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MESA — microsurgical sperm retrieval in San Diego

Services / Fertility & IVF

MESA: sperm retrieval for male-factor infertility.

When sperm can't be obtained normally, microsurgical retrieval makes biological fatherhood possible.

What it is

MESA (microsurgical epididymal sperm aspiration) retrieves sperm directly from the epididymis for use with IVF/ICSI, often for men with blockages or absence of sperm in the ejaculate.

Who it's for

  • Men with obstructive azoospermia, prior vasectomy, or certain congenital conditions.

What to expect

  1. 1

    Evaluation and planning

    A careful workup confirms MESA is the right approach.

  2. 2

    Microsurgical retrieval

    Sperm is retrieved directly from the epididymis under microscopy.

  3. 3

    IVF with ICSI

    Retrieved sperm is used to fertilize eggs via ICSI.

Why Dr. Brody

Steven A. Brody, MD, PhD trained across four medical specialties and co-authored the definitive IVF textbook with Nobel laureate Robert G. Edwards — the scientist who invented IVF. His diagnostic-first approach means he looks for the real cause, not a one-size-fits-all protocol.

Frequently asked

Ready to talk with Dr. Brody?

A first consultation is the fastest way to know what your options look like.

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