Male Infertility

Male factors sit behind roughly half of all infertility cases. Even so, the man's side often gets skipped past, treated as a footnote to the female partner's workup. At TheFertilife, Dr. Anshika Lekhi evaluates and treats male infertility directly, working through the causes in order of how treatable and how urgent each one is, and bringing in urology colleagues the moment surgery is the right next step.

Book a Male Infertility Consultation — Call or WhatsApp +91 9560026697  Speak directly with Dr. Lekhi's team to schedule.

"Men often come in expecting a single fix, and sometimes there is one — a varicocele repaired, a hormone corrected. But just as often, it's a combination of smaller factors working against each other. My job is to find out which situation you're actually in before recommending anything, rather than treating every low count the same way." — Dr. Anshika Lekhi

What Are the Most Common Causes of Male Infertility?

• Varicocele: Enlarged veins in the scrotum. It's the commonest cause that surgery can actually correct. That said, not every varicocele found on exam needs treating.
• Hormonal imbalance: Usually hypogonadotropic hypogonadism, where the brain isn't signalling the testes to make sperm properly. This one tends to respond well to medication.
• Obstructive azoospermia: Sperm are being produced fine. A physical blockage just stops them reaching the ejaculate. Men can opt for TESA/ PESA treatments in these cases.
• Non-obstructive azoospermia: Here the production itself is very low inside the testes. It won't respond to the fixes that work on a blockage. A A
• Lifestyle and environment: Prolonged heat, smoking, heavy alcohol, obesity, some medications, anabolic steroids. Each can affect sperm parameters.
• Genetic factors: A smaller number of cases. Mostly severe oligospermia or azoospermia. Genetic testing may come first.
  

How Is the Cause of Male Infertility Identified?

The same evaluation our male fertility assessment page covers. History, physical exam, semen analysis, hormone testing when indicated. It shows which cause is in play before anything's recommended.

What Treatments Are Available for Male Infertility?

• Lifestyle changes: Heat, smoking, alcohol, weight, where they apply. A few months to show an effect before anything's added. Sperm take about three months to turn over.
• Medical management : Antioxidants to reduce the oxidative stress in the body,this improves the semen quality.
• Hormonal treatment: Gonadotropin therapy for hypogonadotropic hypogonadism. Strong evidence. Clomiphene citrate sometimes, for a low count with low testosterone. Evidence more modest there.
• Varicocelectomy: Surgical repair, usually microsurgical. For a palpable varicocele that's contributing. Not for one found incidentally.
• Surgical sperm retrieval: Obstructive and Non -obstructive azoospermia, TESA or PESA is often enough. High FSH, micro-TESE is preferred. A surgical microscope finds pockets of sperm in the testicular tissue. The sperm goes to ICSI. Once it comes from tissue, IVF or natural conception is out.
• Donor sperm: When none can be retrieved, or treatment hasn't worked. On our donor programs page.

Do Antioxidant Supplements Actually Improve Male Fertility?

The evidence here is limited. The cause needs to be found out. If stress, heat, and poor lifestyle is the cause then yes, antioxidants with lifestyle corrections can work.

Does Varicocele Surgery Always Restore Fertility?

No. Worth knowing going in. The evidence is strong in men with a palpable varicocele and abnormal semen parameters. How much it helps depends on how much the varicocele is driving things. Several factors in play, and the repair alone may fall short. One more point. In some non-obstructive azoospermia, a repair improves the odds of finding sperm at a later micro-TESE. Even when it doesn't restore sperm to the ejaculate.

What Does Male Infertility Treatment Cost in Gurgaon?

Cost mostly comes down to the technique.

Male infertility runs to many possible causes, and the right treatment hangs on your specific diagnosis — this page is informational and isn't a substitute for evaluation by Dr. Lekhi and, where needed, a urology colleague.

Why Choose TheFertilife for Male Infertility Treatment?