertile couples achieve their dream of having a child. With Ela, infertility patients have the best chance of conceiving at a reasonably low cost.