Male-infertility services are available at Conceiva Fertility. Evaluation may include a medical-history review and investigations selected by the fertility specialist.
A cause is found in some men and not in others. Recognised causes include varicocele; hormonal problems (low testosterone, pituitary disorders); previous infection or inflammation; undescended testes in childhood; genetic factors in more severe cases; some medications and anabolic steroids; and lifestyle and environmental factors such as smoking, heavy alcohol use, obesity and prolonged heat exposure. Often no single cause is identified.
Semen quality varies naturally between samples, so a single result is a snapshot. Repeat testing is most useful when the first result was abnormal or borderline, to confirm the finding before acting on it. Depending on the results and history, a specialist may recommend hormone blood tests, examination for varicocele, a scrotal ultrasound, and in more severe cases genetic tests. The partner’s evaluation runs alongside, because the right treatment depends on both.
| Finding | What may be discussed |
|---|---|
| Mildly low count, otherwise normal, partner’s evaluation normal | Lifestyle measures and time; repeat testing; IUI in some cases |
| A treatable cause (hormonal, infection, clinically significant varicocele) | Treating the cause first, then reassessing after about three months |
| Moderately or severely low count | IVF with ICSI, where a single sperm is injected into each egg |
| Very few or no sperm | See azoospermia and surgical sperm retrieval; donor sperm as an alternative |
Lifestyle factors like smoking, excessive alcohol consumption, obesity, sedentary lifestyle, inadequate sleep, prolonged heat exposure can significantly negatively influence sperm health. Empirical supplements have uncertain benefit and are discussed honestly rather than assumed.
Sometimes. Where a cause such as smoking, heat exposure, a medication or a varicocele is addressed, sperm parameters can improve over about three months; where the cause is genetic or unknown, treatment works around the finding rather than changing it.
Dr. Spoorthy Chennamaneni, MBBS, DGO, MS (Obstetrics & Gynaecology), FRM (Fellowship in Reproductive Medicine), Telangana State Medical Council Reg. 070142, with 12+ years of experience, consults in English, Telugu and Hindi at Conceiva Fertility, Kondapur.
Yes. Male factors contribute to a substantial share of fertility difficulty, and a semen analysis is a simple early test. Evaluating both partners from the start avoids months of guesswork.
General health, some medications, heat exposure, smoking, alcohol and certain medical conditions such as varicocele can all play a role. Many factors are assessable and some are treatable; an andrology evaluation identifies which apply.