Aspiration of the testis and appendages (PESA, TESA, MESA, TESE, Micro-TESE)
Aspiration of the testis and appendages (PESA, TESA) is an effective method for diagnosing and treating male infertility. Testicular aspiration is used to obtain male germ cells. In the Zhordania clinic, this method allows delicately with minimal trauma to obtain spermatozoa for subsequent use in IVF programs at a high expert level. This allows us to achieve high results in the treatment of various types of male infertility.
How to become parents
For a happy family, the birth of a child is very important.
Infertility, for many couples, sounds like a terrible diagnosis and sentence. According to the World Health Organization, 15% of couples are infertile.
Zhordania clinic technologies allow us to solve this problem by the most effective, comfortable and safest way.
Stage 1 Reproductologist consultation, diagnosis of infertility cause, choice of IVF method, examination before the program
Stage 2 Undergoing of the IVF protocol, confirmation of pregnancy, the birth of a long-awaited child
Determining the cause
48 million couples in the world suffer from infertility. In the structure of infertility, male infertility covers 40%. In the absence of spermatozoa in the semen (azoospermia), testicular aspiration is prescribed - a method for obtaining spermatozoa. Determining the correct cause of male infertility is the key to success in becoming parents.
For a man, it is very scary to turn to a reproductive specialist for the first time. Therefore, in the Zhordania clinic, you will be surrounded by care and comfort from the very moment of your phone call. The entire staff works for one single purpose, so that your first visit is as comfortable and at a high expert level as possible. You will receive answers to all your questions to achieve the most important goal – getting a long-awaited pregnancy and the birth of a healthy child.
The reason for the violation of spermogram
Idiopathic dyspermatogenesis, Infections, inflammatory processes, operations in the genitourinary system and on the pelvic organs, malignant neoplasms and narrowing of the seminiferous tubules, genetic diseases, bad habits, radiation, impaired sperm output (anejaculation), drugs, endocrine disorders, trauma, intoxication, pathology of the nervous system.
Infertility treatment methods
IUI, IVF, ICSI, IVF with donor sperm, Surrogacy with donor sperm, Testicular Aspiration (TESA, MESA)
Debunking fears and myths to switch myths and fears, use the buttons
We still have a lot of time left If a man and a woman (a couple) can’t get pregnant during a year of sexual life, they should immediately contact a reproductologist. The ability to have children is very important for any woman and man, so the best reproductologists of the Zhordania clinic are waiting for you for a consultation in order to walk this important path together.
Testicular aspiration method is painful and traumatic In the Zhordania clinic, testicular aspiration is carried out at a high expert level on technological equipment, by experienced urologists and andrologists, which allows the procedure to be carried out as delicately and painlessly as possible.
After the testicular aspiration procedure, is there a risk of remaining defective? Testicular aspiration is carried out by experienced specialists, using technological equipment. Therefore, after the testicle aspiration procedure, all men remain full-fledged, both in the reproductive sphere and in the field of men's health.
How many IVF attempts can be done? Everything is individual. But as a rule, in the Zhordania clinic, we get a long-awaited pregnancy from the first IVF attempt, since we are very careful in identifying the cause of infertility.
A child born by IVF will be different from other children This is a myth, since all processes occur in the same way, while some stages occur in a special environment close to the conditions of the woman's body, so children are born exactly the same as in natural fertilization.
We'll go through this together Types of aspiration
PESA and TESA are puncture methods for collecting spermatozoa. This is a non-traumatic method in which the material is punctured and taken and immediately transferred to embryologists for analysis and evaluation. TESA procedure - testicular puncture, PESA procedure - epididymal puncture.
TESE and MESA are open access procedures in which a microsurgical incision is made and spermatozoa and seminiferous tubules are collected. After that, they are immediately transferred to embryologists for analysis and evaluation. The seminiferous tubules are examined to determine the germ cells and further use of these cells for fertilization.
This is an advanced method that involves the use of innovative equipment - a microscope. It is used in severe forms of impaired spermatogenesis, when the opportunity to obtain high-quality biomaterial is minimal. A small incision is made in the testicle as well as a search for spermatogenesis, where the chance of the presence of spermatozoa is the highest.
Specialists of the direction
Our specialists communicate in 5 languages
Obstetrician-gynecologist, reproductologist, head of Zhordania Clinic, MD, PHD Student
Obstetrician-gynecologist, reproductologist, MD
Obstetrician-gynecologist, reproductologist, MD, PhD student
Do not delay
Customer stories use the buttons to switch stories
5 years ago I gave birth to my eldest son. After 2 years, my husband and I planned our second child. But I had a hormonal failure and for a year I could not get pregnant. My husband and I were examined and I was diagnosed with infertility due to hormonal imbalance. Then our family moved to Georgia because of my husband's work. But the desire to have 2 children did not go away. And I started looking for a clinic that would help my husband and me. We had few friends in the country at that time, but Georgians are very hospitable and sympathetic. Once, while walking with a child in the park, I met a girl whom I told about my problem. After hearing my story, she introduced me to her friend Nana, who had already gone through this. Nana reassured me and told me about the Zhordania clinic, which specializes in these problems. I went to the clinic and we immediately started treatment with the doctor. And thanks to the specialists of the Zhordania clinic, the eldest son had a brother, and my husband and I became the parents of 2 children...
I am very grateful to the Zhordania clinic for fulfilling my dream with my husband. Couldn't get pregnant for 12 months. I turned to the Zhordania clinic on the recommendation of a friend who has already become a mother thanks to them. And so, the Zhordania clinic solved all our problems with my husband and we became happy parents of a healthy baby. Even considering that my husband and I are considered foreigners, there were no problems for the treatment and management of the pregnancy....
I am from the Czech Republic. And when we can't make a child for a long time, we decided that it wasn’t time yet. After 3 years we came to rest in Georgia again. I remembered the clinic, which helped me a lot at the time, and I decided to go for a consultation at the Zhordania clinic. And soon we know the reason for the lack of pregnancy. Il was prescribed a treatment plan. After the successful completion of the treatment, my husband and I were able to have our child. We recently became the parents of a wonderful daughter. Thanks again to the Jordania clinic....
My name is Innes. I am from Latvia. My path of happy motherhood was thorny. It started 6 years ago. My husband and I planned to have a baby, but nothing worked out for us for 2 years. My husband and I were examined in our country and my husband was diagnosed with infertility. We started to apply to clinics in Latvia, but the treatment did not bring results. 3 years ago, my husband and I went to visit friends in Georgia to take our minds off treatment and relax. Our friends introduced us to a married couple who previously faced the same problem, but have already become the parents of a beautiful son. They advised me to go to the Zhordania clinic. We went through treatment and became the parents of incredible twins. We are very grateful to friends for the recommendation and for the work done by the Zhordania clinic....
Jordania Clinic is a national center for reproductive medicine with over 60 years of experience.
The Jordania Clinic is an innovative center for the diagnosis and treatment of infertility. The clinic began its activity on the basis of the Research Institute of Human Reproduction, founded by Professor Zhordania in 1958. Therefore, our experience of more than 60 years allows us to carry out IVF programs with an efficiency of more than 80%.