Affordable Male Infertility Treatment In India: Top Doctors & Hospitals What is infertility? Infertility is the failure to achieve pregnancy after regular unprotected sex (without the use of any contraception) for at least a year. It is ‘Primary’ infertility means failure to get first pregnancy, later if ‘secondary’ infertility means one fails to achieve a subsequent pregnancy. Primary infertility is an extremely common problem, affecting more than one in seven (15 per cent) couples attempting their first pregnancy. Among those experiencing difficulty with conception, a male fertility problem is considered important in around 40 per cent of couples. In 15 per cent of couples it will be solely a male fertility problem and in around 25 per cent, there will be a problem in both partners. Male infertility is by and large caused by the issues that have an effect on either sperm transport or sperm production. Through male fertility evaluation, the specialist may be able to come across the cause of the problem. Approx two-thirds of infertile males have the issue with sperm production in the testes; also several male fertility cases have been found of low sperm count, less sperm motility or morphologically unfit for fertilization. What Are The Causes Of Infertility In Men? There are several causes of fertility problems in men. They include: Obstructive Problems A blockage in sperm-carrying tubes has many potential causes. The most common are outlined below. Some men have congenital (present at birth) absence of the vas deferens on one or both sides. The vas deferens is the tube that conducts the testicular component of semen to the urethra, which then carries semen through the penis to the outside world. About 10 per cent of men with an obstructive cause for their infertility will have this problem. The seminal vesicles (where other semen components are made) are often absent too. Another rare obstructive cause is Berry-Perkins-Young syndrome, in which sufferers have a chronic chest disease (bronchiectasis), chronic sinusitis and obstructive infertility. Success Rates of Obstructive vs Non-Obstructive Azoospermia in Male Fertility Treatment The success rates of treatment of obstructive and non-obstructive azoospermia in India is relatively high compared to other countries. There are different treatments that help treat male infertility caused by obstructive azoospermia and non-obstructive azoospermia. Male infertility treatment in India is a safe and trusted procedure that helps get you successful results. Treatment Outcome Obstructive Azoospermia (OA) Non-Obstructive Azoospermia (NOA) Sperm Retrieval Success 90–100% 30–60% Micro-TESE Sperm Retrieval Rate Up to 100% 40–50% Fertilization Rate with IVF-ICSI 60–75% 45–60% Clinical Pregnancy Rate per IVF Cycle 35–50% 20–35% Live Birth Rate per IVF-ICSI Cycle 30–45% 15–30% Chance of Natural Pregnancy After Corrective Surgery Moderate to High (depending on blockage repair) Usually very Low Overall Treatment Prognosis Generally Excellent Variable and condition-dependent Top 5 Centres For Male Infertility In India Cost Of Male Infertility Treatment In India Treatment Approximate Cost (USD) Semen analysis $7 – $12 Hormone blood tests $35 – $95 Urology/andrology consultation $12 – $35 Scrotal ultrasound/imaging $25 – $60 Medicines / hormonal therapy $60 – $300 PESA / TESA $300 – $600 TESE $360 – $720 Micro-TESE $1,200 – $2,400 IVF with ICSI (per cycle) $1,800 – $4,200 Testicular Injury And Disease Injury in the testicles, which may occur in sport or during a fight, can cause swelling of the testicles, or bleeding in or around them. This probably causes the blood supply to the testicles to fail, resulting in permanent damage to the sperm production mechanism. Torsion of the testicles (twisting of a testicle on its cord) can have a similar effect if it is not treated very quickly with surgery. Viral infections can cause inflammation of the testicles (orchitis, which usually appears as painful swelling of the testicles) and failure of sperm production. Varicocele A varicocele is a dilation of the testicular veins in the spermatic cord that leads from the testicles to the abdomen. The role of this condition in causing infertility is uncertain and highly controversial. Varicoceles occur in 15-20 per cent of fertile men and 30 to 40 per cent of men with fertility problems. They can occur on either or both sides, but are far more common on the left. They are best identified when the man is standing up and are often described as feeling like ‘a bag of worms’. Experts suggest that the varicocele either heats up the testicles or impairs their blood supply resulting in a build-up of body waste products, thus affecting fertility. The co-existence of other risk factors, such as smoking, with varicocele seems to have a greater effect on the risk of infertility. Sperm Disorders Problems with chromosomes (packages of genetic material) occur in about 2 to 20 per cent of infertile men and can affect their fertility in two ways: Problems With Erection And Ejaculation Problems with sex are the principal cause of infertility in about 5% of couples. This can be due to: Hormonal Problems Testosterone deficiency can reduce fertility and may be caused by problems with testicular testosterone production, or problems with the pituitary gland or hypothalamus in the brain, which control testosterone production. Overproduction of prolactin (hyperprolactinaemia), a hormone produced by the pituitary gland, may also reduce fertility. General Medical Disorders That Reduce Fertility There are several conditions that may reduce fertility: Medical Condition How It May Affect Male Fertility Fever (flu, pneumonia, severe cold) These high feves can affect by reducing the sperm production and can also affect the quality of the sperm. Once recovered from these conditions the sperm production usually improves Diabetes Chronic illness may result in damage the autonomic nervous system, responsibl for regulating functions such as heart rate and respiratory rate, which can lead to erectile dysfunction. High blood pressure Hypertension may contribute to erectile dysfunction, either directly or as a side effect of medication. Coronary artery disease A decreased blood flow hardening of arteries, medication used for heart may affect the erection function in men. Neurological disorders Conditions such as multiple sclerosis, stroke, or spinal cord
Male Infertility Treatment
