Male infertility evaluation, diagnosis and treatment options for couples planning parenthood.
When pregnancy does not happen as expected, evaluating male infertility can be an important part of understanding the couple's fertility journey.
Sunflower Infertility & IVF Center’s male infertility evaluation begins with understanding your medical history and reproductive health, followed by relevant examinations and male infertility tests. Based on the results, your fertility specialist can discuss the treatment options that may be appropriate for you.
Male infertility may be considered when a couple is having difficulty conceiving, particularly when there are concerns about sperm count, an abnormal semen analysis, reproductive health or a relevant medical or surgical history.
Our fertility team evaluates both partners to understand the complete fertility picture and plan the next step with you.
A male fertility specialist may consider factors such as:
The evaluation helps your specialist understand possible factors contributing to male infertility and decide whether further tests or treatment may be appropriate.
A male infertility diagnosis may involve your medical and reproductive history, physical examination and relevant tests. The investigations recommended depend on your individual clinical assessment.
The consultation may cover your age, duration of married life, smoking or alcohol use, frequency of intercourse, erectile or ejaculatory difficulties, previous medical or surgical conditions and relevant family history.
The examination may include general health assessment and examination of the reproductive system. Depending on the clinical situation, your specialist may assess testicular size and look for conditions such as varicocele or epididymal cysts.
Semen analysis is an important test in the diagnosis of male infertility. It provides information about semen and sperm parameters and forms an important part of the male infertility assessment at Sunflower Infertility & IVF Center.
Blood tests may be recommended as part of the male infertility evaluation. Depending on the clinical situation, these may include Serum FSH and total testosterone, along with other relevant tests.
A karyotype test may be recommended when genetic factors need to be assessed as part of the male infertility evaluation.
Sperm DNA fragmentation testing may be recommended when further assessment of sperm quality is clinically indicated.
A scrotal Doppler test may be recommended when the clinical assessment indicates a need to examine the testicles and surrounding structures. It can help assess testicular size and position, the epididymis, the vas deferens and the presence of conditions such as varicocele or epididymal cysts.
A scrotal Doppler scan may also identify findings that are not apparent during physical examination.
The tests recommended for you depend on your medical history, examination and overall male infertility diagnosis and assessment.
Male infertility treatment is planned according to the cause identified during the evaluation and the needs of both partners.
Depending on the situation, your specialist may consider:
Medical treatment, including oral medicines when appropriate, may be recommended when a medical or hormonal factor is identified.
Surgical treatment may be considered for selected conditions affecting male reproductive health.
Depending on the couple's fertility assessment, options may include: IUI · IVF · ICSI
PESA · TESA · TESE · MICRO-TESE
When sperm are very low or not found in the semen, sperm retrieval may be considered in appropriate cases.
Sunflower Infertility & IVF Center's fertility services include PESA, TESA, TESE and Micro-TESE as sperm-retrieval procedures. Retrieved sperm may be used for assisted reproductive treatment such as ICSI when clinically appropriate.
PESA may be considered when sperm retrieval from the epididymis is appropriate, while TESA retrieves sperm directly from the testis. The procedure selected depends on the underlying condition and the clinical assessment.
The appropriate approach is discussed after reviewing the medical history, examination and test results.
Learn about sperm retrievalKnowing what to expect can make the process easier.
Sunflower Infertility & IVF Center's current guidance advises 3-4 days of abstinence before semen collection.
The sample may be collected through masturbation, coitus interruptus or a special condom, as advised by the centre.
Collection close to the laboratory can help avoid delays associated with transporting the sample over a long distance.
A wide-mouth polypropylene plastic jar is used for collection.
Spermicidal agents should not be used.
Male fertility care is supported by Sunflower Infertility & IVF Center's andrology team, alongside gynaecology, embryology, sonology, laboratory, counselling and nursing services.
The fertility centre brings together male infertility diagnosis, sperm retrieval and assisted reproductive treatments including IUI, IVF and ICSI.
Meet Our Fertility Specialists
IVF & ICSI procedures a year
Live births through IVF & ICSI technology
IVF ART success rate
Centre-reported figures. Treatment outcomes vary by individual and clinical circumstances.
Every fertility journey is personal. Hear directly from couples who chose Sunflower Infertility & IVF Center for their care.
Yes. A semen analysis provides important information, but further evaluation may be recommended based on your medical history and clinical assessment. Sunflower Infertility & IVF Center's male fertility information specifically notes that Serum FSH and total testosterone may help identify certain trends even when semen analysis is normal.
Depending on your clinical assessment, your specialist may recommend semen analysis, blood tests, a karyotype test, sperm DNA fragmentation testing or a scrotal Doppler test.
Treatment for low sperm count in men depends on the underlying condition and the overall fertility assessment. Depending on the situation, treatment may include medical management, surgery, sperm retrieval or assisted reproductive treatment.
Depending on the cause and clinical assessment, sperm retrieval procedures such as PESA, TESA or Micro-TESE may be considered. PESA and TESA are sperm-retrieval procedures used in selected cases as part of assisted reproductive treatment.
Not necessarily. The appropriate treatment depends on the couple's fertility assessment. Depending on the situation, medical treatment, surgery, IUI, IVF, ICSI or sperm retrieval may be considered.
Fertility involves both partners. Evaluating both can help your doctors understand the overall situation and decide on the appropriate next step.
Have questions about male infertility, semen analysis or treatment options? Speak with a fertility specialist to understand your assessment and the next steps that may be appropriate for you.
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