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Urvara Fertility Centre | IVF Centre in Lucknow

Treatment Options for Male Infertility

Treatment Options for Male Infertility

From Testicular Sperm Extraction to varicocelectomy, several male infertility treatments depend on the cause of infertility. Before considering any treatment option it is necessary to undergo a thorough assessment procedure. Here we will tell you about the treatments that can help you to achieve the dream of fatherhood.

PESA (Percutaneous Epididymal Sperm Aspiration)

Percutaneous Epididymal Sperm Aspiration is the procedure of retrieving sperm directly from the epididymis. This process is helpful for males who are facing azoospermia which means sperm production is normal but due to blockages in the vas deferens, sperm are not able to release during ejaculation.

During this process, a small needle is used to pass directly into the head of the epididymis through the scrotal skin, and then sperm cells are retrieved from the fluid for the ICSI (IntraCytoplasmic Sperm Injection) process. With the help of this process, a man can overcome the problems related to sperm transport and can brace fatherhood even in absence of sperm count in ejaculate.

PESA is performed under local anaesthesia to decrease the discomfort for the patient. After the PESA treatment, retrieved sperm is carefully observed and its quality is examined before using it for fertility treatment.

MESA (Microsurgical Epididymal Sperm Aspiration)

This procedure is a surgical sperm extraction process in a condition similar to azoospermia. It involves the dissection of the epididymis under a microscope and an incision of a single tubule is done. Sperms retrieved through the MESA process are immediately evaluated inside the laboratory. Under the guidance of the Male infertility doctor in Lucknow, you can get the right support and guidance during the procedure.

TESA (Testicular Sperm Aspiration)

Testicular Sperm Aspiration is a process that is performed by inserting a needle in the testes and aspirating fluid with negative pressure. Later on, this tissue is processed in a lab, and sperm cells are extracted for further procedures like ICSI.

ICSI (Intra cytoplasmic Sperm Injection)

ICSI is a helpful treatment for various male infertility causes like poor morphology, motility,low sperm count and azoospermia. ICSI means the injection of a single sperm directly into a mature egg. ICSI treatment is a remarkable solution for those males who are facing low sperm count, abnormalities in sperm shape, or poor sperm motility issues. This method helps resolve male fertility barriers and increases the chances of successful fertilization. ICSI has increased the success rates of fertility treatments and is considered an effective option for couples facing male-factor infertility.

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Whereas, IUI (Intrauterine Insemination) treatment is also helpful in conditions such as low sperm count ranging between 10-15 million/ml. In this process, the specialist places the sperm into the female partner’s uterus through a tube for the fertilization process.


For the treatment of varicocele (enlargement of the veins that transport oxygen-depleted blood away from the testicle that leads to male infertility and reduced sperm quality) varicocelectomy is performed by a male specialist. During this process, a small incision in the scrotum is done to dilate veins. This can be done through open surgery, microsurgery, or laparoscopy.

This process improves the sperm count, motility of the sperm, and its structure by restoring normal blood flow in the testicle. This eventually helps in increasing the chances of conceiving a baby.  While facing male infertility issues you should consult a Fertility specialist in Lucknow to get the proper treatment.

Microsurgical Vasovasostomy

Through microsurgical vasovasostomy, microsurgery is done to join the two cut parts of the vas deferens in each testicle. Through this process, patients who want to conceive a baby after vasectomy can undergo vasovasostomy to create new opportunities to conceive a baby.

Other than these treatments, Transurethral Resection of the Ejaculatory Duct, Testicular Fine Needle Aspiration, or other surgical and non-surgical treatments are suggested by the male infertility specialist. Whereas, a few times, it’s hard to understand the cause of male infertility and in those conditions, empiric therapy is performed.


Before undergoing any specific male infertility treatment, it is essential to explore alternative therapies such as lifestyle changes, intake of herbal supplements, and much more to improve your fertility. Male infertility includes many reasons in itself and to treat them it is necessary to understand the cause behind the infertility. The choice of treatment depends on the specific cause that can be identified through several tests or any other assessments such as scrotal ultrasound, hormone testing, transrectal ultrasound, and more. Consulting with a male fertility expert is helpful in such conditions to get early treatment, support, and guidance on the path toward fatherhood.

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