FAQ - Male Infertility
FAQs about male infertility

Frequently Asked Questions

Common questions about Male Infertility treatment at Femcare Fertility

Yes, you can have your own baby with low sperm count, but it can be difficult to conceive naturally. You can start improving your overall health by eating healthy, getting enough sleep, quitting smoking or drinking, managing stress, and including nutrients like zinc, folate, and antioxidants in your diet, as these can help improve sperm health and quality. You can also explore fertility treatments like intrauterine insemination (IUI) or in vitro fertilisation (IVF) to increase your chances. Femcare Fertility is offering free semen analysis and consultation. Book your consultation today.
You can start changing your lifestyle to improve your sperm count. Maintaining a healthy weight and a balanced diet can help. Some supplements, such as vitamin D, folic acid, zinc, and CoQ10, may also be beneficial. Quitting smoking and alcohol, managing stress, and getting enough sleep can also improve sperm health. Sometimes medications and nutritional supplements are also suggested by an infertility specialist to improve sperm count and health.
Yes, there are many medications that can help with low sperm count, but you should consult an infertility specialist before starting to take them. Hormonal medications like clomiphene citrate and hCG injections can be given to stimulate and balance hormones. Antibiotics may also be prescribed to treat infections that cause low sperm count.
To increase sperm count naturally, focus on a healthy lifestyle, including a healthy diet that includes all the essential nutrients for sperm health like zinc, Vitamin D, folic acid, etc., regular exercise, and managing stress. Also, you should avoid smoking, limit your alcohol consumption, maintain a healthy weight, and limit your exposure to extreme heat and toxic environment.
TESA (Testicular Sperm Aspiration) and PESA (Percutaneous Epididymal Sperm Aspiration), and TESA (Testicular Sperm Aspiration) and PESA (Percutaneous Epididymal Sperm Aspiration) are the procedures that doctors recommend to the male patients who are suffering from severe male infertility. TESA and PESA are minimally invasive procedures where a fine needle is used to aspirate sperm from the testes or epididymis, respectively. Micro-TESE is a more advanced surgical procedure that uses a surgical microscope to locate and extract sperm directly from the seminiferous tubules. Micro-TESE is usually suggested to patients who have severe sperm production issues. Femcare Fertility has helped many male patients suffering from male infertility become fathers. If you are suffering from male infertility, visit or contact Femcare Fertility.
ICSI and IMSI are both infertility treatment options used in IVF. ICSI (Intracytoplasmic Sperm Injection) involves the direct injection of the sperm into the egg for fertilisation. IMSI (Intracytoplasmic Morphologically Selected Sperm Injection) is a more advanced version of ICSI that uses high-magnification microscopy to select the best-quality sperm for injection. In IMSI, the embryologist can examine the sperm at 6000x magnification to identify the best sperm without even the smallest defect, which is not possible in standard ICSI with only 200x to 400x magnification.
Sperm sorting devices in ICSI are microfluidic chips that separate and select healthy, motile sperm from a semen sample using a process that mimics the natural selection in the female reproductive tract. The devices contain tiny channels designed to filter sperm based on motility and morphology. During incubation, the most progressively motile sperm swim through a filter membrane, leaving behind less motile or non-motile sperm. After almost 30 minutes, the highly motile sperm are collected from the device's outlet port and are ready for use in ICSI, IUI, or IVF.
Yes, you do have hope from your sample after ICSI. Zero motility doesn’t mean 100% dead sperm. If your sperm are just immotile, the embryologist team can increase the motility artificially as well, for example, by using pentoxyphylene, which can help them choose sperm for ICSI. Along with this, you can opt for other options like TESA, PESA and micro TESE for sperm retrieval during IVF treatment to have your own baby. Femcare Fertility provides complete male and female infertility treatments to help them conceive their baby before going for any donor treatment.
Azoospermia is a male infertility condition where no sperm are found in the ejaculate. It is categorised into two types: Obstructive azoospermia and non-obstructive azoospermia. Obstructive azoospermia occurs when sperm are produced in the testes, but a blockage in the reproductive tract prevents them from being ejaculated. However, Non-obstructive azoospermia occurs when the testes do not produce enough sperm to be present in the ejaculate.
Yes, your sperm can be used for IVF if you have diabetes, but it may require medical management, as it can negatively impact the sperm quality. Before IVF, a specialist will analyse your sperm sample and advise you on some lifestyle changes to manage the high blood sugar level by a healthy diet, exercise and sometimes medications so that the chances of successful IVF can be increased.
Sperm morphology is the size and shape of the sperm, while the motility is the ability of the sperm to travel through the female reproductive system to finally reach the egg for fertilisation. A normal sperm has three important parts: an oval head, a midpiece, and a long tail, which are all crucial for efficient movement and egg penetration. During semen analysis, the embryologist or andrologist analyses both factors by examining a sperm sample under a microscope, with results often reported as a percentage of normally shaped sperm and the percentage of sperm that are moving. Femcare Fertility is offering free sperm analysis and consultation with an expert doctor to help you complete your family. Contact or visit Femcare Fertility today.
You can get the DNA testing done to check if the IVF baby is yours. In IVF, you also have the option to check the embryo’s DNA before it is implanted into your partner’s uterus by doing preimplantation genetic testing (PGT). Post-birth testing is done using samples from the parents and the child. This is the most direct way to confirm a biological relationship after birth.
IVF centers prevent mixups by using strict protocols like labelling, two-person verification and working with only one patient's gametes at a time. All containers, from dishes to test tubes, are labelled with the patient's full name, partner's name, and a unique patient ID. Most clinics use unique colour-coded tags for each patient as an additional visual identifier. Even before embryo transfer, the staff will do a final verification of the patient's identity and the embryo to avoid mix-ups.
If you or your partner has a sexually transmitted disease or viral marker disease, then during IVF treatment, doctors use specialised procedures to significantly decrease the chances of passing the infection to your child. The chances of disease transmission depend on the partner and the type of infection, but the latest IVF techniques provide the option to avoid any infection to the baby.
Yes, you should definitely consider freezing your sperm before starting your cancer treatment or chemotherapy, as it is the most effective way to preserve your fertility and ability to have your own biological child in the future. Cancer treatments like chemotherapy or radiation can permanently damage your sperm, so you should consult a fertility expert and start your sperm freezing process before starting cancer treatment.
Erectile dysfunction is not the cause of infertility, but it can prevent you from natural conception, and IVF can definitely help you become a father. However, IVF is not the only solution to becoming a father. You should consult a fertility specialist or urologist to determine the right treatment plan for you.
Yes, low semen volume during ejaculation can affect your chance of becoming a father because it can correlate with low sperm count and lower chances of egg fertilisation when trying to conceive naturally. However, the volume of semen is not the only factor; sperm count, motility (movement), and shape also play crucial roles in conceiving. Having a low semen volume may indicate an underlying issue like dehydration, a blockage, or prostate problems. You should consult a fertility specialist for a proper medical evaluation and treatment.
If you have a very high sperm DFI (DNA Fragmentation Index) value, you should consult an infertility specialist to discuss your treatment plan. A specialist may recommend lifestyle changes, antioxidant supplements, or assisted reproductive technologies (ART) like ICSI if you are planning to have a baby. Lifestyle changes may include switching to healthy diets, regular exercise, quitting smoking, and limiting exposure to excessive heat, while more severe cases may require procedures like testicular sperm extraction (TESE) or using advanced sperm selection techniques.
Y-chromosomal microdeletion (YCMD) is a genetic condition in males, where small segments of the Y chromosome are lost, which can lead to severe male infertility. The Y chromosome contains genes, particularly in the AZF (Azoospermia Factor) regions, critical for creating proteins involved in sperm cell production. The loss of these genes can cause either a complete absence of sperm (azoospermia) or a very low number of sperm (severe oligospermia).
Karyotyping is a genetic test that detects any possible chromosomal abnormality, which can cause infertility or pregnancy problems. Doctors recommend karyotyping before starting an IVF treatment cycle to check for any chromosomal abnormalities that can cause the treatment failure.
Preimplantation Genetic Testing (PGTA) is a procedure used during an IVF treatment to screen embryos for chromosomal abnormalities. Since an embryo with missing or extra chromosomes is a common cause of failed IVF cycles and miscarriage, PGT-A helps identify and prioritise the healthiest embryos for transfer.
Dr Atri Pal, Chief fertility consultant at Femcare Fertility, is the best male infertility specialist in Kolkata. He is India’s first MCh in Reproductive Medicine degree holder with more than 10 years of experience.

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