Home  >  Understanding Infertility  >  Male Infertility  >  Causes for Male Infertility

Causes for Male Infertility

The production of sperm is a complex process that involves normal, functioning testes as well as the hypothalamus and pituitary glands to produce the hormones that trigger sperm production. Once the sperm is produced in the testes, it is then transported by delicate tubes to mix with semen, and expelled (ejaculated) from the penis during intercourse of masturbation. However, injury, disease or factors in your lifestyle could be hampering this intricate process, and hampering your attempts to start your family.

That’s why we are here – to help you. At Srushti, we treat all types of Male Fertility and offer the latest treatments and procedures to do so. Our team, led by Dr.SamundiSankari, who pioneered this speciality in India, is very experienced, and is supported by the latest modalities. Our only focus, to help you and your partner start your family.

Oligospermia is the term used to describe low sperm count (less than 15 million sperm/ml). A low sperm count decreases your chances of impregnating your partner.

You could have a low sperm count for many reasons, such as

  • Varicocele or swelling of the veins in the scrotum
  • Infections such as STIs and inflammation of the epididymis or testicles
  • Retrograde ejaculation
  • Sperm antibodies
  • Undescended testes
  • Hormone imbalances
  • Certain medications
  • Prior surgery
  • Prolonged exposure to certain chemicals, metal or radiation
  • Occupation
  • Drug, alcohol or tobacco use
  • Stress
  • Obesity
  • Sedentary occupations

How is Oligospermia treated?

Oligospermia is diagnosed from an analysis of your semen.

You would then be treated based on the cause of your low sperm count. This could mean surgery if you are suffering from varicocele, antibiotics for infections, and hormone treatments if your low sperm count is due to a hormonal imbalance. In some cases, we would also recommend Assisted Reproductive Techniques to facilitate conception.

Sperm Disorders

“Low sperm count is more commonplace than most people know, and in many cases, zeroing in on the cause and treating it is a fairly simple matter. Often, it is a matter of modifying lifestyle and making healthier choices, which don’t just benefit your fertility but your health overall!” – Dr.Divya Sivaraman, Fertility Consultant

If you are looking for low sperm count treatment or ways to improve your sperm count, make an appointment today with one of our Fertility Experts at Srushti or mail us to sfrc@srushtihospital.com.

Azoospermia occurs in about 5% of men suffering from infertility. It is commonly described as no sperm count, and can be one of two types:

  • Non-obstructive Azoospermia, where sperm production is insufficient to get into the ejaculate
  • Obstructive Azoospermia, where sperm production is normal but there is a block in the vas deferens, which prevents the produced sperm from reaching the ejaculate.

Azoospermia can result from a variety of conditions, which include:

  • A blockage in the genitalia, alsoL known as “obstructive azoospermia”
  • An infection within the male reproductive system
  • Injury to the genitalia
  • Effects from surgery to the male reproductive system - including effects from radiation and chemotherapy treatments
  • Genetic causes
  • Other potential causes include: undescended testes, Varicocele, medications such as steroids and antibiotics, excessive alcohol consumption, and illegal drug use

How is Azoospermia diagnosed?

If we suspect azoospermia, we do a thorough analysis to get to the bottom of what is causing it. This begins with a general physical examination and a complete analysis of your medical history. Your semen is analysed to determine sperm count. Other tests that could be required include an ultrasound and hormone testing.

“Lower than normal sperm counts can result from testing a sample that was collected improperly. That is, a semen sample that was taken too soon after your last ejaculation; was taken during an illness or stressful event; or didn't contain the whole ejaculate could result in an inaccurate analysis report that misleads the clinician. This is why, at Srushti Fertility Centre, we insist on a repeat semen analysis with 2-5 days’ abstinence.” – Dr.Samundi Sankari, Chief Fertility Consultant

In cases of Obstructive Azoospermia, TESE or PESA could be performed to retrieve sperm, which is then followed with IVF or ICSI to aid conception.

If the cause of Azoospermia is poor sperm production, medical treatment can help some men improve their production and aid natural conception. However, in others, donor sperm is the best option if you and your partner want to create a biological family.

If you are looking for no sperm count treatment, mail us to sfrc@srushtihospital.com.

Sperm motility is defined as the ability of sperm to move properly through the female reproductive tract to reach and fertilize the woman’s egg.

The most common cause of male infertility is low sperm count; however, some men are infertile because of poor sperm motility. Normally, at least 50% of a man’s sperm should have good quality progressive motility. When levels are below this percentage, the condition is called asthenospermia or asthenozoospermia.

Many men with low sperm count will also have poor sperm motility issues. However, some men can have a normal sperm count but very poor sperm motility says Dr.Chengalvarayan, Urologist.

How is poor sperm motility treated?

A semen analysis determines not just sperm count, but also its motility. If this is found to be lower than normal, our specialists would look to correct any medical causes for poor motility, such as surgery for varicocele, or medications to boost sperm production as well as a regimen of vitamins and minerals. Lifestyle modifications such as stopping use of tobacco, alcohol, drugs and reducing dosage of unavoidable medications may also be recommended. /p>

If your percentage is much below normal parameters, we recommend sperm retrieval and assisted reproduction techniques such as IVF to further your desire to start a family says Dr.SamundiSankari.

If you are interested in treatment for sperm motility, be sure to see a specialist. Visit one of our Fertility Experts at Srushti.

Sperm morphology refers to the size and shape of sperm. We don’t know why the shape of the sperm matters, but we do know that male infertility is associated with a higher number of abnormal sperm. This could be because of exposure to toxic chemicals, increased testicular temperature or infection, which affects sperm development in the testicles.

“No one knows why the shape of the sperm is so important. Yet, there is a clear link between male infertility and sperm morphology. And in many cases, we see that higher numbers of abnormally shaped sperm are associated with other irregularities of the semen such as low sperm count or motility. At Srushti, we don’t believe in taking chances. Rather, we assess the reason and work out a solution.” –Dr.Divya Sivaraman.

How is abnormal sperm morphology diagnosed?

Abnormal sperm morphology is diagnosed by examining the sperm under a microscope and calculating the number of abnormal sperm. It is important to bear in mind that all men produce abnormally shaped sperm; it’s the percentage that matters.

Depending on your numbers, our specialist could recommend lifestyle modifications, such as avoiding tobacco, alcohol and coffee. In such cases, it could take up to 3 months before there are any significant changes in your sperm.

In some cases, we recommend IVF to attempt pregnancy- Dr.Sajitha Sreedhar, Fertility Consultant.

If you are looking for treatment for poor sperm morphology or how to improve your sperm morphology, be sure to see a specialist. Visit one of our Fertility Experts. Contact us today!

“Erectile dysfunction is more common than you would think, and yes a very sensitive issue. At Srushti, we offer both medical and emotional support, as we handle this condition with the utmost respect, discretion and sensitivity.” – Mr.Preshanthan, Managing Director

Factors that can increase a man’s risk of erectile dysfunction include

  • Smoking
  • Being overweight
  • Prostate surgery
  • Cancer treatments
  • Certain medications such as antihistamines, anti-depressants and high blood pressure meds
  • Stress & anxiety
  • Depression
  • Long term drug use
  • Heavy alcohol consumption
  • Prolonged bicycling

How is Erectile Dysfunction treated?

AtSrushti Fertility Centre, you will first meet with our Urologist, who will examine you and review your medical history. You could also be asked to undergo blood tests, urine analysis and an ultrasound to determine the cause of the problem and determine a course of action. In many cases, healthy changes in lifestyle decrease or eliminate erectile dysfunction.

If you are interested in treatment for Erectile Dysfuntion, be sure to see a specialist. Visit one of our Fertility Experts at Srushti.

Premature ejaculation, which is when a man orgasms sooner than desired during intercourse, is a common complaint that we see at Srushti, and is often the result of psychological factors rather than physical problems. However, it can prevent you and your partner from getting pregnant, lead to sexual dissatisfaction for one or both of you, and strain your relationship in the process.

How is Premature Ejaculation diagnosed?

At Srushti, we examine you thoroughly and also talk to you at length about your medical and sexual history. We also recommend blood and urine tests to rule out physical problems.

In most cases, you will learn to control ejaculation using simple techniques. Occasionally, we might also recommend anti-depressants as these can increase the time that it takes to reach ejaculation. For some men, using a condom decreases feeling in the penis and may delay ejaculation.

Consult our Fertility experts today if you are having a problem with premature ejaculation and it does not get better using the methods described above.