Testicular Sperm Aspiration/Extraction (TESA/E)

TESA/E involves the direct removal of sperm from the testicles which can then be used in conjunction with Intracytoplasmic sperm injection (ICSI) to form an embryo. There are two types of TESA/E depending on the indications for the procedure. If there are any sperm leftover from the procedure, the patient will be given the option to sign a cryogenic freezing consent which will allow him to freeze his sperm for future use.

Obstructive Azoospermia – Percutaneous testicular sperm retrieval:

Performed under general anesthesia, percutaneous testicular sperm retrieval uses a biopsy needle to extract a very small amount of testicular tissue. The tissue is scanned by an embryologist to locate sperm which can then be used in ICSI to fertilize a partner’s egg. The wound is closed using absorbable stitches.

Nonobstructive Azoospermia – Microscopic testicular sperm retrieval:

In conditions such as testicular atrophy, Y deletions, Kleinfelter’s, or even post-chemotherapy/radiation, the testes do not produce adequate amounts of sperm. Using a microscope, a search is performed for testicular tubules that appear more developed and contain mature sperm. This procedure offers the most severe cases of male infertility the best chance of identifying sperm and proceeding with ICSI.

RMA of New York Team

Alan B. Copperman, MD
Reproductive Endocrinologist
East Side
Eric Flisser, MD
Reproductive Endocrinologist
East Side
Jovana Lekovich, MD
Reproductive Endocrinologist
Brooklyn - Albee Square
Tanmoy Mukherjee, MD
Reproductive Endocrinologist
East Side
Beth McAvey, MD
Reproductive Endocrinologist
Garden City
Daniel E. Stein, MD
Reproductive Endocrinologist
West Side
Lucky Sekhon, MD
Reproductive Endocrinologist
Downtown Mount Sinai
Matthew A. Lederman, MD
Reproductive Endocrinologist
Mount Kisco Poughkeepsie White Plains
Kimberley A. Thornton, MD
Reproductive Endocrinologist
Downtown
Erkan Buyuk, MD
Reproductive Endocrinologist
East Side
Jeffrey Klein, MD
Reproductive Endocrinologist
Mount Kisco White Plains
Tia Jackson-Bey, MD
Reproductive Endocrinologist
Brooklyn - Albee Square
Taraneh Nazem, MD
Reproductive Endocrinologist
West Side
Rachel Gerber, MD
Reproductive Endocrinologist
Mount Kisco Poughkeepsie White Plains
Jenna Friedenthal, MD
Reproductive Endocrinologist
East Side
Natan Bar-Chama, MD
Reproductive Urologist
East Side
Devora Aharon, MD
Reproductive Endocrinologist
East Side Mount Sinai
Chelsea Canon, MD
Reproductive Endocrinologist
Downtown
Rachel B. Danis, MD
Reproductive Endocrinologist
Brooklyn - Borough Park Brooklyn - Albee Square
Anate Brauer, MD
Reproductive Endocrinologist
East Side
Stephanie Brownridge, MD
Reproductive Endocrinologist
West Side
Robert Setton, MD
Reproductive Endocrinologist
Brooklyn - Albee Square
Phillip A. Romanski, MD
Reproductive Endocrinologist
East Side

01/23

Meet the Team

Why RMA of New York: Testicular Sperm Aspiration

RMA of New York serves as the Division of Reproductive Endocrinology and Infertility at Mount Sinai Medical System. Our laboratory team is dedicated to scientific discovery, graduate medical education through RMA of NY’s REI Fellowship Program, and individualized care that focuses on you.

Our team of embryologists are consistently recognized as innovators in reproductive science and medicine, and security and safety standards. RMA of New York has been at the forefront of embryo freezing technology and cutting-edge research, helping countless individuals and partners achieve the dream of building a family.

Make an Appointment

Featured Resources

View All Posts

Get Started

It’s never too early to learn about your fertility and reproductive options.

Make An Appointment

Have questions?
We can help.

Patient-centric reproductive medicine is our specialty, and we look forward to answering any questions you may have.

Contact New Patient Concierge

Testicular Sperm Aspiration/Extraction (TESA/E)

Obstructive Azoospermia – Percutaneous testicular sperm retrieval:

Nonobstructive Azoospermia – Microscopic testicular sperm retrieval:

RMA of New York Team

Alan B. Copperman, MD

Eric Flisser, MD

Jovana Lekovich, MD

Tanmoy Mukherjee, MD

Beth McAvey, MD

Daniel E. Stein, MD

Lucky Sekhon, MD

Matthew A. Lederman, MD

Kimberley A. Thornton, MD

Erkan Buyuk, MD

Jeffrey Klein, MD

Tia Jackson-Bey, MD

Taraneh Nazem, MD

Rachel Gerber, MD

Jenna Friedenthal, MD

Natan Bar-Chama, MD

Devora Aharon, MD

Chelsea Canon, MD

Rachel B. Danis, MD

Anate Brauer, MD

Stephanie Brownridge, MD

Robert Setton, MD

Phillip A. Romanski, MD

Why RMA of New York: Testicular Sperm Aspiration

Featured Resources

Shining a Light on Preterm Births

ASRM 2024: Another Inspirational Meeting of Reproductive Endocrinology and Infertility

Ep 154: ‘Evaluating the Relationship Between Ejaculatory Abstinence and the Incidence of Embryo Mosaicism’ with Atoosa Ghofranian

Get Started

Have questions?
We can help.

Testicular Sperm Aspiration/Extraction (TESA/E)

Obstructive Azoospermia – Percutaneous testicular sperm retrieval:

Nonobstructive Azoospermia – Microscopic testicular sperm retrieval:

RMA of New York Team

Alan B. Copperman, MD

Eric Flisser, MD

Jovana Lekovich, MD

Tanmoy Mukherjee, MD

Beth McAvey, MD

Daniel E. Stein, MD

Lucky Sekhon, MD

Matthew A. Lederman, MD

Kimberley A. Thornton, MD

Erkan Buyuk, MD

Jeffrey Klein, MD

Tia Jackson-Bey, MD

Taraneh Nazem, MD

Rachel Gerber, MD

Jenna Friedenthal, MD

Natan Bar-Chama, MD

Devora Aharon, MD

Chelsea Canon, MD

Rachel B. Danis, MD

Anate Brauer, MD

Stephanie Brownridge, MD

Robert Setton, MD

Phillip A. Romanski, MD

Why RMA of New York: Testicular Sperm Aspiration

Featured Resources

Shining a Light on Preterm Births

ASRM 2024: Another Inspirational Meeting of Reproductive Endocrinology and Infertility

Ep 154: ‘Evaluating the Relationship Between Ejaculatory Abstinence and the Incidence of Embryo Mosaicism’ with Atoosa Ghofranian

Get Started

Have questions? We can help.

Have questions?
We can help.