Male Infertility

Male Infertility


There are more than one causes of male infertility. As a first step of your fertility investigation, you will be asked to undergo a physical examination and we will evaluate your medical history, taking into account your personal and family background, social and environmental factors that can influence your fertility. A semen analysis may be ordered to measure any abnormalities in the morphology and motility of the sperm. Our infertility specialist will help you diagnose the issue and recommend treatments or procedures that will result in conception.

Below is a small description of treatment options available at Fertility point.


Obstructive Azoospermia


Obstructive Azoospermia means sperm are being produced normally in the testes, but there is a blockage or obstruction in the male reproductive tract that prevents the normal transport of sperm through the post-testicular ductal system. Obstruction occurs mostly in the epididymis, vas deferens and ejaculatory duct. Azoospermia can be caused due to several conditions including sexually transmitted disease, retrograde ejaculation, scrotal trauma/injury, scar tissue, cystic fibrosis, hernia surgery and vasectomy.

There are two treatment options for obstructive azoospermia: surgical correction of the obstruction, or sperm retrieval from the epididymis or testes through testicular sperm extraction (TESA).


Testicular Sperm Extraction (TESE)


Testicular Sperm Extraction (TESE) is a surgical procedure to remove a small amount of testicular tissue or epididymal fluid in the testicle. These tissues are later transported to the laboratory to extract viable sperm from biopsy specimen that can be used for Intracytoplasmic Sperm Injection (ICSI) or In Vitro Fertlisation (IVF). TESE is a minor procedure performed under local anaesthesia. This technique is done in men where there is a blockage in the ducts that are supposed to carry sperm from the testicle and there are no sperm in the ejaculate to succeed with IVF.




Oligospermia, also commonly referred as low sperm is defined as low sperm concentration in the ejaculate. As per WHO the sperm count in a semen sample should be above 15 million sperm per milliliter, anything below can be diagnosed as oligospermia. Semen with poor sperm quality also show significant abnormalities in sperm morphology and motility. Finding an exact reason behind low sperm count can be complicated, however following are some of the possible causes.


  • social and environmental factors such as tobacco and alcohol consumption, exposure to toxic environmental agents, or stress
  • hormonal imbalances
  • surgery
  • chemotherapy
  • radiation
  • infection
  • testicular factors
  • genetic abnormalities


Retrograde Ejaculation


Retrograde ejaculation occurs when the semen is redirected to the urinary bladder instead of ejaculating via the urethra. This happens when the bladder sphincter does not function properly, forcing semen to enter the bladder.

Even though retrograde ejaculation is harmless, it can cause male infertility. Men with diabetes are at high risk of developing this condition. Retrograde ejaculation may be also caused due to usage of certain medications, congenital conditions, injury or surgery. In most cases for men with retrograde ejaculation, sperm can be retrieved through urine sample or through Testicular Sperm Aspiration (TESA).




Varicocele is a condition occurs when the veins enlarge within the scrotum. These veins are similar to varicose veins of the legs. These veins also known as pampiniform plexus, drains blood from the testicles. It might cause male infertility. Pooled blood in the enlarged veins affects the temperature in the scrotum to increase than normal, it affects the ability of the testes to produce sperm resulting in decreased sperm count, decreased motility and poor morphology. Varicocelectomy is a treatment option available to treat varicocele. It is a small microsurgical procedure in which all the swollen veins are tied off while preserving the normal blood vessels. In many patients this can result in a dramatic increase in sperm counts and motility.

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Dr. Rajesh Chaudhary

Lead IVF Specialist. MBBS, MD (OBGY/GYN,Gold Medallist), FGMIS, FRM, FMF-UK certified NT practitioner.

Dr. Rajesh has Excellence, Experience & Expertise in Obstetrician and Gynaecologist, Reproductive medicine and Expertise in IVF/Infertility care with over 10 years’ experience in IVF. He has handled over 5,000 IVF cases to date. He is a Gynaecologist endoscopic surgeon with special interest in fertility enhancing endoscopic procedure. He has worked in India and Nepal and is now the Lead IVF Specialist at Fertility Point Kenya.


  • In Vitro Fertilisation (IVF)
  • Intrauterine Insemination (IUI)
  • Intracytoplasmic Sperm Injection (ICSI)
  • Egg Vitrification and much more..

Dr. Shaunak Khandwala

Director Clinical Services and Consultant

Dr. Shaunak Khandwala is a seasoned Consultant IVF Specialist with over 30 years of experience. He holds a robust educational background, including a MBBS from KEM Hospital and Seth G.S. Medical College, University of Bombay, and specialized training in Medical Ultrasound from prestigious institutions. Specializing in Assisted Reproduction and IVF procedures, Dr. Shaunak Khandwala holds a keen interest in training and establishing IVF units. He has played a pivotal role in expanding IVF services through the setup of chain clinics.

Advanced IVF lab with the Latest Technologies

Fertility Point's state-of-the-art IVF laboratory is equipped with the most advanced and innovative technologies that ensure quality care and achieve high success rates.

Our lab features the latest cutting-edge technologies including the time-lapse incubator to capture images of embryos developing, in a safe and controlled environment. These images from high-tech incubators enable embryologists to evaluate embryos for better prediction of future developmental and implantation potential.

We have introduced standard operating procedures in our IVF lab to ensure that we meet high-quality standards and laboratory protocols.

Our lab has a robust quality management system and processes in place to more efficiently help infertile couples in their quest to have a healthy baby.

IVF at your convenience

At Fertility Point, we consider every aspect of your journey to achieve your dream of parenthood. Our aim is to assess your needs accurately and offer a personalized treatment plan guiding you through every step of your fertility journey. Our IVF centre gives couples the opportunity to undergo infertility treatment in an international clinical setting, setting, fertility treatment at their own convenience, and most importantly without any waiting period.

With the Fertility Point team, you can be assured of world-class reproductive care, underlined by a sincere commitment to your overallВ well-being.