MESA in India: Cost, Procedure & IVF Success with Total IVF Solutions
MESA or microsurgical epididymal sperm Aspiration is a surgical procedure that helps to retrieve sperm from the epididymis. This is a golden standard procedure for men dealing with male infertility. MESA in India is a technique that has helped many men become fathers.
So what is this technique all about? In this blog, we will discuss this procedure more and how international patients can get the help of Total IVF Solutions to get this procedure done in India at the most affordable cost.
What is Microsurgical Epididymal Sperm Aspiration (MESA)?
MESA is a procedure that collects sperm directly from the epididymis. The epididymis is a small tube behind the testicles where sperm is stored. This method is suggested when a man cannot release sperm naturally due to blockage, even when his body is producing healthy sperm.
The collected sperm can be used in fertility treatments like IVF in India and ICSI, which can help females get pregnant.
MESA is a planned surgical procedure that is done by top IVF doctors in India. It is a painless procedure that is performed under general anaesthesia.
Who needs MESA?
MESA is the correct procedure for men who:
• They are born without the vas deferens.
• Had a vasectomy but now want to have children
• Have a blockage due to infection or injury.
• Have obstructive azoospermia
• Other sperm retrieval procedures, like TESA, have been unsuccessful.
How is MESA performed?
• The procedure starts with giving patients general anaesthesia.
• A small cut is made in the scrotum to reach the epididymis.
• Doctors will use a special microscope and carefully remove the fluid that contains sperm.
• The collected sperm is checked in the lab and frozen to use for IVF and ICSI.
• The cut is then closed, and the patient will be asked to rest and recover.
Here’s a clear difference table between MESA, TESA, and PESA — the three sperm retrieval techniques used in male infertility treatment (especially with IVF/ICSI):
| Feature | MESA (Microsurgical Epididymal Sperm Aspiration) | TESA (Testicular Sperm Aspiration) | PESA (Percutaneous Epididymal Sperm Aspiration) |
|---|---|---|---|
| Full Form | Microsurgical Epididymal Sperm Aspiration | Testicular Sperm Aspiration | Percutaneous Epididymal Sperm Aspiration |
| Method Type | Microsurgical (open surgery using a microscope) | Needle aspiration of testicular tissue | Needle aspiration of epididymal fluid |
| Site of Retrieval | Epididymis (via small incision) | Testis (directly from testicular tissue) | Epididymis (via skin, no incision) |
| Anesthesia | General or regional anaesthesia | Local or general anaesthesia | Local anesthesia |
| Invasiveness | More invasive (requires incision and a microscope) | Minimally invasive | Least invasive |
| Indicated For | Obstructive Azoospermia (OA) | Obstructive and non-obstructive azoospermia | Obstructive Azoospermia (OA) |
| Sperm Yield | High, with better quality | Moderate to low | Moderate |
| Chance of Repeat Procedure | Less likely (due to good yield) | May require multiple attempts | May require repetition if yield is low |
| Surgical Skill Level Needed | High (requires microsurgical expertise) | Moderate | Low to moderate |
| Recovery Time | Longer (due to open surgery) | Short | Very short |
| Cost | Highest among the three | Moderate | Least expensive |
Best Doctor and Best Hospital for MESA in India
Ferticity is the best centre for infertility treatment in India. The procedure is best performed here under the guidance of a top fertility doctor in India, Dr Vineet Malhotra. He is the best andrologist in India, and the success rate of MESA under his guidance is very high.Contact us today to book your slot in the best MESA Clinic in India.
MESA + IVF Cost in India
| Treatment | Approximate Cost (INR) | Approximate Cost (USD) |
|---|---|---|
| MESA | ₹60,000 – ₹90,000 | $4,00 – $6,00 |
| IVF (basic cycle) | ₹1,50,000 – ₹,2,50,000 | $3,000 – $4,500 |
| ICSI (with IVF) | ₹40,000 – ₹60,000 extra | $480 – $720 |
| Donor Egg (if needed) | ₹80,000 – ₹15,0000 | $1,000 – $12,00 |
| Donor Sperm (if needed) | ₹8,000 – ₹12,000 | $100 – $150 |
| Embryo Freezing | ₹25,000 – ₹35,000 | $300 – $420 |
| Frozen Embryo Transfer (FET) | ₹30,000 – ₹50,000 | $600 – $800 |
| Total (MESA + IVF/ICSI) | ₹2.2 – ₹3.3 lakhs | $3,800, – $4,800 |
International Patients – Get IVF + MESA in India with Total IVF Solutions
Suppose you’re an international patient struggling with male infertility and considering advanced procedures like MESA (Microsurgical Epididymal Sperm Aspiration) along with IVF treatment in India. In that case, India offers world-class fertility care at much more affordable rates compared to countries like the US, UK, or Australia.
Total IVF Solutions is your trusted medical coordination partner in India. We work with renowned fertility experts like Dr. Ila Gupta, who is known globally for her high success rates, compassionate approach, and modern IVF protocols.
Why Choose Us?
• Access to advanced procedures like MESA, TESA, and ICSI
• IVF treatments with the latest technologies and high-quality labs
• Affordable packages without compromising on safety or results
• End-to-end assistance, including visa support, travel, stay, and hospital coordination
• Treatment by Dr. Ila Gupta, one of India’s most experienced and trusted fertility specialists
No matter which country you’re coming from, our goal is to ensure you feel supported and confident throughout your fertility journey in India.
Reach out to Total IVF Solutions today and take the first step toward building your family.
FAQ on MESA
Should MESA be done at the same clinic as IVF egg retrieval?
It’s fine to use different clinics, but syncing them can improve results. Coordinating both procedures at the exact center can reduce risks related to sperm handling and storage.
What if MESA finds no sperm—what happens next?
If no sperm is found during MESA, an IVF specialist in India may recommend TESE or micro-TESE.
Can sperm from MESA freeze well for later IVF?
Testicular and epididymal sperm don’t always freeze as well as ejaculated sperm. IVF Clinics in India may prefer fresh MESA timed with egg retrieval, or ensure expert handling during freezing.
If MESA fails once, can I try again?”
Yes, repeating MESA or moving to TESE/micro-TESE is possible. Discuss limits and options with your fertility surgeon before planning.
Does improved sperm count from MESA affect IVF success rates?
Yes! MESA yields higher-quality sperm, improving IVF/ICSI outcomes.