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Male Infertility Treatment in Bangalore

Male infertility treatment depends on the underlying cause and the couple’s overall fertility evaluation. Depending on the findings, treatment may involve addressing contributing medical or lifestyle factors, medicines where clinically appropriate, IUI, IVF with ICSI, or sperm-retrieval procedures such as TESA or PESA in selected cases.

At Janisthaa IVF in Bangalore, male fertility care begins with reviewing medical history, previous fertility reports, semen-analysis findings and other investigations where required. The aim is to understand the possible male fertility factor before discussing an appropriate treatment pathway.

Men with low sperm count, poor sperm motility, abnormal sperm morphology, azoospermia or other male-factor fertility concerns may require different approaches. Not every patient needs IVF or ICSI.

Concerned about male infertility or have an abnormal semen analysis report?

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What Is Male Infertility?

Male infertility refers to fertility difficulties associated with factors affecting sperm production, sperm quality, sperm delivery or male reproductive function.

Male factors can contribute to a couple’s difficulty conceiving either alone or together with female fertility factors. This is why fertility evaluation often considers both partners rather than assuming that infertility is related to only one person.

Male fertility concerns may involve:

  • Low sperm concentration or total sperm count

  • Reduced sperm motility

  • Abnormal sperm morphology

  • Absence of sperm in the ejaculate

  • Problems with sperm production

  • Obstruction affecting sperm transport

  • Hormonal abnormalities

  • Certain genetic conditions

  • Sexual or ejaculatory difficulties

  • Testicular or reproductive-tract conditions

The appropriate male infertility treatment depends on identifying the possible contributing factor and considering it alongside the couple’s complete fertility situation.

What Causes Male Infertility?

Male infertility can have several possible causes. In some men, more than one factor may be present, while in others the cause may not be immediately identifiable.

☑️ Low Sperm Count – Oligospermia

Oligospermia refers to a lower-than-expected sperm concentration in semen.

Possible contributing factors can include hormonal conditions, varicocele, testicular conditions, previous infections, certain medicines, genetic factors and lifestyle or environmental exposures.

A low sperm count does not automatically mean that natural conception is impossible. The significance depends on the degree of reduction, other semen parameters and the fertility evaluation of both partners.

Learn more about Low Sperm Count / Oligospermia

☑️ Poor Sperm Motility

Sperm motility describes how sperm move.

Reduced motility can affect the ability of sperm to travel through the female reproductive tract and reach an egg. The importance of reduced motility depends on its severity and other semen parameters, including sperm concentration and morphology.

Treatment should therefore be based on the complete fertility assessment rather than motility alone.

☑️ Abnormal Sperm Morphology

Morphology refers to the size and shape of sperm assessed according to laboratory criteria.

Abnormal morphology may be reported during semen analysis, but morphology should not be interpreted in isolation. A fertility specialist considers it together with sperm concentration, motility, reproductive history and other findings.

☑️ Azoospermia

Azoospermia means that sperm are not detected in the ejaculate.

Broadly, this may occur because sperm production is significantly affected or because sperm are being produced but cannot reach the ejaculate due to an obstruction.

Determining the possible cause is important before treatment is considered. Selected patients may require hormonal, genetic or imaging investigations, and sperm-retrieval procedures such as TESA or PESA may be considered in appropriate situations.

☑️ Varicocele

A varicocele is an enlargement of veins within the scrotum.

In some men, a varicocele may be associated with changes in testicular function or semen parameters. Whether treatment is appropriate depends on clinical findings and the individual’s fertility situation.

☑️ Hormonal Factors

Hormones such as FSH, LH and testosterone are involved in reproductive function and sperm production.

Certain hormonal abnormalities can affect fertility and may require further evaluation to determine whether cause-specific medical management is appropriate.

☑️ Testicular or Structural Factors

Previous testicular injury, undescended testes, reproductive-tract obstruction, surgery or other structural conditions may affect sperm production or delivery.

☑️ Genetic Factors

Certain genetic conditions may affect sperm production or male reproductive function. Genetic investigations are not required for every patient but may be considered when clinically indicated.

☑️ Medical Treatments and Health Conditions

Some medical conditions, medicines and treatments, including certain cancer treatments, can affect male reproductive function.

☑️ Lifestyle and Environmental Factors

Smoking, excessive alcohol consumption, obesity, heat exposure and certain occupational or environmental exposures may be considered during male fertility assessment.

Lifestyle measures can support general and reproductive health, but they should not replace medical evaluation when infertility is suspected.

How Is Male Infertility Diagnosed?

At Janisthaa IVF, we follow a step-by-step diagnostic approach to identify the exact issue before starting treatment.

1. Semen Analysis (Primary Test)

This is the most important and first test in male infertility evaluation.It checks:Sperm count, Motility, Morphology and Semen volume

Semen Analysis Cost in Bangalore: ₹800 – ₹2,500

2. Hormonal Testing

Evaluates levels of Testosterone, FSH and LH.

Helps identify underlying hormonal issues.

3. Ultrasound / Scrotal Scan

Detects structural issues like varicocele or blockages.

5. Advanced Tests

DNA fragmentation test Sperm function testsAccurate diagnosis ensures the right treatment without unnecessary procedures.

4. Genetic Testing

Recommended in severe infertility cases to detect chromosomal abnormalities.

Male Infertility Treatment Options in Bangalore

There is no single treatment that is appropriate for every man with infertility.

The recommended approach depends on the possible cause, semen parameters, medical history, duration of infertility, previous treatment and the fertility evaluation of the female partner.

Treatment may range from management of an identified medical factor to assisted reproductive treatments such as IUI or IVF with ICSI. In selected cases where suitable sperm are not available in the ejaculate, surgical sperm retrieval may be considered.

1. Managing Underlying Medical Factors

If a specific cause is identified, treatment may focus on managing that condition.

  • Hormonal problems

  • Infections or inflammation

  • Varicocele

  • Testicular or reproductive conditions

  • Other diagnosed medical factors

Treatment is selected according to the diagnosis and individual fertility situation.

2. Lifestyle & General Health

Certain lifestyle and health factors may affect reproductive health. A fertility specialist may recommend changes related to:

  • Smoking and alcohol

  • Weight and nutrition

  • Physical activity

  • Heat exposure

  • Occupational exposures

  • Medicines and existing health conditions

Lifestyle changes may support reproductive health but should not replace fertility evaluation when a significant fertility problem is present.

3. Medical Treatment

Medicines may be considered when a specific hormonal or medical condition is identified.

  • Hormonal treatment where indicated

  • Treatment of relevant infections

  • Management of diagnosed medical conditions

  • Specialist care where required

Medication should be based on the underlying diagnosis rather than used simply to increase sperm count.

4. IUI for Male Infertility

IUI (Intrauterine Insemination) may be considered for selected couples with mild male-factor fertility concerns.

During IUI, a prepared sperm sample is placed into the uterus around ovulation.

May be considered for:

  • Mildly reduced sperm count

  • Mild motility problems

  • Suitable semen parameters after preparation

  • Couples without additional major fertility factors

Learn About IUI Treatment in Bangalore

5. IVF With ICSI for Male Infertility

ICSI (Intracytoplasmic Sperm Injection) is performed as part of IVF. A selected sperm is injected directly into an egg to assist fertilisation.

ICSI may be considered for:

  • Significantly low sperm count

  • Poor sperm motility

  • Significant sperm-quality concerns

  • Previous fertilisation difficulties

  • Surgically retrieved sperm

ICSI helps with fertilisation in selected cases but does not treat the underlying cause of male infertility.

Learn More About IVF With ICSI


Treatment for Poor Sperm Motility

Poor sperm motility means fewer sperm are moving effectively. Treatment depends on the severity, possible cause and other semen parameters.

Possible next steps include:

  • Identify possible contributing factors

  • Review the complete semen analysis

  • Manage diagnosed medical factors

  • Consider IUI in selected mild cases

  • Consider IVF with ICSI where clinically appropriate

Treatment should not be decided from the motility percentage alone.


Treatment Options for Azoospermia

Azoospermia means sperm are not detected in the ejaculate. Further evaluation is needed to understand why before deciding on treatment.

Typical evaluation pathway:

Confirm azoospermia → Identify possible cause → Additional tests if required → Discuss fertility options

Depending on the diagnosis, sperm-retrieval procedures may be considered in selected cases.

TESA for Male Infertility

TESA (Testicular Sperm Aspiration) retrieves sperm directly from testicular tissue in selected male-infertility cases.

  • Used in selected cases of azoospermia

  • Retrieves sperm from the testis

  • Retrieved sperm may be used with IVF/ICSI

  • Suitability depends on the underlying diagnosis

PESA for Male Infertility

PESA (Percutaneous Epididymal Sperm Aspiration) retrieves sperm from the epididymis.

  • May be considered for selected obstructive cases

  • Retrieves sperm from the epididymis

  • Retrieved sperm may be used with IVF/ICSI

  • Suitability depends on the cause of azoospermia

When Should You Consult a Fertility Specialist About Male Infertility?

Male fertility evaluation may be appropriate when a couple has been trying to conceive without success or when a known male reproductive concern is present.

Consider discussing fertility evaluation if there is:

  • A previous abnormal semen analysis

  • Low sperm count

  • Reduced sperm motility

  • No sperm detected in semen

  • Testicular pain, swelling or another testicular concern

  • Known varicocele

  • History of undescended testes

  • Previous testicular or reproductive surgery

  • Previous testicular injury

  • Erectile or ejaculatory concerns

  • Previous chemotherapy or cancer treatment

  • Known hormonal or genetic conditions

  • Previous unsuccessful fertility treatment

Evaluation of both partners may be appropriate because pregnancy depends on multiple male and female reproductive factors.

Male Infertility Treatment at Janisthaa IVF in Bangalore

Janisthaa IVF provides male fertility evaluation and treatment guidance as part of fertility care for couples in Bangalore.

Depending on individual findings, care may include semen analysis, further male fertility investigations where required, IUI, IVF with ICSI and sperm-retrieval procedures such as TESA or PESA.

Patients can consult the fertility team at Janisthaa IVF’s Bangalore centres.

 

Basaveshwar Nagar

Janisthaa Fertility and IVF Center in Basaveshwar Nagar provides male and female fertility evaluation and fertility treatments including IUI, IVF, ICSI, TESA and PESA.

View Basaveshwar Nagar Centre 

RR Nagar

The Janisthaa IVF centre in RR Nagar provides fertility consultations, male fertility evaluation and assisted reproductive treatment based on individual clinical needs.

View RR Nagar Centre 

Nagarbhavi

Janisthaa Fertility & Women Care Center in Nagarbhavi provides fertility and gynaecology consultations, including evaluation and treatment guidance for male-factor fertility concerns.

View Nagarbhavi Centre 

 

Why Choose Janisthaa IVF for Male Infertility Treatment?

Care Led by Dr Shwetha

Individualised fertility evaluation and treatment guidance based on each couple’s medical needs.

2 Centres in Bangalore

Consultation and care currently available at Basaveshwaranagar and RR Nagar.

Transparent Cost Guidance

Treatment costs are explained based on the investigations, procedures and treatment plan recommended for the individual case.

Male Fertility Evaluation & Treatment

Semen analysis, male fertility evaluation, ICSI, TESA, PESA and related fertility care based on clinical needs.

Compassionate & Ethical Approach

Patient-first care with emotional support.

Meet Our Doctor

Dr Shwetha Y Baratikkae is a fertility specialist, obstetrician and gynaecologist with 20+ years of experience in reproductive medicine and women’s healthcare. She provides evaluation and treatment guidance for male and female fertility concerns, including cases that may require IVF, IUI, ICSI or other assisted reproductive techniques.

Her approach focuses on ethical, individualised treatment planning based on medical history, test results and the fertility needs of both partners.

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What Our Patients Say

Read experiences shared by patients who have consulted Dr Shwetha and the Janisthaa care team.

Dr. Shwetha is amazing doctor I have ever consulted, am very happy with her treatment. I had consulted her for gynic issue, now am very much fine, i recommend her to my family and friends. Thank you doctor.
Doctor Shwetha mam is very polite, much experienced and provides good treatment. Treats the patient nicely. She always suggests a best treatment according to case. Staff and facilities available here are good.
Doctor Shwetha mam is very polite, much experienced and provides good treatment. Treats the patient nicely. She always suggests a best treatment according to case. Staff and facilities available here are good.

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FAQ

Male infertility treatment depends on the underlying cause. Depending on the evaluation, management may involve addressing contributing medical or lifestyle factors, medical treatment where appropriate, IUI, IVF with ICSI or sperm-retrieval procedures such as TESA or PESA in selected cases.

Treatment for low sperm count depends on its possible cause, severity, other semen parameters and the couple's complete fertility evaluation. Further investigation may be recommended before discussing medical management, IUI or IVF with ICSI.

Poor sperm motility should be interpreted together with sperm concentration, morphology and other fertility findings. Treatment depends on the possible cause and severity and may range from management of contributing factors to assisted reproductive treatment where appropriate.

The approach to azoospermia depends on why sperm are absent from the ejaculate. Further evaluation may be required to identify possible obstructive, testicular, hormonal or genetic factors. In selected cases, sperm-retrieval procedures may be considered as part of fertility treatment.

ICSI may be considered in certain male-factor fertility situations, including significantly affected sperm parameters, previous fertilisation difficulties or when surgically retrieved sperm are used. Whether ICSI is appropriate depends on the couple's complete fertility evaluation.

TESA and PESA are sperm-retrieval procedures used in selected male-infertility situations. TESA retrieves sperm from testicular tissue, while PESA retrieves sperm from the epididymis. The appropriate approach depends on the underlying diagnosis and intended fertility treatment.

No. Male infertility does not automatically mean IVF is required. Treatment depends on the underlying cause, severity of the fertility factor, semen parameters, female-partner factors and the couple's overall fertility situation.

Male infertility treatment costs vary according to the diagnosis and treatment required. Fertility evaluation, medicines, IUI, IVF with ICSI and sperm-retrieval procedures have different costs. A more specific treatment estimate can be discussed after evaluation identifies the treatment that may be appropriate.

Janisthaa IVF provides male fertility evaluation and treatment guidance at its Bangalore centres in Basaveshwar Nagar, RR Nagar and Nagarbhavi. Contact the clinic to confirm appointment availability and the appropriate location for your consultation.