Male infertility refers to difficulty achieving pregnancy because of problems affecting sperm production, sperm quality, sperm transport or sexual and reproductive function. Male factors contribute to approximately half of infertility cases, either independently or together with female factors.
A comprehensive evaluation identifies the underlying cause and guides appropriate treatment, which ranges from medical management and surgery to assisted reproductive techniques such as ICSI/IVF for Male Infertility.
Male infertility evaluation is recommended when pregnancy has not occurred after 12 months of regular unprotected intercourse, or earlier when there are known risk factors or reproductive concerns.
Common Causes of male infertility include:
Male infertility itself frequently produces no obvious symptoms. Symptoms or signs associated with an underlying reproductive condition include reduced sexual desire, erectile or ejaculation problems, testicular pain or swelling, a testicular lump, small testicular size and symptoms of hormonal disorders.
Diagnosis & Tests begin with a detailed medical, surgical and reproductive history and physical examination. Testing is selected according to the initial findings.
Semen Analysis- Semen analysis evaluates sperm concentration, motility, morphology and semen volume. A repeat analysis is performed when the initial result is abnormal because sperm parameters fluctuate between samples.
Hormonal Testing- Blood tests for testosterone, follicle-stimulating hormone (FSH), luteinising hormone (LH), prolactin and other hormones help identify endocrine causes of impaired sperm production.
Imaging- Scrotal ultrasound evaluates the testes, epididymis and blood vessels and helps identify conditions such as varicocele or structural abnormalities.
Genetic Testing Karyotyping, Y-chromosome microdeletion testing and CFTR testing are used in selected patients, like those with severe sperm-production disorders or Azoospermia.
Additional Testing Depending on the clinical findings, evaluation can include post-ejaculatory urine testing, specialised sperm tests, testicular assessment and genetic or hormonal investigations, respectively.
Treatment Options depend on the cause, severity and reproductive goals of the couple.
Medical Treatment- Hormonal disorders are treated according to the specific endocrine abnormality. Infections are treated with appropriate antimicrobial therapy. Medications affecting fertility are reviewed and modified when medically appropriate.
Varicocele Treatment- A clinically significant varicocele associated with infertility and abnormal semen parameters can be treated surgically. Varicocele repair is intended to improve the environment for sperm production.
Treatment for Low Sperm Count and Low Sperm Motility Management focuses on identifying and correcting the underlying cause. Depending on sperm parameters, treatment can include medical or surgical management, IUI or assisted reproduction.
Treatment for Azoospermia- Azoospermia requires differentiation between obstructive and non-obstructive causes. Obstructive azoospermia can be treated through reconstruction or sperm retrieval. Non-obstructive azoospermia requires assessment of testicular sperm production, with sperm retrieval considered for assisted reproduction.
ICSI/IVF for Male Infertility- ICSI/IVF for Male Infertility is used when sperm concentration, motility or morphology is severely impaired, when previous fertility treatments have failed, or when surgically retrieved sperm is required. ICSI involves injecting a single sperm directly into a mature egg during IVF.
Follow-up depends on the treatment provided. After medical or surgical treatment, semen analysis and relevant hormonal tests are repeated to assess response. Improvement in sperm production takes time because sperm development requires approximately 70-90 days.
If sperm parameters remain inadequate for natural conception, the fertility specialist discusses IUI or ICSI/IVF. Where sperm is absent from the ejaculate, previously retrieved or newly retrieved sperm can be used for assisted reproduction when appropriate.
Success Rates of Male Infertility Treatment-
The Success Rate of Male Infertility Treatment
depends on the underlying diagnosis, sperm quality, female
partner's age and fertility status, treatment selected and
previous reproductive history.
Treating a reversible cause such as a clinically significant
varicocele or hormonal disorder addresses the underlying fertility
problem. When ICSI/IVF is required, treatment outcomes are
influenced by embryo development and female reproductive factors
in addition to sperm characteristics.
Our fertility specialist can provide an individualised assessment
of expected outcomes after reviewing both partners
Benefits of Choosing Male Infertility Treatment at KIMS Fertility IVF Centre-
KIMS Fertility IVF Centre provides evaluation and treatment for male-factor infertility within a fertility-focused setting. The treatment pathway includes:
The treatment approach used is based on the diagnosis rather than applying the same protocol to every patient.
Preparation for Male Infertility Treatment-
Medical Tests- Preparation begins with appropriate Diagnosis & Tests, which can include:
The female partner should also undergo an appropriate fertility assessment because treatment planning depends on the reproductive health of both partners.
Lifestyle Changes-
Maintain a healthy weight, exercise regularly, sleep adequately and follow a balanced diet. Stop tobacco and recreational drug use and limit or avoid alcohol. Avoid unnecessary exposure to excessive testicular heat, including prolonged hot-tub or sauna use.
Prescription medicines, supplements and previous anabolic steroid or testosterone use should be disclosed to the fertility specialist. Exogenous testosterone suppresses sperm production and should not be used as a treatment for male infertility.
Cost of Male Infertility Treatment-
The cost of male infertility treatment depends on the diagnosis and the treatment protocol required. Factors contributing to the overall bill include:
The final cost is determined after evaluation because patients with hormonal disorders, varicocele, Azoospermia and severe sperm abnormalities require different investigations and treatment.
KIMS Fertility IVF Centre provides fertility services across its centres in Hyderabad, Vizag, Guntur, Kurnool and Nagpur.
Banjara Hills, Hyderabad
4th Floor, Road No. 2, Banjara Hills, Opp. Park Hyatt, Hyderabad, Telangana – 500034
Vizag
D/No: 1-113-20/1, MVP Colony, Ushodaya Junction, Opp. Kidz Garden Public School, Vizag, Andhra Pradesh – 530017
Guntur
Yadavalivari Street, lane beside HDFC Bank, Kothapet, Guntur District – 522001
Kurnool
Survey No. 560/2, 560/2B, beside Skandanshi Office, Birla Guest House, Kurnool
Nagpur
1st Floor, KIMS Kingsway Hospital, Kingsway Road, Mohan Nagar, Nagpur, Maharashtra – 440001
Patients can consult the fertility team at the appropriate Centre and Location for evaluation and treatment planning.
Male fertility depends on the quality, quantity and motility of sperm.
At KIMS Fertility IVF Centre, we assess all key factors - from sperm count and morphology to hormonal and genetic influences - to determine the best course of action.
Common causes include:
Our experts address these issues through detailed testing and tailored treatment protocols.
We provide precise evaluations through:
These help determine the most effective management plan.
We offer a complete range of treatments, including:
With expert andrology support, we aim to restore confidence and make conception achievable.
Fertility Doctors in Andhra Pradesh, Telangana & Maharashtra
With over 15 years of experience helping couples achieve their family-oriented goals, we at KIMS Fertility IVF Centre aim to provide patient-centric treatment approaches. Our team has shown high success rates for IUI treatments. We believe in providing evidence-based solutions as we believe it is our duty to provide a safe, supportive and effective path towards parenthood. Come to KIMS Fertility IVF Centre, as we have the best fertility doctors in our clinic!