

TESA (Testicular Sperm Aspiration) and PESA (Percutaneous Epididymal Sperm Aspiration) are minimally invasive surgical procedures used to retrieve sperm for assisted reproductive techniques (ART) like In Vitro Fertilization (IVF) in men with infertility. Both procedures involve extracting sperm directly from the testicles or epididymis, the coiled tube that stores sperm.
The cost of TESA can vary depending on several factors, including:
Location of the clinic
Physician’s fees
Anesthesia fees
Lab fees
Medications
It’s important to consult with a fertility clinic to get a specific cost estimate. However, a general range for TESA in 2026 might be between $3,000 and $8,000. Insurance coverage can vary, so check with your provider to see if they cover any portion of the procedure.

While both procedures are minimally invasive, here’s a general overview of the PESA steps:
It’s important to note that this is a simplified explanation, and the exact procedure may vary depending on the specific circumstances.
The cost of fertility treatments can be a burden. Here are some ways to finance TESA/PESA:
If traditional IVF using sperm ejaculated naturally has been unsuccessful, TESA/PESA may be an option to retrieve sperm directly for another IVF attempt. This approach can be helpful in cases of:
