Male Infertility Treatment in Delhi

There are various physical and mental factors resulting in low sperm count in males. The mental state of stress, anxiety, and depression have a major negative impact on the fertility of men. Obesity, alcohol, and tobacco are also among the major reasons for low sperm count in males. Other than these, steroids, antibiotics and therapies for cancer can also adversely affect the sperm count in the body.

Any man who has less than 15 million sperms per milliliter is considered to have a low sperm count. Yes, the chances of impregnating the female partner become lesser as the sperm count lowers. One should definitely seek medical help in such a condition and get the root cause treated.

The foods rich in vitamin B12, C, D, and E help to increase the fertility of males. Therefore, you should have more citrus fruits (strawberry, cantaloupe, lemon, grapefruit), fish, eggs, milk, meat, nuts, pumpkin seeds. These foods will surely help in getting rid of the symptoms of infertility.

Sperms are counted per milliliter.

• The normal range spans from 15 million to 100 million per milliliter.
• Sperm counts below 10 million are considered poor.
• Sperm count of 15 million or more may be fine if motility and morphology are normal.

Most of the ejaculated fluid is not sperm. Sperm is microscopic and the motility and quality can only be evaluated by doing a sperm analysis from trained lab technicians. Also, sperm health is not the only definitive factor in male infertility. It may also be caused by a structural blockage in the male reproductive area, hormonal imbalance, or unexplained reasons. This is why consultation with an experienced infertility specialist is extremely essential to understand the core of couple’s infertility.

The best quality of sperms are those that have 15 million/ milliliter or more sperm count and swim forward fast in a straight line – like guided missiles.

Anejaculation is when there’s no semen. However, not common, it can be caused by:

• spinal cord injury
• prior surgery
• diabetes
• multiple sclerosis
• abnormalities present at birth
• other mental, emotional or unknown problems

CAH is a rare cause of male infertility that happens because of abnormal hormone production. It is diagnosed by evaluating the steroid level in the blood and urine and treated through hormone replacement.

Yes. Data records smoking affects sperm quality in multiple ways. It makes the sperm cells smaller and slower while negatively affecting the seminal fluid ejaculated with sperm. It also harms the DNA of the sperm.

Yes. A man’s age has a direct correlation with his reproductive capacities. As a man reaches his 40’s, his sperm quality and quantity begins to decline. Therefore, if you are struggling with infertility, it is best you speak to an infertility specialist at the earliest.

An andrologist (urologist with additional training in reproductive organs) certified in infertility treatment treats male infertility. However, based on the symptoms and the root of your problem, your doctor may also recommend you to a reproductive endocrinologist (RE) or an OB-gynecologist.

An infertility specialist for males must include one/ more of the following qualifications:

• MBBS
• DGO
• DNB/MS- General Surgery
• MS-Urology
• MS- Andrology
• MS- Endocrinology

You should consult an infertility specialist if you have been wanting to conceive for more than a year but have failed despite regular and unprotected sex. You should also consult a urologist or infertility specialist if you:

• notice any unusual swelling, sensation, or abnormalities in your scrotum or testicles.
• Have difficulty maintaining an erection or ejaculating

No. Regular masturbation has no direct or clinically proven correlation with infertility.

While wearing boxers instead of briefs is widely believed to be better for male infertility, the same has no clinically proven report or research. However, boxers do help keep the genital area more breathable, dry, and hygienic.

Yes. Data records, that oxidative stress caused due to high glucose levels can damage the DNA of the sperm. For the same reason, the fertility capacity declines. However, it can be finely managed with proper care and medical assistance at the right time.

Yes, data records a delayed hernia treatment or botched hernia surgery, especially in cases of inguinal hernia can result in male infertility. Therefore, hernia must be treated in the earliest and timely manner.

Yes. Varicocele can be treated with minor outpatient surgery called varicocelectomy. If you are suffering infertility issues due to varicocele, you can get in touch with our vascular experts.

Azoospermia (when your semen lacks sperm) can be treated through multiple sperm retrieval options such as- TESA, PESA, and MESA.

PESA is a low-cost treatment done to retrieve sperms in a man with infertility. In this, the urologist sticks a needle attached to a syringe into the epididymis and then gently withdraws the fluid from the testicle ducts.

MESA is another advanced method sperm retrieval. It uses a surgical microscope to retrieve high motility sperms from the epididymal tubes. This sample can then be frozen and thawed later for IVF treatments.

The cost of sperm retrieval is not definite and may vary depending on multiple factors upon including:

• The location of the sperm retrieval (if done in an office or operating room)
• The procedure type and how long it takes. (PESA may range between INR 30,000 to INR 35,000 while MESA costs higher and may hike up to INR 1,00,000.
• When would the sperm be used (fresh/ frozen)

You might want to consider sperm preservation if:

• You are in your 30’s, dont want children yet, but want to keep it as an option for the future.
• You have a high-risk profession such as army/ fire fighting etc.
• You have a low sperm count for no known reason
• You have a condition where the sperm transports out of the body
• You have an autoimmune, genetic, or hormonal disorder
• You have been diagnosed with cancer at a young age