Male fertility care focuses on identifying and managing factors that may affect sperm production, sperm function, sexual health and the ability to achieve pregnancy.
Male factors can contribute to fertility difficulties in a significant proportion of couples, either alone or together with female fertility factors. A timely evaluation can help identify potentially treatable causes and determine whether lifestyle changes, medical treatment, surgical management or assisted reproductive techniques may be appropriate.
At Miraai Fertility, Seawoods, Navi Mumbai, male fertility is assessed as an important part of the couple's overall reproductive health. Dr. Priya Khamatkar, Fertility Specialist and Director, provides personalised fertility evaluation and guides couples towards appropriate investigations and treatment based on their individual circumstances.
Book a fertility consultation to understand your male fertility health and treatment options.
Male fertility care involves the evaluation, diagnosis and management of factors that may interfere with the production or function of sperm or with the ability to achieve pregnancy.
Depending on the individual situation, assessment may include:
The aim is to identify factors that may be contributing to fertility difficulties and determine whether they can be addressed.
Importantly, male fertility should not be assessed through semen analysis alone. A person's medical history, physical health, hormonal function and reproductive history may also provide important information.
Male fertility evaluation may be appropriate in several situations:
If a couple has been trying to conceive without success, both partners benefit from evaluation. Male factors contribute independently or alongside female factors.
If a test showed low sperm count, reduced movement or abnormal morphology, further assessment determines if findings are persistent.
History of testicular injury, infection, surgery or reproductive conditions that may affect sperm production or transport.
Problems with erection, ejaculation or intercourse that interfere with natural conception require specific evaluation.
Conditions affecting testosterone or hormones involved in sperm production can contribute to male infertility.
Some cancer treatments and medical interventions affect sperm production. Fertility preservation should be discussed beforehand.
Men whose partners had unsuccessful fertility cycles benefit from a detailed male review before proceeding to another cycle.
Male fertility can be affected by several different factors. Sometimes a clear cause is identified, while in other cases no single explanation is found:
Conditions affecting testicular function can impair sperm production or quality, including:
Enlargement of veins around the testicle. In some men, it may be associated with impaired sperm production. Not every varicocele requires treatment; its significance is assessed in clinical context.
Sperm production is controlled by the brain, pituitary gland and testes. Disruption of this endocrine axis can affect sperm production and may require testing.
Sperm may be produced normally but prevented from release by blockages from previous infections, surgeries, or congenital conditions.
A male fertility evaluation is tailored to the individual's history and clinical findings:
Your doctor reviews previous pregnancies, duration of trying to conceive, childhood or adult testicular issues, infections, surgeries, medications, sexual/ejaculatory function and occupational factors.
Assesses semen volume, sperm concentration, motility, morphology and laboratory parameters. Repeat testing may be recommended as sample results naturally vary.
When indicated, your doctor examines testicles and reproductive structures to assess testicular size, check for varicocele or evaluate anatomical findings.
Blood tests evaluate hormones involved in reproductive function (FSH, LH, testosterone) when low sperm counts, sexual symptoms or endocrine concerns are present.
Targeted testing such as scrotal ultrasound, genetic testing, ductal obstruction assessment or urological evaluation based on specific clinical findings.
A semen analysis provides information about several core characteristics of sperm:
The number of sperm present per volume. Lower concentration may reduce natural conception probability, though pregnancy remains possible.
Describes how effectively sperm move forward. Progressive movement is critical for traveling through the female reproductive tract.
Refers to sperm size and shape, interpreted alongside other semen parameters rather than in isolation.
Total volume reported in a sample, providing insights into ejaculation and reproductive tract function.
Why One Abnormal Result May Not Tell the Whole Story: Semen parameters vary naturally between samples. If a result is abnormal, repeat testing or evaluation is recommended before drawing conclusions.
Sperm production is an ongoing process, and sperm health can be influenced by daily health habits:
Treatment depends on the underlying cause and the couple's reproductive goals:
Hormonal conditions or sexual health issues may be treated medically. Note: Testosterone therapy suppresses natural sperm production and should not be used for fertility without specialist guidance.
Selected conditions, such as clinically significant varicoceles or reproductive duct obstructions, may benefit from surgical evaluation.
Considered when sperm parameters are adequate for insemination and female factors are favourable.
Considered when additional factors exist or simpler treatments have not succeeded.
Injects a single sperm directly into an egg when counts/motility are severely reduced or surgically retrieved.
At Miraai Fertility in Seawoods, Navi Mumbai, male fertility is considered an essential part of comprehensive fertility care.
Dr. Priya Khamatkar evaluates male and female fertility factors together when appropriate, helping couples understand whether a male-factor issue may be contributing to difficulty conceiving.
MBBS, MS (OBGYN), FRM
Fellowship in Reproductive Medicine
Director, Advanced Fertility Care Center
Dr. Priya Khamatkar is a fertility specialist committed to personalised and evidence-based reproductive care. With expertise in fertility evaluation and assisted reproductive techniques, she works with couples to identify relevant fertility factors and explore appropriate treatment options.
Her approach combines clinical expertise with compassionate communication, helping couples understand fertility concerns without unnecessary assumptions or stigma.
If you and your partner have been trying to conceive or you have concerns about sperm health, reproductive health or previous fertility results, a male fertility evaluation can provide useful answers.
Shop 1 & 2, The Signature, near HP Petrol Pump,
Seawoods West, Sector 44A, Seawoods,
Navi Mumbai, Maharashtra – 400706
MBBS, MS (OBGYN), FRM
Director & Lead Fertility Specialist