Conditions We Treat

Male Factor
Infertility

Male factor infertility contributes to approximately 40–50% of all infertility cases. At IRFC, male factor is evaluated thoroughly, treated where possible, and bypassed with advanced techniques when necessary — without judgment, and with the same compassion we extend to every patient.

IRFC care coordinator reviewing a patient treatment plan

Diagnosis starts with a conversation

Before any treatment, your physician takes the time to understand your full history and explain what the evidence shows — so the plan fits you, not a one-size-fits-all protocol.

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Causes of Male Infertility

Male infertility can stem from problems with sperm production, function, or delivery. A semen analysis is the essential first test — evaluating sperm count, motility (movement), morphology (shape), and other parameters.

Low Sperm Count (Oligospermia)

Fewer sperm than normal, reducing the likelihood of successful fertilization.

Poor Motility (Asthenospermia)

Sperm that cannot swim effectively toward the egg.

Abnormal Morphology (Teratospermia)

High proportion of abnormally shaped sperm, which are less able to fertilize.

Azoospermia

No sperm in the ejaculate — either due to a blockage (obstructive) or production failure (non-obstructive).

Hormonal Imbalances

Low testosterone, elevated FSH, or other hormonal issues that impair sperm production.

Varicocele

Enlarged veins in the scrotum that raise testicular temperature and reduce sperm quality.

Diagnostic Evaluation at IRFC

  • Semen analysis (count, motility, morphology, volume)
  • Hormonal panel (testosterone, FSH, LH, prolactin)
  • Genetic testing when indicated (Y-chromosome microdeletion, karyotype)
  • Scrotal ultrasound to evaluate for varicocele or structural abnormalities
  • Referral to reproductive urologist for further evaluation when needed

Collaborative Care

IRFC works with reproductive urologists to provide comprehensive male factor care — including varicocele repair and surgical sperm retrieval for azoospermic patients.

Treatment Options

IUI with Sperm Preparation

For mild male factor, washing and concentrating the sperm sample before IUI significantly improves the number of motile sperm reaching the egg.

IVF with ICSI

Intracytoplasmic sperm injection (ICSI) injects a single selected sperm directly into each egg — effective even when sperm count or motility is severely reduced.

Surgical Sperm Retrieval

For men with azoospermia, IRFC coordinates TESE (testicular sperm extraction) or micro-TESE — procedures that retrieve sperm directly from testicular tissue for use in IVF/ICSI.

Sperm Freezing

Sperm can be frozen and banked before cancer treatment, vasectomy reversal, or as a precaution against future decline in sperm quality.

Donor Sperm

When no sperm can be retrieved, or when a couple chooses not to pursue sperm retrieval, IRFC helps select high-quality donors through licensed sperm banks.

Lifestyle & Supplement Guidance

Dietary changes, antioxidant supplementation, heat avoidance, and lifestyle modification can meaningfully improve sperm parameters for some patients.

IRFC patient couple

Infertility is a medical issue — not a personal one.

Male Factor Is Treatable

Infertility is a medical issue — not a personal failing. Our team evaluates male factor thoroughly and compassionately, and we have solutions for virtually every presentation.