Male Infertility: Tests, Causes, and Treatment Options

Here’s something most couples don’t realize: male infertility contributes to about 40-50% of all infertility cases. Yet most fertility conversations focus almost entirely on women. If you’ve been trying to conceive for a year without success (or six months if the female partner is over 35), both partners need evaluation. This isn’t about blame, it’s about getting answers faster. Let’s learn about male infertility, tests, causes, and treatment options.

Common Causes of Male Infertility

Male infertility usually comes down to problems with sperm production, function, or delivery.

Low sperm count means your body produces fewer than 15 million sperm per milliliter of semen. Poor motility means sperm don’t swim well enough to reach the egg. Abnormal morphology means sperm have unusual shapes that prevent fertilization. Azoospermia is the complete absence of sperm in ejaculate.

What Causes These Problems?

Varicocele (swollen veins in the scrotum) is the most common reversible cause. The swelling raises testicular temperature and disrupts sperm production.

Infections from STIs, prostatitis, or testicular inflammation can interfere with sperm production or cause blockages.

Hormonal imbalances involving the pituitary gland, thyroid, or testosterone disrupt sperm production.

Lifestyle factors play a huge role: smoking, excessive alcohol, marijuana, anabolic steroids, obesity, stress, and heat exposure (hot tubs, saunas, tight underwear) all negatively impact sperm quality.

Medications including certain antibiotics, blood pressure drugs, and cancer treatments can impair sperm production.

Genetic conditions like Klinefelter syndrome or Y chromosome deletions affect fertility.

To know more, Call 8448841271 or info@ekmifertility.com

Male Infertility Tests

Semen analysis is always first. You’ll provide a sample after abstaining from ejaculation for 2-5 days. The lab checks sperm count, motility, morphology, semen volume, and pH levels. One abnormal result doesn’t mean infertility—sperm production fluctuates, so a second test a few weeks later confirms findings.

Physical examination checks for varicoceles, lumps, or structural abnormalities.

Hormone testing measures testosterone, FSH, LH, and prolactin through blood work.

Genetic testing identifies chromosomal issues when sperm count is extremely low or absent.

Testicular biopsy determines whether azoospermia is caused by blocked sperm or production failure.

To know more Call 8448841271 or info@ekmifertility.com

Treatment Options

The right treatment depends on the cause.

Lifestyle Changes

Stop smoking, reduce alcohol, maintain healthy weight, avoid excessive heat to the groin, and take prescribed vitamins (often CoQ10, vitamin C, vitamin E, zinc, and folic acid). Results take at least three months since sperm need 72 days to mature.

Medical Treatment

Antibiotics clear infections. Hormone medications correct imbalances. Treatment for erectile dysfunction or premature ejaculation addresses sexual function issues.

Surgery

Varicocele repair improves sperm parameters in 60-80% of cases. Vasectomy reversal reconnects the vas deferens. Sperm retrieval procedures like TESA or micro-TESE extract sperm directly from testicles when blockages prevent ejaculation.

Assisted Reproductive Technology

IUI (Intrauterine Insemination) places processed sperm directly into the uterus during ovulation. Works for mild male factor infertility with 10-15% success per cycle.

IVF treatment (In Vitro Fertilization) retrieves eggs and fertilizes them with sperm in the lab. Suitable for moderate male factor issues.

ICSI (Intracytoplasmic Sperm Injection) injects a single sperm directly into each egg. This is the solution for severe male infertility, even with very low counts or poor motility, ICSI achieves 50-70% fertilization rates. It works with surgically retrieved sperm too.

Donor sperm with IUI or IVF is an option when no viable sperm can be produced or retrieved.

To know more Call 8448841271 or info@ekmifertility.com

Your Chances of Success

Lifestyle changes and medical treatment improve sperm parameters in 3-6 months for many men. Varicocele repair shows improvement in 60-80% of cases. IVF with ICSI for severe male factor achieves pregnancy rates similar to standard IVF when female factors are normal.

Moving Forward

Male infertility is a medical condition with identifiable causes and effective treatments. The biggest mistake couples make is waiting too long to test both partners.

At Ekmi Fertility, we evaluate both partners from day one. Whether treatment means lifestyle changes, medication, surgery, or IVF with ICSI, we’ll guide you through every option. With the right diagnosis and treatment, most couples dealing with male infertility can build their families.

Next Steps: Schedule a consultation at Ekmi Fertility for comprehensive testing and a personalized treatment plan based on your specific situation. Learn about male infertility, tests, causes, and treatment options.

To know more Call 8448841271 or info@ekmifertility.com

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