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Male infertility is very common. Still, it overlooked as a medical condition and believed more as a social taboo in a country like India. As quoted in Times of India, based on research, a whopping 46% of Indians, between the ages of 31 and 40, require medical intervention to conceive as one or both partners suffer from fertility problems. This is a startling figure!

Though we generally like to believe that infertility is always a women’s problem, in reality, a massive 30% of cases are attributable to male infertility. Taking a global average, one in every twenty men has some form of a fertility issue. SO this would be high time for acknowledging the issue and go for the treatment.

What is Male Infertility?

A man’s fertility will be referred to as the quality and quantity of sperms produced. If the number of sperm a man ejaculates is lower than required or if the sperms are of poor quality, it is difficult or sometimes impossible for him to cause a pregnancy. This condition is generally referred to as male infertility.

How is it diagnosed?

The simplest and the most common way to ascertain male infertility is the Semen Analysis. The same gives a clear indication of the type and magnitude of the problem.


What leads to male infertility?

There will be a wide spectrum of causes of male infertility. However, some of the most common ones are:

  • Hormonal disorders like pituitary tumors, congenital lack of LH/FSH or steroid abuse, etc.
  • By birth, like in some cases, a male child is born with a congenital absence of vas deferens (the tube through which sperm passes from the testis to outside the body).
  • Childhood conditions. For example, in some cases, childhood mumps leads to testicular failure or damage
  • Genetic disorders
  • Physical abnormalities
  • Some sexually transmitted diseases like Gonorrhoea or Chlamydia. These cause the blockage of tubes carrying sperms. Smoking and drinking would one of the major factors as it researched that men who smoke or drink have 13% – 17% less sperm count than teetotalers.

Can I still be a father? HOW?

Till about last decade, the only option for men with little or no sperms, a condition referred to as Azoospermia. They would be left with an option either to adopt a child or get a donor for sperms. However, with advancements in medical technology, procreation is possible for men with little or no sperm count. Hence, it is possible in most of the cases now for you to become a father even if diagnosed with male infertility treatment provided you get the right treatment from the right place.

The procedure by which male infertility will be cure are:

  • TESA – Testicular Sperm Aspirations is an invasive procedure in which a needle would penetrate through the epidermis of the scrotum which then aspirates the fluid inside the testicle.
  • PESA – Percutaneous Epididymal Sperm Aspiration: In this technique, the needle will directly inject into the epididymis.
  • Percutaneous Biopsy of the Testis (Perc Biopsy): Similar technique is done with a bigger needle to extract more sperm.
  • MESA – Micro-surgical Epididymal Sperm Aspiration: It’s an open surgical procedure wherein the tubules of the epididymis are located with the help of an operating microscope with greater precision so as to aspirate a larger amount of sperm.
  • TESE – Testicular sperm extraction used in the case of patients who have zero sperm count and don’t have any blockages as well. It’s an advanced sperm retrieval technique. The scrotum will be opened up surgically. A large amount of testicular tissue will be extracted from various parts of the testicles to check and isolate sperms from them.
  • Microdissection TESE another advanced technique involves a more focused dissection of the testicle tissue with the help of a micro-dissecting microscope. This process is less damaging and the impact on tiny blood vessels post-surgery and the risk of cutting them is also considerably low in this procedure.

Thus it is very safe to say that today there is a lot of hope for every couple looking forward to starting a family but unable to do so due to male fertility issues. But it is important that you get the right treatment from the right place. At Gunjan IVF World, the consultation, diagnoses, and treatment provided by pioneers in the field.


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About Author

Dr. Gunjan Gupta Fertility and IVF Specialist in Delhi

Dr. Gunjan Gupta

Gynecologist and IVF specialist
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Dr. Gunjan Gupta is a Gynaecologist with a specialization in IVF, Infertility & Laparoscopy specialist doctor and has close to 2 decades of experience in : Treating Infertility, Performing Gynae Laparoscopy (Keyhole Surgeries) Handing high-risk Pregnancies. She is a Member of Royal College of Obs and Gynae (MRCOG) of UK and has been trained in Laparoscopy at EUDGES (France).

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