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Male Infertility: Causes, Semen Analysis, and Advanced ICSI Solutions

Male Infertility: Causes, Semen Analysis, and Advanced ICSI Solutions
Nandi IVF Clinical Series • Dr. Payal Bajaj

Key Medical Takeaways

Essential highlights by Dr. Payal Bajaj

Male factor accounts for approximately 40-50% of infertility cases. Learn about sperm count, motility, morphology, and modern micro-fertilization techniques like ICSI and TESA.

Table of Contents (Jump to Section)

Fertility is an equal partnership. Approximately half of all fertility challenges involve male factor conditions such as low sperm count (oligozoospermia), poor motility (asthenozoospermia), or abnormal morphology (teratozoospermia).

Understanding Semen Analysis Parameters

According to WHO 6th edition criteria, a normal semen analysis includes:

  • Sperm Concentration: At least 15 million sperm per mL
  • Progressive Motility: At least 32% actively swimming forward
  • Normal Morphology: At least 4% ideal structural form

Advanced Reproductive Solutions for Male Factor

At Nandi IVF, we offer advanced male fertility procedures:

  • ICSI (Intra-Cytoplasmic Sperm Injection): A single healthy, high-motility sperm is selected under high-power microscope and injected directly into the mature egg.
  • PESA / TESA (Surgical Sperm Retrieval): For men with non-obstructive or obstructive azoospermia (zero sperm in ejaculate), sperm can be gently retrieved directly from testicular tissue.
  • MACS & Microfluidics: Advanced sperm sorting techniques that isolate DNA-intact sperm for fertilization.

Frequently Asked Questions

Common questions answered by Dr. Payal Bajaj

Can a man with zero sperm count (azoospermia) have biological children?

Yes. With surgical sperm retrieval techniques like TESA/PESA paired with ICSI, many men with azoospermia father their own biological children.

How long does sperm regeneration take?

Spermatogenesis takes approximately 72-90 days. Lifestyle and nutritional improvements typically show measurable benefits after 3 months.

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Dr. Payal Bajaj
Medically Reviewed & Authored By

Dr. Payal Bajaj

MBBS, DGO, Fellowship in ART (Germany & Japan)

Senior IVF & Embryology Consultant with over 20+ years of specialized clinical experience in reproductive endocrinology, blastocyst culture, and complex recurrent IVF failure cases. Over 10,000+ healthy babies delivered.

Delhi's Leading Fertility Centre

Need Personalized Fertility Guidance?

Get your personalized fertility assessment, AMH test review, and customized treatment blueprint with Dr. Payal Bajaj at Nandi IVF Ashok Vihar.