- Male infertility is responsible for approximately half of all cases of infertility, and therefore, it should always be considered when assessing the female partner’s fertility as well.
- Assessing male fertility begins with a thorough semen analysis along with blood tests.
- Among the treatment options for male infertility are hormonal therapy, varicocele repair, surgical sperm extraction, and intracytoplasmic sperm injection (ICSI), which are very effective for most cases, including optimizing sperm production.
- Micro-TESE, which is a surgical sperm retrieval technique that looks for sperm under a microscope, is a method that provides chances of conceiving even to men with the most severe forms of sperm production failure.
- ICSI is a technique where a single sperm is directly injected into an egg, and when it is used together with in vitro fertilization, it has greatly increased fertility treatment success rates for couples facing male factor infertility.
Infertility is often seen as a woman’s problem, but male factor infertility accounts for almost half of all cases in which couples fail to conceive.
In many men, getting a diagnosis of male infertility is an emotionally overwhelming experience, but the reassuring truth is that reproductive medicine has advanced on a large scale, and male infertility treatment options are available in South Delhi in a variety of forms.
Men are offered a comprehensive evaluation and holistic care with the best reproductive techniques tailored to counter the underlying causes of male infertility challenges and increase their chances of fatherhood at Zemya IVF & Fertility Clinics, the best Infertility Clinic in South Delhi.
Understanding male infertility
Male infertility is a term used when a man is not able to impregnate his female partner, who is otherwise fertile, through regular unprotected intercourse. Most commonly, male infertility is the result of a disorder in sperm production, low sperm count or quality, sperm motility, or the male reproductive tract.
There can be several reasons for male infertility. Among the causes are hormonal imbalances through the hypothalamus and pituitary gland, genetic disorders, infections, varicocele, retrograde ejaculation, erectile dysfunction, sexual dysfunction, decreased libido, environmental factors such as radiation therapy or exposure to toxins, high body mass index, and idiopathic infertility, where the cause of infertility is not found.
Since male fertility issues can be so different in nature, the right diagnosis is the crucial first step before any treatment can take place.
Diagnosis of Male Infertility
The diagnosis of the infertile male at Zemya IVF & Fertility Clinics, one of the most reliable IVF Centres in South Delhi, begins with a comprehensive clinical evaluation and a set of specific tests. These tests include the following:
- Semen analysis tests – the backbone of male fertility diagnosis, evaluating the sperm count, sperm concentration, sperm movement, sperm quality, and the semen sample as a whole for any abnormalities
- Blood test – to check the levels of hormones such as follicle-stimulating hormone, luteinizing hormone, testosterone, and human chorionic gonadotropin, which indicate how well the hypothalamus and pituitary are functioning to produce sperm
- Testicular biopsy – in cases where the semen analysis shows the absence of sperm, to identify whether there is a problem in the sperm production or a blockage in the reproductive tract
- Genetic testing – to identify whether there are chromosomal abnormalities that affect sperm production
- Scrotal or transrectal ultrasound – to check for any structural abnormalities in the male reproductive tract
This comprehensive workup enables the fertility specialist to develop the best course of treatment for the individual.
Key Male Fertility Treatment Options
Hormonal Therapy
In case of defective sperm production due to hormonal imbalances caused by the pituitary gland or hypothalamus, hormonal therapy may be a very effective treatment to improve fertility outcomes. Gonadotropin treatment with human menopausal gonadotropin or human chorionic gonadotropin is recommended to enhance sperm production. Occasionally, selective estrogen receptor modulators or clomiphene citrate are employed to stimulate the body’s hormonal secretion naturally and enhance sperm parameters.
These kinds of drugs may sufficiently increase the sperm count, sperm function, and improve the semen quality of men with hormonally related infertility.
Varicocele Repair
Varicocele is the name given to the swelling of the veins in the scrotum that increases the temperature of the testes and causes the production of reactive oxygen species, both of which are harmful to healthy sperm. Varicocele repair is one of the most successful surgical treatments for male infertility, and if done on the right candidates, it can result in a marked improvement in the sperm count, motility, and fertility. Most men who undergo this surgery can conceive naturally or respond well to assisted reproduction techniques.
Surgical Sperm Retrieval
For men who do not produce much sperm or any sperm in their semen, either because of a blockage in the reproductive tract, a vasectomy, or because their sperm production is severely impaired, surgical sperm retrieval can be an option to have a child. At Zemya IVF & Fertility Clinics, the best IVF Clinic in South Delhi, our fertility specialist carries out the advanced sperm retrieval procedures, including:
- Percutaneous Epididymal Sperm Aspiration (PESA): A very fine needle is inserted, and sperm is extracted from the epididymis. This is the best option for men whose blockage causes infertility.
- Testicular Sperm Aspiration (TESA): A needle is used to take sperm from the testicular tissue.
- Testicular Sperm Extraction (TESE): A small surgical incision is made to retrieve sperm from the testes.
- Microdissection Testicular Sperm Extraction (Micro-TESE) is an extremely specialised microsurgical method used in men with non-obstructive azoospermia, where the surgeon locates and removes the small areas of testicular tissue that are most likely to have sperm, thus significantly increasing the sperm retrieval rate.
Intracytoplasmic Sperm Injection (ICSI)
Intracytoplasmic sperm injection ICSI is perhaps the most revolutionary development in the treatment of male infertility. The sperm injection into the egg happens here. Healthy sperm from ejaculation or sperm retrieval and a mature egg from a female partner in an IVF cycle are used for this process. ICSI has changed the lives of infertile men with very low sperm concentration, sperm motility, abnormal sperm morphology, or sperm dysfunction, where sperm can not even fertilize the egg. At Zemya IVF & Fertility Clinics, the premier Test Tube Baby Centre in South Delhi, we carry out ICSI with extreme dedication, which results in a high fertilization success rate.
Treating Ejaculatory Disorders
There are several ways that men with retrograde ejaculation, which means semen flows into the bladder instead of ejaculating, and other types of ejaculatory issues, can be treated. Some men can be treated medically, while others can have their sperm collected either from their urine or through penile vibratory stimulation. Such sperm can be used for direct injection into the female reproductive system or IVF to help the couple achieve pregnancy.
Donor Sperm
When there is no sperm available despite all efforts, or when there are genetic issues that make it inadvisable to use the sperm of the male partner, donor sperm is a compassionate and viable option. The team at The Fertility Clinic in South Delhi, Zemya IVF & Fertility Clinics, handles infertile couples with care when it comes to this option.
Lifestyle and Environment Considerations
Besides medical treatments, it is equally important to focus on changing the lifestyle habits that are contributing to male infertility. High body weight, smoking, drinking alcohol, stress, getting too much heat, and exposure to toxins are some things that lower the sperm count and the quality of semen. The IVF Specialist in South Delhi at Zemya IVF & Fertility Clinics gives very detailed directions on the changes in lifestyle that can significantly help the results of the treatment and also assist the infertile male to get an improvement in his overall reproductive health.
Why Choose Zemya IVF & Fertility Clinics?
At Zemya IVF & Fertility Clinics, as a committed IVF Centre in South Delhi and a seasoned Test Tube Baby Centre in South Delhi, we combine the latest laboratory technology, surgical expertise, and patient care in one place. Our team of reproductive medicine specialists understands the physical and emotional burden of male infertility and is committed to providing care that is both scientifically sound and human.
If you or your partner is worried about male fertility, please do not wait to seek help. Early assessment and treatment can make a world of difference in the result.
