Improve Your Fertility With TESA Mesa

Men who have a low or no motile sperm in their semen or are experiencing blockages that prevent the release of sperm from their ejaculate can improve their fertility by having tesa mesa, a procedure that allows the sperm to be removed directly from the testicles. In many cases, the sperm can be fertilized with an egg in a woman’s fallopian tube. Gen 5 Fertility Center might recommend this procedure for infertile patients who want to avoid more invasive treatments like IVF and Intracytoplasmic Sperm Injection (ICSI).

During the MESA or PESA procedures, doctors use a needle inserted into the patient’s testicles to aspirate sperm from the epididymis and from the testicle itself. The sperm that is collected from the epididymis tends to be more motile and easier to extract than sperm collected from the testicles. Moreover, several large contemporary studies have shown that epididymal sperm has equivalent embryonic development and clinical pregnancy outcomes when compared to TESA or TESE-obtained sperm [Van Peperstraten et al. 2006; Donoso et al. 2007; Rupin 2011].

The MESA and TESE procedures can be performed in the office with local anesthesia using a keyhole-style window incision in one of the testicle’s scrotal sacs. They do not require general anesthesia or the use of an operating microscope. The Arizona Center for Fertility Studies prefers the obliterative MESA technique of aspiration that maximizes the yield of sperm from each tubule of the epididymis.

Physicians who perform a MESA or a PESA can report the procedure using S codes, found only in the HCPCS manual. Medicare does not pay for S codes, but some private payers do. You should also note that coding for this procedure under an unlisted code is not recommended by the American College of Obstetricians and Gynecologists. tesa mesa

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