Male Infertility Treatment
Dedicated andrology care, from diagnosis to surgical sperm retrieval.
- Medication & hormone restoration
- PESA & TESA sperm retrieval
- Varicocele & blockage surgery
About this treatment
Male factors contribute to nearly half of all infertility, so a thorough male evaluation is part of every couple's workup. Causes range from abnormal or low sperm production — due to infection, injury, hormonal disorders, varicocele or lifestyle — to blockages, and disorders of the genitalia or genes. A significant share is idiopathic, reflecting how much about testicular function is still being understood.
Treatment is matched to the cause. Conservative options include medication to improve sperm production, hormone correction, and lifestyle changes (avoiding heat, alcohol, tobacco and certain exposures). Because sperm regenerate roughly every three months, positive changes can show measurable benefit within a season.
Where sperm are absent from the ejaculate, surgical sperm retrieval — PESA (from the epididymis) and TESA (from the testicle) — can recover sperm for use with ICSI. We also offer reproductive surgery such as varicocele repair and removal of blockages.
Who it's for
- Low sperm count, motility or abnormal shape
- Hormonal imbalance affecting fertility
- Blockages preventing sperm in the ejaculate
- Varicocele or other structural issues
- No sperm in the ejaculate (azoospermia)
Key benefits
- Quick, inexpensive first test (semen analysis)
- Lifestyle and medical changes can improve sperm in months
- Surgical retrieval makes fatherhood possible even with no sperm in the ejaculate
- Coordinated with the female partner's treatment plan
Every treatment plan at Shobha IVF is personalised. The details here are a guide — your specialist will tailor each step to your unique situation.
What to expect, step by step
Assessment
Detailed history, examination and semen analysis, with hormonal and genetic tests where needed.
Diagnosis
We identify the underlying cause and whether it's treatable medically or surgically.
Treatment
Medication, hormone therapy, surgery, or sperm retrieval (PESA/TESA).
Integration
Retrieved or improved sperm is used in a coordinated IUI, IVF or ICSI cycle.
Male Infertility — your questions
Common questions about this treatment. Anything else? Our team is happy to talk it through.
Yes — stopping smoking, reducing alcohol, losing excess weight and avoiding heat exposure can meaningfully improve sperm quality, often within about three months as sperm regenerate.
Often, yes. In many cases of azoospermia, sperm can be recovered directly from the testicle or epididymis (TESA/PESA) and used with ICSI.
Absolutely — male factors are involved in about half of cases. A simple semen analysis early on avoids unnecessary investigations and points to the right treatment sooner.
Related treatments
All treatments
The information on this page is general and educational, and is not a substitute for professional medical advice, diagnosis or treatment. Fertility outcomes vary from person to person and depend on age, diagnosis and other individual factors; no result is guaranteed. Any success figure shown is a beta-hCG positive (pregnancy-test) rate per embryo transfer at our Solapur centre, which is not a live-birth rate. Please consult our specialists for advice specific to you.