Microsurgical Epididymal Sperm Aspiration (MESA) in KSA

MESA – The Safe and Effective Way to Retrieve Healthy Sperm in Saudi Arabia

If you’ve been diagnosed with obstructive azoospermia—where sperm is produced but cannot be released due to a blockage—there’s good news. Microsurgical Epididymal Sperm Aspiration (MESA) is a safe and highly effective method to retrieve healthy sperm, allowing couples to pursue successful pregnancy through assisted reproductive techniques.

At VIVILITY, we offer MESA procedures across Saudi Arabia, including Riyadh, Jeddah, Dammam, Mecca, Medina, and beyond. With expert microsurgeons and high-precision lab support, we help men with sperm duct blockages, vasectomy-related infertility, or epididymal obstructions take a confident step toward fatherhood.

Schedule your MESA consultation today at VIVILITY in your city and start planning your fertility journey.

What is MESA?

MESA (Microsurgical Epididymal Sperm Aspiration) is a microsurgical procedure used to extract sperm directly from the epididymis—a small coiled tube located at the back of the testicle. It is commonly performed in men with obstructive azoospermia, where sperm production is normal, but a physical blockage prevents sperm from entering the semen.

Using a high-powered surgical microscope, the surgeon carefully accesses the epididymal tubules and extracts fluid containing sperm for use in ICSI (Intracytoplasmic Sperm Injection) or for freezing and future use.

Want to understand if MESA is right for your diagnosis? Book your assessment with VIVILITY specialists in Jeddah, Medina, or Tabuk today.

Who Should Consider MESA in Saudi Arabia?

MESA is ideal for men with:

• Obstructive azoospermia due to vasectomy or congenital issues
• Congenital absence of the vas deferens (CBAVD)
• Failed vasectomy reversal procedures
• Ejaculatory duct obstruction diagnosed via imaging
• Post-infectious blockage causing sperm to be trapped in the epididymis 

If you’ve been told there’s no sperm in your semen, but hormone levels are normal and the testes are healthy, MESA may offer an effective solution.

Get a complete fertility evaluation at our clinics in Dammam, Khobar, or anywhere in KSA to determine your suitability for MESA.

How the MESA Procedure is Performed

At VIVILITY, the MESA procedure is performed with exceptional surgical precision and patient care.

Here’s what you can expect:

• The procedure is typically done under local or general anesthesia.
• A small scrotal incision is made to expose the epididymis.
• Using a surgical microscope, fluid is aspirated from the epididymal tubules.
• The collected fluid is examined in real time by an embryologist to confirm the presence of viable, motile sperm.
• The sperm may be used immediately for ICSI or cryopreserved for future IVF cycles.
• Most patients are discharged the same day and recover within a few days.

Book your microsurgical sperm retrieval appointment in Saudi Arabia and receive a personalized procedure plan.

Benefits of MESA Over Other Retrieval Methods

While several sperm retrieval techniques are available, MESA is often preferred for its unique advantages in obstructive cases:

• High sperm yield from a single procedure
• Retrieval of high-quality, motile sperm suitable for fertilization
• Minimal damage to surrounding tissue
• Ideal for sperm freezing, allowing use in multiple IVF cycles
• Provides enough sperm for multiple embryos and future attempts
• Lower risk of complications when performed by experienced microsurgeons

This makes MESA particularly effective when used in conjunction with ICSI, especially in men with prior vasectomy or duct obstruction.

Want to preserve sperm for future use? MESA allows efficient cryopreservation. Consult VIVILITY for guidance.

MESA with IVF and ICSI – A Powerful Combination

The sperm retrieved through MESA is most often used in ICSI, where a single sperm is injected into an egg to create an embryo. This technique is particularly beneficial in cases where the sperm count is low or retrieved surgically.

Here’s how MESA supports assisted reproduction:

• Ensures high-quality sperm for fertilization
• Reduces the need for donor sperm
• Supports fertilization, embryo development, and implantation success
• Allows use of fresh or frozen sperm depending on treatment timing
• Enables planning of multiple IVF cycles from one retrieval

Considering IVF or ICSI? Discuss your fertilization plan with our experts today.

Success Rates of MESA in Saudi Arabia

MESA is one of the most successful procedures for obstructive azoospermia treatment, offering excellent outcomes when paired with ICSI.

• Sperm retrieval success rate: Over 90% in obstructive cases
• ICSI fertilization rate: 70–85% with MESA-retrieved sperm
• Embryo development and quality: Strong, due to motile, high-grade sperm
• Pregnancy and live birth rates: Comparable to traditional IVF cycles

Success depends on both the male and female partner’s fertility health, which is why VIVILITY offers full couple assessments.

Book your complete ART evaluation in Jeddah, Mecca, Khobar, or anywhere in KSA to discuss your success outlook.

Why Choose VIVILITY for MESA in KSA?

When you choose VIVILITY for your fertility care, you’re choosing expertise, precision, and personalized attention. Here’s why patients across KSA trust us:

• Board-certified microsurgical andrology specialists in Riyadh, Jeddah, and Dammam
• In-house high-resolution IVF labs and embryology teams
• Seamless coordination between surgical, diagnostic, and fertility departments
• Compassionate, patient-first approach tailored to your journey
• Transparent guidance, follow-up care, and success tracking

Contact VIVILITY and discover the difference our personalized fertility care can make.

Schedule Your MESA Procedure With VIVILITY’s Fertility Experts in Saudi Arabia

Take the next step toward parenthood with confidence. If you’ve been diagnosed with a sperm blockage, previous vasectomy, or obstructive azoospermia, MESA at VIVILITY offers a highly successful solution.

Book your consultation today in Riyadh, Jeddah, Dammam, Mecca, Medina, or your closest city, and start planning your path to parenthood with a trusted fertility team.

VIVILITY is here to support your journey—every step of the way.

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