Male Infertility Evaluation & Treatment
Male Infertile can have more than one cause, so it’s likely you will both need to see a gynaecologist. It might take a few tests to determine the cause of infertility.
- Semen Analysis:
This is a routine lab test in which semen is collected in a sterile tube, and the sample is studied. The quality of the sperm is analyzed by studying sperm volume, sperm count, movement, concentration, and structure. Reports are given on the same day.
2. Hormone Evaluation:
Testosterone and other hormones are responsible for the production of healthy sperms. Hormone evaluation also helps the doctor to rule out if you are suffering from any other underlying health problem.
3. Testicular Biopsy:
This test is done when your semen analysis shows low sperm count or no sperms. A needle biopsy is taken to check for the presence of healthy sperms. This helps to diagnose if there is any blockage, and also these sperms can be used in the process of assisted reproduction.
- Surgical Sperm Retrieval (SSR)Techniques :
- Percutaneous Epididymal Sperm Aspiration (PESA):
A small needle is placed into the epididymis, which is a reservoir of sperm that sits atop each testicle, using local/general anaesthesia and sperms are aspirated.
4. Testicular Sperm Aspiration (TESA) /Testicular Sperm Extraction (TESE):
If PESA is unsuccessful, TESA or TESE may be offered. In this procedure, the sperm is obtained directly from the testicle either by a needle or a tissue biopsy.
5. Micro TESE:
MicroTESE is done under the microscope where our urologist dissects out only microscopic tissue (tubule) from areas with dilated seminiferous tubule, identified as having active spermatogenesis. Sperm may be found in 50–60% of well-selected cases. Microscopic tissue removal ensures no harm is done to the testis.
Treatment Protocol
- Lifestyle Changes:
We ensure that the male partner loses weight, takes a good diet rich in antioxidants, exercises regularly and reduces stress. At the same time, he quits smoking alcohol and any other addictions.
2. Hormone Replacement:
If hormones are deficient and are required to boost sperm production we start the replacement therapy (hCG & FSH). This therapy takes at least 3 months to show results.
3. Surgical Interventions:
In case of dilated veins in the testis surgical clipping (Variocelectomy) is done. This brings down the raised local temperature of testis enhancing sperm production. In case the outlet duct (vas deferens) is blocked and the condition is good enough to try and repair.
We at Ashakiran — Infertility Center in Pune, ensure that we identify the cause of infertility and address it accordingly. Dr. Ashish Kale an IVF Specialist, provides excellent Female and Male Infertility treatment in Pune to his patients.
