Male Infertility

We specialize in addressing male infertility, focusing on insufficient sperm production and sperm quality abnormalities in Pune and Mumbai. Dr. Erande's experience can help in cases of primary infertility, where a man has never generated conception, or secondary infertility when a man has previously induced pregnancy. When a sexually active couple struggles to conceive even after a year of unprotected intercourse, male infertility becomes a concern.

What is Male Infertility?

Male infertility affects 7% of men and more and more young people. It is a common cause of infertility in couples. Compared to the past, today, it is believed that in 1 out of 2 cases, the difficulty in obtaining a pregnancy depends on male reproductive problems. The causes are the insufficient production of spermatozoa or the qualitatively altered nature of the spermatozoa (due to reduced motility, altered morphology, and damaged DNA), which hinder conception. Infertility differs decisively from sterility, which occurs when there is a total absence ( azoospermia ) or drastically insufficient ( crypto-azoospermia ) of sperm in the seminal fluid or when there is no ejaculation (aspermia) or the sperm present in the seminal fluid is dead ( necrozoospermia ). The absence of spermatozoa in the seminal fluid or the absence of ejaculation does not prevent the identification of vital spermatozoa useful for conception.

What are the causes of male infertility?

Male infertility can have various causes, including:

• Genetic causes: Reduced sperm production often links to imperfect testicular development, stemming from genetic factors in fetal stages.
• Cryptorchidism: This issue, corrected in early life through surgery, hampers testicular function.
• Uro-seminal infections: Inflammation in the seminal tract can harm spermatozoa due to germs.
• Fever: Temporary fertility reduction can result from fevers lasting 60-180 days.
• Heat sources: Tight polyester pants raise the genital temperature, affecting fertility.
• Epididymitis: Inflammation in the epididymis, important for seminal fluid, impacts fertility.
• Varicocele: Varicocele vein dilation can damage sperm DNA and fertility.
• Antisperm antibodies: These hinder sperm function and transit through the female reproductive tract.
• Erectile dysfunction: 5% of infertility is linked to this issue.
• Sexually transmitted diseases: Papillomavirus, Syphilis, Gonorrhea, and Chlamydia can cause infertility.
• Drugs: Risk factors include anticancer, hypertension, and dyslipidemia medications.
• Surgery: Genitourinary surgeries can irreversibly alter male reproductive capacity.
• Traumas: Testicular trauma and torsions negatively affect functionality.
• Lifestyles: Smoking, poor diet, and sedentary habits reduce sperm quality.
• Environmental risks: Pesticides, solvents, plastics, and radiation can harm fertility.

What are the symptoms of male infertility?

Generally, the conditions that lead to male infertility have no specific symptoms. Exceptions are varicocele, which can be "silent" or give a feeling of discomfort or weight at the level of the scrotum, and inflammatory states of the uroseminal canals, which often cause urination, urgency urinary, or ejaculatory burning.

How does our clinic incorporate advanced techniques to diagnose male fertility issues?

When it comes to diagnosing male fertility issues, a range of advanced examinations is available in Pune and Mumbai:

Spermiogram

The evaluation of semen and sperm cells, known as a spectrogram, is a crucial examination. It assesses various parameters, including volume, pH, concentration, morphology, motility, viscosity, leukocytes, and more. This test also detects agglutination caused by autoantibodies and infections. To ensure accuracy, abstain from sexual intercourse for 3-5 days before the test. A reliable assessment requires analyzing at least two ejaculates obtained at intervals of over 2.5 months in qualified facilities.

Sperm Function Tests

Additional tests such as the TUNEL, SCSA, and HALO tests play a pivotal role in identifying sperm DNA alterations, especially when sperm count and motility seem normal.

MAR-Test

The MAR-Test helps identify anti-sperm antibodies on spermatozoa surfaces.

Beyond these tests, other diagnostic methods include:

• Bacteriological examination
• Scrotal Echocolor Doppler
• Prostate vesicular ultrasound
• Genetic analyses, like karyotyping for chromosomal abnormalities
• A testicular biopsy is performed to evaluate the functionality of the seminiferous tubules and to identify concealed tumor types.

For a comprehensive assessment, consult Dr. Erande at our clinic, integrating advanced techniques to evaluate male fertility.

How can our clinic help you?

In approximately 30% of male infertility cases, the root cause remains unidentified, rendering specific therapies unfeasible.

• Effective medical approaches address symptomatic or asymptomatic reproductive infections (15% of couples).
• Hormonal imbalances, such as hypogonadotropic hypogonadism, necessitate medical intervention to restore sperm component balance.

At our clinic in Mumbai, India, we specialize in groundbreaking male infertility solutions. Dr. Erande's expertise ensures that treatments are tailored to individual cases. With a commitment to cutting-edge care with Ayurvedic medicines, ensuring both safety and effectiveness, Dr. Erande is your partner on the journey to overcoming male infertility.