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Male Infertility Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow provides compassionate, evidence-based care for male infertility under the expertise of Dr. Aditya Sengar (Urologist). We offer a stepwise approach — from detailed evaluation and corrective treatments to microsurgical sperm retrieval and close coordination with assisted reproduction (IVF/ICSI) teams — aimed at helping couples achieve pregnancy safely and effectively.
What is Male Infertility?
Male infertility refers to a man's reduced ability to cause pregnancy in a
fertile female partner. The most common issue is a problem with sperm — low
sperm count, poor motility (movement) or abnormal morphology (shape). In some
men, sperm may be absent in the ejaculate (azoospermia) due to blockage or
testicular failure.
Male infertility is a treatable condition in many cases. Identifying the underlying cause through careful history, physical examination and targeted investigations is the first and most important step towards successful treatment.
Male infertility is a treatable condition in many cases. Identifying the underlying cause through careful history, physical examination and targeted investigations is the first and most important step towards successful treatment.
Common Signs Suggesting Male Fertility Problems
Male fertility issues may be suspected when a couple fails to conceive
after 12 months of regular unprotected intercourse (or earlier in case of
known risk factors). Other signs include reduced sexual function,
history of testicular pain or swelling, prior infections, undescended
testis, or previous genital surgery. Often, there are no obvious
symptoms and evaluation is prompted by the couple’s difficulty conceiving.
Semen Abnormalities: Count, Motility & Morphology
Semen analysis assesses sperm concentration (count), how well sperm
move (motility) and their shape (morphology). Abnormal results guide
further testing and treatment decisions. Repeat testing is often
required for confirmation.
Azoospermia & Obstructive Causes
Azoospermia means no sperm in the ejaculate. This can be obstructive
(blockage in the reproductive tract) or non-obstructive (testicular
failure). Obstructive causes may include prior vasectomy, congenital
absence of the vas deferens or scarring from infections. Surgical
evaluation and sperm retrieval techniques may help achieve pregnancy
via IVF/ICSI.
Varicocele & Hormonal Disorders
Varicocele (dilated veins in the scrotum) is a common correctable cause
of male infertility and may be associated with pain or abnormal semen
tests. Hormonal imbalances — low testosterone or abnormal pituitary
hormones — can also reduce sperm production and are treatable in many
cases.
Causes & Risk Factors for Male Infertility
Male infertility can result from a range of medical, surgical, genetic and
lifestyle factors:
1. Sperm Production Problems – Testicular failure due to genetic causes, undescended testis in childhood, infections, severe heat exposure or certain medications.
2. Obstructive Problems – Blockage in the vas deferens or ejaculatory ducts due to prior surgery, infection or congenital absence of the vas.
3. Varicocele – Dilated scrotal veins that can impair sperm quality in some men and are often correctable.
4. Hormonal Imbalance – Low testosterone or pituitary hormone disorders that reduce sperm production.
5. Genetic Factors – Chromosomal abnormalities or Y-chromosome microdeletions may be responsible in some men with very low counts or azoospermia.
6. Lifestyle & Environmental – Smoking, excessive alcohol, obesity, recreational drugs, occupational toxins, prolonged heat exposure and certain medications.
Accurate diagnosis with history, physical examination, repeat semen analysis, hormonal tests and scrotal ultrasound helps tailor the most appropriate treatment plan for each couple.
1. Sperm Production Problems – Testicular failure due to genetic causes, undescended testis in childhood, infections, severe heat exposure or certain medications.
2. Obstructive Problems – Blockage in the vas deferens or ejaculatory ducts due to prior surgery, infection or congenital absence of the vas.
3. Varicocele – Dilated scrotal veins that can impair sperm quality in some men and are often correctable.
4. Hormonal Imbalance – Low testosterone or pituitary hormone disorders that reduce sperm production.
5. Genetic Factors – Chromosomal abnormalities or Y-chromosome microdeletions may be responsible in some men with very low counts or azoospermia.
6. Lifestyle & Environmental – Smoking, excessive alcohol, obesity, recreational drugs, occupational toxins, prolonged heat exposure and certain medications.
Accurate diagnosis with history, physical examination, repeat semen analysis, hormonal tests and scrotal ultrasound helps tailor the most appropriate treatment plan for each couple.
Why Choose Swastik Urology Clinic for Male Infertility Care?
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow offers
focused male fertility services with a patient-centred approach:
• Experienced Urologist – Dr. Aditya Sengar
Expertise in evaluation of male infertility, microsurgical techniques for varicocele repair and sperm retrieval, and close coordination with IVF teams.
• Comprehensive Diagnostic Workup
We provide accurate semen analysis, hormonal evaluation, scrotal Doppler and genetic testing when needed to find the exact cause and guide treatment.
• Microsurgical & Minimally Invasive Options
Microsurgical varicocelectomy, microsurgical sperm retrieval (TESE/micro-TESE) and other procedures performed with magnification to maximise outcomes and minimise complications.
• Coordination with Assisted Reproduction (IVF/ICSI)
We work closely with reputable IVF centres to ensure timely sperm retrieval, sample handling and planning for ICSI when required.
• Individualised Counselling & Follow-Up
Fertility treatment is emotional and complex. We provide clear counselling, realistic expectations and structured follow-up to support couples through the process.
• Experienced Urologist – Dr. Aditya Sengar
Expertise in evaluation of male infertility, microsurgical techniques for varicocele repair and sperm retrieval, and close coordination with IVF teams.
• Comprehensive Diagnostic Workup
We provide accurate semen analysis, hormonal evaluation, scrotal Doppler and genetic testing when needed to find the exact cause and guide treatment.
• Microsurgical & Minimally Invasive Options
Microsurgical varicocelectomy, microsurgical sperm retrieval (TESE/micro-TESE) and other procedures performed with magnification to maximise outcomes and minimise complications.
• Coordination with Assisted Reproduction (IVF/ICSI)
We work closely with reputable IVF centres to ensure timely sperm retrieval, sample handling and planning for ICSI when required.
• Individualised Counselling & Follow-Up
Fertility treatment is emotional and complex. We provide clear counselling, realistic expectations and structured follow-up to support couples through the process.
Male Infertility Evaluation & Treatment Options at Swastik Urology Clinic
Management is personalised based on the identified cause, couple’s needs and
fertility goals:
1. Diagnostic Testing
• Repeat basic semen analysis (WHO guidelines) and advanced semen tests when indicated (DNA fragmentation, antisperm antibodies).
• Hormonal profile: FSH, LH, testosterone, prolactin and TSH as needed.
• Scrotal ultrasound/Doppler to detect varicocele or testicular pathology.
2. Medical Therapy
• Hormonal treatments or medications when endocrine causes are identified.
• Antibiotics when treatable infections are found.
3. Varicocele Repair
• Microsurgical subinguinal varicocelectomy is the preferred technique to reduce recurrence and protect testicular vessels.
4. Sperm Retrieval Techniques
• Percutaneous or microsurgical sperm retrieval (PESA, TESA, MESA, TESE, micro-TESE) for obstructive and selected non-obstructive azoospermia cases. Retrieved sperm can be used with IVF/ICSI.
5. Assisted Reproduction Support
• Close liaison with IVF centres for timing of sperm retrieval and sample transport, and planning ICSI cycles when necessary.
6. Lifestyle & Supportive Measures
• Advice on weight management, smoking cessation, reducing heat exposure, optimizing nutrition and avoiding toxins to improve sperm quality over time.
Your urologist will discuss all options, likely benefits, risks and success probabilities to help you choose the best path forward.
1. Diagnostic Testing
• Repeat basic semen analysis (WHO guidelines) and advanced semen tests when indicated (DNA fragmentation, antisperm antibodies).
• Hormonal profile: FSH, LH, testosterone, prolactin and TSH as needed.
• Scrotal ultrasound/Doppler to detect varicocele or testicular pathology.
2. Medical Therapy
• Hormonal treatments or medications when endocrine causes are identified.
• Antibiotics when treatable infections are found.
3. Varicocele Repair
• Microsurgical subinguinal varicocelectomy is the preferred technique to reduce recurrence and protect testicular vessels.
4. Sperm Retrieval Techniques
• Percutaneous or microsurgical sperm retrieval (PESA, TESA, MESA, TESE, micro-TESE) for obstructive and selected non-obstructive azoospermia cases. Retrieved sperm can be used with IVF/ICSI.
5. Assisted Reproduction Support
• Close liaison with IVF centres for timing of sperm retrieval and sample transport, and planning ICSI cycles when necessary.
6. Lifestyle & Supportive Measures
• Advice on weight management, smoking cessation, reducing heat exposure, optimizing nutrition and avoiding toxins to improve sperm quality over time.
Your urologist will discuss all options, likely benefits, risks and success probabilities to help you choose the best path forward.
When should a man be evaluated for infertility?
A couple should seek evaluation if they have not conceived after 12 months of regular unprotected intercourse (or after 6 months if the female partner is over 35). Men with a history of genital infections, testicular problems since childhood, prior surgery, sexual dysfunction or known risk factors should be evaluated sooner.
Can lifestyle changes improve sperm quality?
Yes. Stopping smoking, reducing alcohol, maintaining a healthy weight, avoiding excessive heat (hot baths, tight underwear), managing stress and improving diet can all help improve semen parameters. However, improvement takes time (usually 2–3 months) because sperm develop over several weeks.
What is micro-TESE and who needs it?
Micro-TESE (microsurgical testicular sperm extraction) is a specialised procedure performed under high magnification to retrieve sperm in some men with non-obstructive azoospermia. It offers the best chance of finding sperm when other techniques fail, and is performed in collaboration with assisted reproduction teams for immediate use in IVF/ICSI.
Is assisted reproduction the only option for severe male factor infertility?
Assisted reproduction (IVF/ICSI) is the most effective option when sperm quality or quantity is severely impaired or when sperm must be surgically retrieved. In selected cases, medical or surgical treatments (e.g., varicocele repair, hormonal therapy) can improve semen parameters enough to allow natural conception or simpler assisted methods. Each case is assessed individually and treatment is tailored to the couple’s needs.