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Embrace the joy of parenting with surgical sperm retrieval treatment In Noida.

Zeeva is a Surgical Sperm Retrieval Treatment Center in Noida. We offer various services, including sperm retrieval and other fertility treatments. We are dedicated to helping our patients achieve their dream of starting a family. We also offer a wide range of support services, including counseling and financial planning. We are committed to providing our patients with the highest quality of care.

Every treatment decision is shaped with 20+ years of proven clinical experience

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What Is Surgical Sperm Retrieval?

Surgical sperm retrieval is a fertility procedure used to collect sperm directly from the epididymis or testicles when usable sperm cannot be obtained through ejaculation. It may be recommended in cases of azoospermia, where no sperm is found in the semen, or when a blockage, previous surgery, vasectomy, ejaculation difficulty, or reduced sperm production prevents sperm from being available naturally.

When couples consider sperm extraction for IVF, it is important to understand that surgical sperm retrieval helps obtain sperm for fertility treatment. It does not itself treat the underlying cause of male infertility.

What Are the Types of Surgical Sperm Retrieval?

Different surgical sperm retrieval techniques are used depending on where sperm are likely to be found and the reason they are absent from the semen.

  • PESA – Percutaneous Epididymal Sperm Aspiration
    PESA uses a fine needle to collect sperm-containing fluid from the epididymis and is commonly considered in selected cases of obstructive azoospermia.
  • MESA – Microsurgical Epididymal Sperm Aspiration
    MESA uses a surgical microscope to collect sperm-containing fluid directly from the epididymal tubules, usually in selected cases of obstructive azoospermia.
  • TESA – Testicular Sperm Aspiration
    TESA uses a fine needle to collect testicular tissue or fluid, which is then examined in the laboratory to identify viable sperm.
  • TESE – Testicular Sperm Extraction
    TESE involves removing a small sample of testicular tissue through a minor incision so the laboratory can identify sperm suitable for ICSI.
  • Micro-TESE – Microsurgical Testicular Sperm Extraction
    Micro-TESE uses an operating microscope to identify areas more likely to contain sperm-producing tissue, particularly in selected men with non-obstructive azoospermia.

— TREATMENT PROCEDURE

Surgical Sperm Retrieval Procedure Step by Step

The surgical sperm retrieval procedure depends on whether sperm are absent due to a blockage or reduced sperm production. The specialist reviews semen analysis, medical history, hormone levels, and other relevant findings to choose the most suitable retrieval technique.

Step 1. Male Fertility Evaluation

The assessment identifies why sperm is absent, helping distinguish obstructive azoospermia, where sperm flow is blocked, from non-obstructive azoospermia, where sperm production is reduced.

Step 2. Selection of the Sperm Retrieval Technique

Based on the diagnosis, the doctor chooses the most suitable method, such as PESA, MESA, TESA, TESE or Micro-TESE, depending on where sperm are expected to be found.

Step 3. Anaesthesia & Sperm Retrieval

Under appropriate anaesthesia, sperm-containing fluid or a small tissue sample is collected using a needle, small surgical opening or microsurgical technique, depending on the selected procedure.

Step 4. Laboratory Assessment of the Retrieved Sample

The retrieved fluid or tissue is examined in the laboratory, where the embryology team identifies and prepares viable sperm that may be suitable for fertility treatment.

Step 5. ICSI or Sperm Freezing

If suitable sperm are found, they may be used for ICSI or, when enough viable sperm are available, frozen for possible use in a future treatment cycle.

What Couples Should Know

Surgical sperm retrieval may help obtain sperm when none is available through ejaculation. Outcomes depend on the cause, technique used, sperm availability and the couple’s overall fertility factors.

1. Surgical Sperm Retrieval Success Rates Vary

Surgical sperm retrieval success rates depend on the cause of azoospermia, testicular function and retrieval technique. Finding sperm does not guarantee pregnancy.

2. How Painful Is Sperm Retrieval?

How painful is sperm retrieval? Anaesthesia helps control discomfort during the procedure. Mild pain, swelling, tenderness or bruising may occur during recovery.

3. Surgical Retrieval Is Usually Followed by ICSI

Retrieved sperm are commonly used with ICSI, where an embryologist injects a selected sperm directly into a mature egg to assist fertilisation.

4. Sperm May Not Be Retrieved in Every Case

Sperm retrieval is not always successful, especially when sperm production is severely reduced. Couples should understand this possibility before the procedure.

5. Retrieved Sperm May Be Frozen

If enough viable sperm are found, they may be frozen for future IVF or ICSI treatment, potentially reducing the need for another retrieval procedure.

Why Choose Zeeva Fertility for Surgical Sperm Retrieval?

At Zeeva Fertility, surgical sperm retrieval is planned as part of the couple’s complete fertility treatment, with careful diagnosis, technique selection and embryology support.

1. Technique Based on the Diagnosis

PESA, TESA, TESE or Micro-TESE is selected according to the cause of male infertility and the individual fertility assessment.

2. Clinical & Embryology Coordination

Fertility specialists and embryologists coordinate sperm retrieval, laboratory assessment and preparation of suitable sperm for ICSI or cryopreservation.

3. Both Partners Are Evaluated Together

Male fertility findings are considered alongside female age, ovarian reserve, egg quality and previous treatment history while planning IVF or ICSI.

4. Clear Guidance at Every Step

Couples are informed about the recommended retrieval method, expected outcomes, use of retrieved sperm and possible next steps if sperm are not found.

Meet Our Fertility Experts

The Experts Guiding Your Journey

20+ Years Experience

Dr. Shweta Goswami

Founder & Medical Director, Zeeva Fertility
MBBS (Honours) – Maulana Azad Medical College, New Delhi • MD (Obs & Gyn) – Safdarjung Hospital • FNB in IVF & Reproductive Medicine – IRM Kolkata
20+ Years Experience

Dr. Aarthi Mani

Senior Consultant, Zeeva Fertility
MBBS – Thoothukudi Government Medical College & Hospital (Tamil Nadu Dr. MGR University) • MS (Obstetrics & Gynaecology) – Sri Ramachandra Medical College & Research Institute (Gold Medalist) • FNB (Fellowship in IVF & Reproductive Medicine) – NOVA IVF
16+ years of experience

Dr. Shuchi Lakhanpal Kalia

Senior Fertility Specialist
MBBS - Gold Medalist • MS in Obstetrics and Gynaecology - Delhi University • DNB in Obstetrics and Gynaecology • Diploma in Clinical ART • Fellowship in Minimal Access Surgery.
Available at:
10+ Years Experience

Dr. Nidhi Tripathi

Fertility & IVF Specialist
MBBS and MS in Obstetrics & Gynaecology from GSVM Medical College, Kanpur. • Diploma in Clinical ART through the Indian Fertility Society Fellowship Programme, securing 2nd position. • Fellowship in Reproductive Medicine from IIRFT, New Delhi; recognised as the Second Best Clinical IFS Fellow. • Trained in Gynaecological Endoscopy and completed national-level clinical skill development programmes. • Actively participates in academic activities and served as Faculty at AaKRITI – Understanding on Perinatology in 2024.
17+ Years Experience

Dr. Shipra Gupta

IVF & Infertility Specialist
M.B.B.S. VMMC & Safdarjung Hospital, New Delhi (2009) • Diploma (D.G.O.) in Obstetrics and Gynaecology VMMC & Safdarjung( 2011) • M.D. in Obstetrics and Gynaecology VMMC& Safdarjung Hospital, New Delhi (2014) • FOGSI certified Fetal medicine specialist Apollo hospitals( 2014) • Basic and Advanced Laparoscopy at AIIMS, New Delhi (2015) • Fellowship in Pelvic Floor Reconstructive surgeries and Minimal Invasive Gynecology at Scripps Clinic, San Diego, U.S.A (2016) • Fellowship in Reproductive Medicine and ART Max Hospital, New Delhi (2018)
Available at:
16+ Years Experience

Dr. Snehal Shah Mahajan

Consultant, Zeeva Fertility
MBBS – ACPM Medical College, Mumbai (2004) • Diploma in Obstetrics & Gynaecology (DGO) – CPS Mumbai (2010) • MBA in Healthcare Management – Sikkim Manipal University (2015) • Certificate Course in Infertility (2021)
Available at:
12+ Years Experience

Dr. Mayank Sharma

Associate Consultant, Zeeva Fertility
MBBS – NKPSIMS & Lata Mangeshkar Hospital, Nagpur • DGO – MVJ Medical College & Research Centre, Bengaluru • Fellowship in Reproductive Medicine – IIRFT, New Delhi
7+ Years Experience

Dr. Avnika Kapoor

Consultant, Zeeva Fertility
MBBS – Bharati Vidyapeeth Deemed University, Pune • MS (Obstetrics & Gynaecology) – Bharati Vidyapeeth Deemed University, Pune • Fellowship in Reproductive Medicine – IIRFT, Delhi • Cosmetic Gynaecology – ILAMED, Delhi • Fellowship in Gynae Ultrasound – Randhawa Institute, Delhi
Available at:
7 years of experience

Dr. Ayushi Bhardwaj

IVF & Fertility Specialist
MBBS • MS (Obstetrics & Gynaecology) • DNB • FMAS • Fellowship-trained IVF Specialist
10+ Years Experience

Dr Deepika Mann

Associate - IVF Consultant
MBBS from K.S. Hegde Medical Academy, Mangalore • M.S from jjmmc, Davangere,karnataka • Fellowship in Reproductive Medicine from International Fertility Centre, Delhi
Available at:

— Our Centres

Quality Fertility Care, Now Near You

Our cutting-edge fertility centres across Delhi NCR — Noida, Delhi, Ghaziabad and Greater Noida

Zeeva Fertility, Sector 63, Noida

H 1A, 37, H Block, Sector 63, Noida, Uttar Pradesh 201301

(+91) 7669381393

10 am - 6 pm

Zeeva Fertility in South Extension, Delhi

3rd Floor, M-2, South Extension II, Block M, New Delhi, Delhi 110049

(+91) 7669381393

10 am - 6 pm

Zeeva Fertility, Sector 104, Noida

Zeeva Clinic, HA 103A, First Floor, Sector 104, Noida, Uttar Pradesh 201304

(+91) 7669381393

11 am - 1 pm & 5 am - 9 pm

Greater Noida to Gaur City 1 Greater Noida West

Zeeva Fertility, 9th Floor, NH-3, GH 01, Gaur City 1, Sector 4, Greater Noida west, Ghaziabad, Uttar Pradesh 201009

(+91) 7669381393

10 am - 1 pm

Zeeva Fertility in RDC, Ghaziabad

District Centre, RDC, Sector 15, Sector 10, Raj Nagar, Ghaziabad, Uttar Pradesh 201002

(+91) 7669381393

2 pm - 5 pm

Zeeva Fertility in Indirapuram, Ghaziabad

GF-01, 698, Niti Khand I, Indirapuram, Ghaziabad, Uttar Pradesh 201014

(+91) 7669381393

6 pm - 8 pm

What our patients are saying

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— Common questions

Fertility Questions, Answered

How long will it take to retrieve sperm surgically?

The procedure takes about 20-30 minutes. If the aspirates fail to show viable sperm, the surgeon will proceed to the other options (TESE), usually on another day.

If you’ve had surgical sperm retrieval and it hasn’t been successful, you may want to consider other options for having a family, such as using donor sperm in treatment or adopting.

There are numerous ways to harvest sperm from a man with average sperm production and a blockage. TESA procedure is the simplest and most cost-effective in the aspiration of sperm.

Initially, you’ll probably just be asked to answer a few questions, and your genitals may be examined. If necessary, you may be asked later to have some blood tests or produce a sperm sample (if possible).

Surgical sperm retrieval is a low-risk procedure, but as with all operations, there can be complications, including bleeding, infection, and hematoma (blood clot) in the testicle. There is also a minimal risk of testicular damage and chronic testicular pain.