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Male Infertility

Male Infertility center in Hyderabad With World Class Equipments

Prasad Infertility solutions is one of the Top Best Male Infertility Center in Hyderabad. Here we give the best treatment for male infertility problems and patient care with individualized treatment plans to the Patients. In our center, we analyze the problem you are facing and will be treated under expert doctors. There are many male infertility centers in Hyderabad. Out of that, few are having a high success rate like ours. If anyone is suffering from male infertility issues, then Prasad Infertility Solutions is the right choice to solve your problem.


Common Reasons of Male Infertility


The wish to establish a family is a primal desire; A man’s fertility generally relies on the quantity and quality of his sperm. Having low sperm count or poor quality sperm makes a man face difficulties in having or to reach parentry. Sometimes, semen sample collection can also be a difficult issue for men even though there are no specific reasons.


Inability to conceive a child can be due to

  • • Problems with sexual function (difficulty with ejaculation, low libido, erectile dysfunction & painful erection.
  • • Swelling or lump or pain in one or both testicles.
  • • Recurrent respiratory infections.
  • • Signs of abnormality in hormones.
  • • Low sperm count (total sperm count less than 20 million per mm3 of the ejaculate).
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Prasad Infertility Solutions' doctors' team can help!


  • For many men who have difficulties in fertility issues, visit the Best Fertility Specialists in Hyderabad at Prasad Infertility solutions. Excellent counseling sessions and a timely medication helped many men to successfully procure a Semen sample and allow doctors to assist their reproduction.

As fertility can be impacted by so many variables, every clinical check-up begins with a detailed history and physical exam and an ultrasound scan. Although at times tedious, the questions asked by the physician or urologist help direct the next steps by narrowing the possible diagnoses and subsequent treatments. Semen analysis is a critical step in the work-up of an infertile couple. These samples will be analyzed for several parameters that affect fertility, such as semen volume, sperm concentration, shape and size of the sperms. The results of this analysis will greatly help and identify the possible causes of infertility. Our team of the Andrology lab has the state of art Computer Assisted Sperm Analysis (CASA) equipment.

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Some More Reasons:

  • • Chronic conditions like diabetes can impact risks in man’s fertility.
  • • Poor levels of sugar levels may cause damage in nerves which is responsible for coordinating ejaculation.
  • • Liver cirrhosis associating with hormonal imbalances makes risk in sperm products that result in an impact on fertility.
  • • Consumption of drugs like alcohol, heroin, marijuana, cocaine and many results in affecting the quality and quantity of sperm production.
  • • Antibiotics, antacids, antidepressants, gout, and blood pressure medications can also impact fertility.
  • • Exposure to heavy metals like lead, mercury may influence sperm production.
  • • All the above-mentioned conditions can lead to a lack of sex drive and eventually low motivation towards a normal sexual activity.
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Risk factors for Male Infertility

  • Varicocele
  • Made up of enlarged veins in the scrotum on one or both sides.

Physical problems with testicles (e.g., undescended testicle)

  • Undescended testicles are caused when the testicles fail to drop into the normal place of the scrotum. This is found in 3% of newborns. During the first 3 months of life, half of the testicles drop on their own but not after 3 months of age. The boys with undescended testicles should need treatment. To produce sperms, testicles are needed to be 2 to 3 degrees cooler than normal body temperature. Testicles that don’t drop into the scrotum won’t work. As being the testicles warmer, it leads to having lower chances that the sperm in that testicle will mature normally. When both testicles are affected, it causes infertility issues.

  • They are also linked to a higher risk of:
    • i)Testicular cancer in adulthood (though the risk is still less than 1 in 100).
    • ii)Testicular cancer in adulthood (though the risk is still less than 1 in 100).
    • iii)Developing a hernia near the groin.

Blockages in the ducts that carry sperm

  • Some of the men have a blockage or other problems in Ejaculatory ducts from birth which may affect fertility issues later.
  • Some of the males lack vas deferens which is the tube carrying sperms from the testicles through the penis.
  • If there are any blockages from the different ducts which carry the sperm from the testis to Urethra, it may cause sperm transportation.
  • Problems in sperm transportation can be categorized as
  • Congenital disorders
    • i) These are birth disorders that affect male fertility.
    • ii) They include incomplete development of the sperm ducts, atresia of the duct (natural blockage), and no seminal vesicles present to store sperm.
  • Acquired disorders
    • i)These are caused due to a disease or infection of the reproductive system.
    • ii)Inflammation can lead to scarring.
    • iii)Sperm transportation can be affected by scars in the ducts leading to no place for sperm to travel.
    • iv)Motility is also affected by the severing of sperm transportation ducts during hernia repair.
  • Functional obstruction
    • i)These are disorders that can stop sperm movement, thereby causing male infertility.
    • ii)The conditions include nerve damage that is caused in an accident, injury to the spinal cord affecting muscular motion.
    • iii)The nervous system can also be affected by tranquilizers, anti-depressant medication, and blood pressure medication.


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Hormone Problems


  • • Mumps is caused by a virus. But in uncomplicated cases, it causes salivary glands to swell up.
  • • Patients at any other age other than child or adolescent, though, an infection can have terrible repercussions.
  • • There is a chance of suffering inflammation of the brain, spinal cord and pancreas even by the young adults who are even healthier.
  • • Men who suffer from inflammation of testicles which is termed as orchitis have the chances of being rendered infertile.
  • • The majority of men infected with mumps don’t face infertility issues, but there are chances to experience negative fertility effects.
  • • About 10 percent of men may face the drop in sperm count and 50 percent of them may notice shrinkage of their testicles.


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Genetic Disorders

  • Genetic disorders of infertility are most commonly caused due to chromosomal conditions which may affect sperm production. Some are
    • i)Klinefelter Syndrome
    • ii)Y chromosome deletions
    • iii)Down Syndrome.
  • Mutations in single-gene cause infertility issues very rarely. Congenital absence of the vas deferens, where there is a blockage to sperm flow, is caused by mutations in the cystic fibrosis gene.

Lifestyle or environmental factors

  • Lifestyle:
  • Fertility may adversely affect due to stress, anxiety, lack of exercise and sleep.
  • Infertility can also be a long-term, discouraging problem.
  • Overheating the testicles:
    • Frequent use of saunas or hot tubs or laptop or mobile radiation can elevate core body temperature, which may impair sperm production and reduce the sperm count.
    • The use of tight clothing such as jeans or tight undergarments made of polyester or poly cot can increase the temperature near scrotum leading to male infertility and fungal infections in certain cases.
  • Diet:
    • Sperm cells don’t function properly in the toxic and acidic environment.
    • When the diet has no rich nutrients and chemically loaded, the body eventually becomes toxic and disease follows.
    • Specific issues include excessive caffeine intake and deficiencies in such nutrients as vitamin C, selenium, zinc, and folic acid.
  • Environmental exposure to pesticides and other chemicals:
    • Insecticides and Herbicides may cause low sperm production and testicular cancer. They may also cause female hormone effects in the male body.
    • Exposure of lead may also cause infertility.

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Abuse of cocaine or marijuana:

  • Drug consumption may also cause low sperm production.
  • The usage of certain drugs may also affect male infertility.
  • Anabolic steroids may cause the testicles to shrink and decrease sperm production.

Smoking:

  • Smoking also causes lower sperm count.

Substance abuse:

  • Alcohol or drug dependency can be associated with poor health leading to affect the nerves and bloodstream as well as in some cases pituitary gland thereby causing reduced fertility.
  • Excessive or prolonged emotional stress:
  • i)This may interfere with hormones needed to produce sperm, thus lowering the sperm count.
  • Age: Older men may be less fertile.
    • Overweight & Obesity:
    • i)A healthy BMI is considered to be between 18.5 and 24.9.
    • ii)A BMI between 25 and 29.9 is classified as ‘overweight’ and over 30 as ‘obese’.
    • iii)Overweight and obese men have worse sperm quality than men of healthy weight.
    • iv)Being overweight or obese can also cause hormonal changes that reduce fertility and make men less interested in sex.
    • v)Men who are very overweight are also more likely to have problems getting an erection.
    • vi)Together, these factors reduce the chances of men who are overweight or obese fathering a child.
  • Underweight:
    • Being underweight can also reduce a man’s sperm quality and therefore his fertility. A BMI under 18.5 is classified as ‘underweight’.

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Fertility gradually decreases in men older than 35 years

  • Changes in sperm:
  • i)Abnormal sperm cause the majority of male infertility problems.
  • ii)When a man reaches age 40 and beyond, he gradually experiences several changes in his sperm.
  • iii)Lower sperm count.
  • iv)A decline in sperm movement.
  • v)A decline in sperm quality.
  • vi)Abnormalities in sperm shape and structure (morphology).
  • vii)DNA in sperm begins to break down, causing chromosomal abnormalities.

Increase of Erectile Dysfunction

  • i)Erectile dysfunction, or ED, is another cause of age-related male infertility.
  • ii)ED occurs more often as men age.
  • iii)This can occur for a variety of physical and psychological reasons, which need to be diagnosed and treated.
  • Age is also a factor of causing changes in the male reproductive system.
    • • The changes in male reproductive organs like softer testes, less elasticity in the tubes which carry sperm begin to occur gradually at age 40
    • • These physical changes can make it more difficult for the body to properly produce and transport sperm for fertilization.
  • Men with Normal sperm counts and abnormal morphology
  • Those men who present with normal counts above 20 million/mm3 with abnormal morphology of sperms can lead to infertility.
  • Various reasons can be due to-
    • • Diabetes..
    • • Chronic Stress.
    • • Obesity.
  • The test conducted at Prasad Infertility Solutions:
    • i)Repeat semen analysis with three days absence.
    • ii)Scrotal scan and color Doppler test.
    • iii)Sperm DNA fragmentation test.
  • Men with normal morphology
    • i)The approach for fertility management in these men is encouraged with the help of IVF procedures.
    • ii) Our center experiences 60 to 70% success rates in conceiving a healthy baby with help of innovative techniques.

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Men with extremely poor sperm count less than 1 million/mm3

  • Intra-cytoplasmic sperm injection (ICSI) is the best suitable method
  • The success rate depends on the skill of the IVF specialist.
  • Techniques for Sperm Retrieval:
    • Non-Surgical Sperm Retrieval
    • Microsurgical Epididymal Sperm Aspiration (MESA)
    • MESA provides optimal pregnancy and delivery rates for the couples where man has reproductive tract obstruction.
  • Percutaneous Epididymal Sperm Aspiration (PESA)
  • TESA: Percutaneous Testicular Fine Needle Aspiration (TFNA)

Surgical Sperm Retrieval

  • Testicular Biopsy
  • Testicular Biopsy can find the causes of male infertility. It may also be done if both of the following are true:/li>
  • • The man's semen does not have sperm.
  • • The Hormone test results may be in the normal range.
    • A testicular biopsy may also be done to get sperm for in vitro fertilization or Intra cytoplasmic sperm injection (IVF/ ICSI).
    • For the confirmation of obstructive azoospermia in men with normal size testes and normal reproductive hormones and no sperm in the ejaculates.
  • Simple procedure to remove a small sample of tissue from one or both testicles.
  • Using a microscope, the tissues are checked and get to know whether a man can have a child.
  • Local anesthesia is usually adequate for a comfortable procedure. Occasionally required anesthesia is offered.

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    Cryopreservation


    • • Without any need of additional sperm retrieval procedures, Sperm Cryopreservation has the opportunity for multiple ICSI cycles.
    • • Cryopreserved sperm can achieve rates of fertilization and pregnancy.
    • • Cryopreservation also allows the potential for temporal separation of sperm retrieval procedures from assisted reproductive techniques.
    • • For obstructive azoospermia pregnancy rates for frozen and fresh epididymal sperm are virtually identical for Non-Obstructive Azoospermia (NOA), fresh sperm is preferable.
    • • Freezing of isolated spermatozoa from testicular tissue is difficult because of the low number of spermatozoa present in testicular tissue and the limited sperm motility of testicular sperm, which makes documentation of sperm viability difficult.

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    Results & Conclusions


    • Sperm retrieval from men with non-obstructive azoospermia (NOA) and obstructive azoospermia (OA) is now possible with excellent pregnancy rates for obstructive azoospermia and acceptable pregnancy rates for NOA when ICSI is applied.
    • The ability to use cryopreserved epididymal and often testicular spermatozoa will continue to limit the number of sperm retrieval procedures necessary to achieve fertility for a couple.
    • The advancements in the sperm retrieval process provide the potential for fertility treatment.
    • Multiple TESE procedures may cause both transient and occasional permanent alterations in testicular function including testicular atrophy and decrease testosterone levels.
    • Physicians who are experienced in testicular anatomy and physiology and can operate microscope performs sperm retrieval procedures. Prasad Infertility Solutions, the top Infertility Hospital in Hyderabad have the best and experienced physicians.

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Varicocoele


  • • Varicocele is present in 15% of all men.
  • • 23% of Varicocele is large.
  • • 3% of all men have large Varicocele.
  • • Large Varicocele cause more severe impairments in semen quality Varicocele surgery results.
  • • Varicocelectomy, carefully performed in selected cases.
  • • About 60 to 80% of significant improvement results in semen analysis in men.
  • • With control of female factors, chances of natural pregnancy rates are 43% and 69% at one and two years respectively.
  • • After varicocelectomy, the reported pregnancy rates may vary from 20 to 60%.


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Semen Sample Collection

  • •As part of the fertility workup, you’ll make an appointment to either produce your sample in office or drop it off at the clinic or lab after you produce a sample at home
  • •Plan accordingly as time is the essence.
  • •You’ll need to refrain from any sexual activity for at least two to three days, but not more than 10 days before you collect your sample.
  • •Longer or shorter periods of abstinence may have a chance of lower sperm count.
  • •After two or three days of producing the samples, abstinence may have the highest number of motile sperm.
  • •Some men think saving up all their sperm for the day of their test is what’s preferable, but waiting too long between ejaculates is a big mistake.
  • •If ejaculations are not frequent, older sperms may begin to die.
  • •Quit Smoking and drinking during sperm collection at least about 10 days.
  • Things which affect the quality of sperm sample are:
    • • Perfumes and body sprays.
    • • Usage of lubricants.
    • • Too short abstinence less than one day.
    • • High temperature.
    • • Heavy smoking.