Surgical semen retrieval in Azoospermia

Surgical semen retrieval in Azoospermia

Any method of obtaining sperm for fertility purposes is referred to as sperm retrieval.

There are numerous methods for obtaining sperm. The procedure employed is determined by the reason for the lack of sperm, the patient’s wishes, and the surgeon’s ability.

The information provided here should aid you and your partner in your discussions with your doctor.


What Happens When Things Are Normal?

Sperm and testosterone (male hormone) are produced in the scrotum’s two testicles, which are located at the base of the penis. Sperm leave the testicles through the epididymis, a coiled tube. They remain in this location until they are ready to be used. A tube called the vas deferens connects each epididymis to the prostate. This tube extends from the scrotum through the groyne, pelvis, and behind the bladder. The ejaculatory duct is formed when each vas deferens unites with a seminal vesicle. Sperm travels via the ejaculatory ducts to combine with fluid from the seminal vesicles, prostate, and other glands to form semen during ejaculation. The sperm passes via the urethra and exits the penis at the other end.


A semen analysis is one approach to looking for sperm. Under a microscope, your doctor will examine your sperm. A lack of sperm (“azoospermia”) may necessitate sperm retrieval.


Obstructive azoospermia and non-obstructive azoospermia are the two main kinds of azoospermia.


Azoospermia Obstructive

The testicles produce sperm in this disease, but they are unable to enter semen due to a blockage in the male reproductive canal. (A vasectomy is performed in this manner.) It is a surgical procedure that prevents sperm from entering the sperm.)


Because of a congenital condition, there may be no vas deferens. If you have the cystic fibrosis gene, this could happen. Blockages in the epididymis and ejaculatory duct are also possible. A hernia repair or other operation may have damaged the vas deferens. Surgical correction of obstructive azoospermia may be possible.


Azoospermia that isn’t obstructive

Your body may not produce any sperm if you have this problem. Or the sperm production may be so poor that there aren’t enough to show up in the ejaculate. Studies for hormones in the blood and genetic tests can assist in determining the cause.

Some men experience orgasms, yet no sperm emerges from the penis. An orgasm is a bodily sensation that occurs as a result of sexual stimulation. When you approach orgasm, you may have ejaculation (the release of sperm). Muscle contractions, an elevated heart rate, breathing rate, blood pressure, and perspiration are all possible symptoms. Anejaculation (lack of ejaculation) or retrograde ejaculation can cause a lack of visible semen with sexual arousal.


What happens if there aren’t any sperm?

In situations of obstructive azoospermia, finding no sperm is unusual.

Sperm may not be retrieved in 20% of the cases of obstructive Azoospermia and 50 to 60% of the cases of non-obstructive Azoospermia depending on the aetiology or the cause of Azoospermia and to determine whether you will find any sperm on surgical retrieval a good clinical history and a blood test is very important at the right kind of a centre who understands the causes of azoospermia.


You should consult the correct male infertility specialist so that you know your chances of sperm retrieval. The main intention behind going for surgical sperm retrieval is to have your biological child. In a very low percentage of cases, it may happen that you may not get sperm even after surgical retrieval and in those rare cases may use donor sperm after discussing with your concerned doctor.

Factors to Boost Male Infertility

Factors to Boost Male Fertility

For many couples, the parenting journey can be difficult. Inability to conceive a child can lead to feelings of frustration, stress, and other negative emotions. According to some studies, one out of every six couples struggles with infertility. Male infertility is a factor in the emergence of various infertility issues.

Infertility affects about one in every 20 men. Infertility is characterized as a man’s inability to conceive a child with his female partner. Low sperm count or poor sperm quality might cause these difficulties Male infertility can be caused by a variety of factors, including:

  • Sperm production is low.
  • Abnormal sperm function
  • In the area of your testicles, you may experience pain, swelling, or a lump.
  • Swelling of the scrotum or small testicles

The above-mentioned factors can have a significant impact on the quality and quantity of your sperm. To discover the fundamental reason for your infertility, you must first determine the health of your sperm.

Male fertility can be boosted by adopting a healthy lifestyle and making dietary modifications. You can improve your sperm count and fertility by following the measures listed below.

Taking fertility supplements for males– If you are thinking of taking male fertility pills, you can take them with the instructions of your fertility specialists.

Dietary supplements come in a variety of forms, including pills, capsules, tablets, and liquids. However, the number of active components in the supplements may vary. Zinc, selenium, and folic acid are found in the majority of them. These supplements can aid in sperm production and quality preservation. Fertility supplements can help men generate sperm that are robust, healthy, and mobile.

Supplementing with vitamin C can boost sperm count and motility while lowering the number of malformed sperm cells.

Vitamin C pills are highly useful. A study has discovered that taking Vitamin C supplements for three months can preserve sperm cells from DNA damage caused by reactive oxygen species (ROS).

Foods that increase sperm count: 

Certain foods can have an impact on a person’s reproductive health. These items are beneficial to include in your diet because they can boost testosterone production, resulting in increased sperm count and mobility. Certain meals that can help improve male fertility may be recommended by our experts. The following are a few of them:

Eggs: Because eggs are high in protein, they can aid in sperm production.

Bananas: Vitamins A, B1, and C found in bananas aid in the production of high-quality sperm.

Maca Roots: Maca Roots have been demonstrated in studies to improve sperm count in men.

Dark Chocolate: Dark chocolate contains amino acids that can help you have more sperm.

Consuming folic acid-rich foods

Men who consume less folic acid in their diet are more likely to have faulty chromosomes in their sperm

Exercise regularly

Regular exercise can help men increase their testosterone levels and improve the quality of their sperm. Excessive exercise, on the other hand, might cause testosterone levels to drop.

Quitting smoking can help you have more sperm

Smoking can decrease sperm motility as well as induce reduced sperm count. Fertility issues are more likely in males who smoke, and conception takes longer than in women. Cigarette smoke contains a toxin that can harm sperm. Furthermore, sperm maturation takes around three months. This is why, to improve sperm health, you should quit smoking at least three months before trying for a kid.

Ashakiran Hospital is Pune’s best infertility centre.

Ashakiran Hospital is known for providing couples with a comprehensive spectrum of Infertility treatment in Pune. You can receive the best effective treatment that is tailored to your specific needs.

We recognize that couples and people who wish to have a healthy pregnancy but are unable to do so face several issues that must be addressed.

Begin your happy adventure as a parent. Make an appointment with one of the best IVF specialists.

Infertility center in Pune

What is Ejaculation Disorder, and how does it affect you?

Ejaculatory dysfunction occurs when a man is unable to ejaculate effectively. It’s the most common type of male sexual dysfunction, and it’s frequently the root of infertility in men.

Disorders of the ejaculatory system are not uncommon. Premature ejaculation (PE) affects roughly 30-40% of men at some point in their lives. Premature Ejaculation is also reported by one in every five men aged 18 to 59, according to research.

Premature, delayed, retrograde, and ejaculatory dysfunction are the four forms of ejaculatory dysfunction. These disorders have various effects on ejaculation and can lead to sexual dissatisfaction.

  1. Premature Ejaculation

When a male ejaculates before or shortly after penetration, this is known as premature ejaculation (PE). Before orgasm, most men have ejaculation

Various reasons might cause premature ejaculation, including:

  • Hormone concentrations
  • Sensitivity of the sperm
  • Sexual arousal is low
  • Anxiety about performing

Premature Ejaculation can be treated in a variety of ways. Premature Ejaculation, like most sexual health issues, is treated differently depending on the reason. PE can be treated with physical therapy, psychotherapy, and medicines. The idea is to reduce penile sensitivity while improving a man’s capacity to manage his behavioural responses.

  1. Delayed Ejaculation (DE)

When a guy ejaculates after sexual stimulation, this is known as delayed ejaculation (DE).

DE happens from time to time, but it might become a concern if it happens frequently.

Delay in ejaculation can be caused by a variety of factors, including drugs, heavy alcohol use, diuretics, high blood pressure, and sexual performance anxiety. Hormonal abnormalities and low self-esteem can also contribute to DE.

  1. Retrograde ejaculation (RE)

When some or all of the ejaculate moves backwards, it is referred to as retrograde ejaculation (RE) (retrograde). Instead of coming out of the penis during the climax, the ejaculate returns to the bladder. It eventually passes via the kidneys during urination.

This ejaculation condition might lead to infertility if left unchecked. A malfunctioning bladder neck muscle is the most common cause of RE. The muscles can also be dysfunctional due to prostate or bladder surgery.

Medical diseases, such as diabetes or a spinal cord injury, as well as some drugs, can cause this harm. Prostate or bladder surgery can potentially cause muscular dysfunction.


  1. Anejaculation

Men who suffer from anejaculation usually take an exceptionally long time to ejaculate, while some never do. Anejaculation is a condition in which some men are unable to orgasm or ejaculate, while others can orgasm but not ejaculate. Men can also ejaculate without orgasm due to anejaculation.

Several causes can contribute to this ejaculatory dysfunction, including:

  • Hormonal imbalances
  • Ageing
  • Semen ducts clogged
  • Problems with the mind
  • Prescription drugs (SSRIs)
  • Diseases of the nervous system
  • Certain surgical procedures, including prostate and testicular cancer surgery, can also cause ejaculation.

If you’re having issues with erectile dysfunction, premature ejaculation or other sexual dysfunction, visit to Infertility center – Ashakiran Hospital and schedule an appointment to have a consultation with an experienced and one of the best IVF Specialist in Pune, Dr Ashish Kale.

Male Fertility Specialist

Five Signs You Need to See a Male Fertility Specialist

Male infertility is more widespread than you might believe; male reproductive difficulties account for one-third of all fertility disorders. While there are a variety of conditions that can cause male infertility, such as hormone imbalances, reproductive organ injury, or sexual dysfunction, it can be difficult to know what physical symptoms to look for.

It’s critical to understand what to look out for to receive help as soon as possible if you have a problem. Symptoms can also aid in determining which a doctor should perform tests to comprehend your fertility issue fully. Genetic testing, sperm analysis, or a testicular biopsy are options.

If you’re experiencing any of the five symptoms listed below, you should contact an IVF Specialist as soon as possible.

  1. You’ve been trying to conceive for a year and haven’t been successful.

Because the most evident symptom of prospective infertility isn’t one that can be seen or felt, most men who are experiencing infertility won’t recognize they have a problem until they try to conceive. You should consult when the couple is not able to conceive even after unprotected coitus or intercourse after 12 months.

  1. You’re in pain, swelling, or have lumps.

If you have pain or swelling in your testicles, or if you’ve discovered a lump, you should see a doctor. Many medical conditions, such as testicular torsion, infections, or a hernia, can cause pain and swelling.

Meanwhile, a medical practitioner should check a painless swelling for testicular cancer, which can harm sperm. A painful discomfort in the lower abdomen or scrotum may accompany a lump. You should undertake a testicular self-examination once a month, especially if you have a family history of testicular cancer or other prevalent risk factors.

  1. You’re having problems with Erectile Dysfunction.

The inability to obtain or maintain an erection is a transparent barrier to conception. While stress and melancholy might play a role in some cases, erectile dysfunction can also be caused by various medical illnesses and lifestyle choices, including diabetes, certain drugs, and even excessive steroid intake. If you inform your doctor about your erectile dysfunction, you can get help.

  1. You have Problems with Ejaculation.

A continuous irregularity in ejaculation, such as diminished volume or difficulty ejaculating, or changes in the ejaculate,  particularly in the colour, texture, or consistency, retrograde ejaculation is another indicator to watch for.

Semen that is white or light grey is regarded as “normal,” however, semen that is more yellow could suggest the presence of urine in the sperm, which could be an indication of infertility and green or pinkish semen, could signal a prostate problem. Furthermore, semen should have a thick texture when ejaculated; if your semen has changed to a watery or extremely sticky texture, this could signal a medical problem.

  1. You’ve noticed a Significant Change in Sex Drive.

If you detect a significant drop in your libido or an abrupt loss of your libido, you should consult a doctor. While little changes in sex drive are natural, and a decrease in sex drive, especially as you get older, can be caused by a variety of circumstances such as stress, worry, and depression, a large shift in or complete lack of sex interest could be an indication of a physical issue. This could indicate some of the hormonal problems.

Please get in touch with us.

If you’re experiencing any of the following symptoms or have any other concerns regarding your fertility, contact IVF Specialist in Pune at Ashakiran Hospital immediately for a free consultation.


Male Infertility Causes

Male infertility is common, impacting one out of every twenty men. Male factor infertility affects over half of all infertile couples. The fact that most males are infertile comes as a complete shock to them.

It’s important to note that the testis has two unique functions.

The first is to generate testosterone, the male sex hormone that is responsible for sex drive, erections, strong muscles, and an overall sense of well-being in men. All of these characteristics are referred to as virility.

The testis’ second role is to create millions of sperm each day, a process that takes place inside each testis. For the majority of infertile men, it is simply this procedure that is at fault, resulting in a reduced number or poor quality of sperm.

Most infertile men generate a small amount of sperm, which may also have poor motility (or swimming ability) and be irregularly shaped (morphology). Only a limited number of normally shaped motile sperm are likely to swim up the woman’s fallopian tube into the region of the egg in such males, and even then, the egg may not be fertilized.

We can find a likely explanation for infertility in the remaining one-third of infertile men, including:

  1. A blockage or lack of the vas deferens might prevent sperm from passing from the back of the testis to the outside. Vasectomy is one of the most common causes, although any history of injury, previous surgery, or sexually transmitted disease may also play a role.
  2. Following a vasectomy or other trauma or infection, men can produce antibodies against their sperm. These antibodies inhibit sperm from swimming or adhering to the egg, which is a common cause of infertility. Antibodies to these proteins can only be detected by a particular test on fresh sperm, which is accessible at the Ashakiran Hospital.
  3. A variety of treatments, such as chemotherapy or frequent X-ray therapy, might harm the testis.
  4. A variety of issues, such as diabetes, MS, or past prostate surgery, can make it difficult for men to get an erection or ejaculate. Sperm can be found and utilized for IVF in these circumstances.
  5. Low sperm counts can be caused by a deficit in brain pituitary hormones. It is critical to diagnose it because it is easily treated with hormone injections.

Finally, investigations have revealed that sperm counts have decreased globally. The reported shift is minor (approximately 15%), and no cause has been determined with certainty; however, it is thought to be due to environmental factors.

Finally, while many men’s infertility causes are unknown, certain problems can be discovered and treated. Because of these facts, all infertile males should have their situation thoroughly checked.


Decoding Male Infertilty

Decoding Male Infertility

Most couples patiently await the event of starting a family. Unfortunately, many couples struggle with infertility, which can negatively influence the experience. When a couple is having difficulty getting pregnant, the common societal misconception is that the woman is having difficulties. This is not true; in fact, studies show that male factor infertility accounts for approximately 40% of all infertility cases!

What Causes Male Infertility?

Male infertility can be caused by hormonal imbalances, illness, infection, reproductive anatomy injury, obstruction, or sexual dysfunction. These factors can have a temporary or permanent effect on sperm, preventing conception. The longer some disorders go untreated, the more difficult they are to treat. That is why it is critical to first establish a definitive diagnosis of what is causing your infertility.

How to deal with Infertility?

At Ashakiran Hospital, our goal is to help you realize your wish of having a child.  With extensive experience in the field of infertility, we treated many patients for both male and female infertility. Ashakiran Hospital also provides Male Infertility treatment in Pune.

We recommend that both partners be tested for infertility and that any obstacles that prevent you from becoming parents be addressed. And, if male factor infertility is the cause, you can be confident that our IVF specialists in Pune will find you the most effective treatment option.

Male infertility is typically caused by one of two factors: a deformity in the reproductive system caused by injury, infection, or disease, or problems with the sperm produced. In this section, we have defined briefly the various physical conditions that can affect male fertility.

Disorders of the Sperm

A sperm defect causes approximately 25% of all infertility, and a sperm defect is the main cause or a contributing cause in 40-50% of infertility cases. We also know that men with very low sperm counts can have children, whereas men with healthy sperm counts do not always. This indicates that the ability of sperm to fertilize an egg is more important than the number of sperm.

Defects and disorders of the sperm are usually on a molecular level – the sperm can be irregularly shaped, motile, or low in number, all of which can prevent the eggs from fertilizing.

Dr Ashish Kale works as an Infertility Specialist at Ashakiran IVF Centre to determine the cause of your infertility and plan treatment for you and your partner to achieve a successful pregnancy.


Are blastocyst transfers more successful?

The blastocyst transfer has given couples the opportunity to have healthier children with fewer birth defects and abnormalities. The use of blastocysts has resulted in a significant increase in the success rate of IVF treatment, according to researchers.

Blastocyst transfer is the most commonly used technique in IVF treatment. The cost of the procedure is usually included in the cost of the IVF treatment.

List of factors limiting the number of embryos that survive the Blastocyst transfer stage;

First, the embryo’s inherent health informs us about its ability to grow and divide. Some eggs may begin to fertilize, but only a few make it to the four-cell stage on the second day in culture. On the third day in culture, some still reach the eight-cell stage, and even fewer develop into a blastocyst. In layman’s terms, only the healthiest embryos will survive.

The culture media was the second factor that limited the growth of embryos in culture. Researchers identified the shortcomings of the in vitro culture environment and created new culture solutions, such as blastocyst media. These are high in life-sustaining nutrients, giving the embryos the best chance of developing naturally.

As a result, embryos are exposed to specific media designed to meet the nutritional needs of each stage of development beginning with egg collection.

Third, even embryos with the potential for good growth and better culture media require additional factors. Some of them include the knowledge and skill of the laboratory embryologists who handle this important work, which is critical to achieving good blastocyst development. As a result, it is critical to select the best laboratory that has obtained the most opportunities for patients in their IVF cycles to assist in the building of a family.

Benefits of Blastocyst Transfer

The use of embryo culture in IVF allows for the identification of embryos with the highest development efficiency. It also aids in maintaining embryonic age at the same time as endometrial, allowing for early communication between the two. This technique necessitates the use of more than one medium to meet the metabolic needs of the developing embryo.

Other advantages include:

  1. Blastocyst transfer is more physiological because the human embryo goes through several transformations. This occurs during the first four days of life, as the embryo grows and separates from a fertilized oocyte to the Blastocyst stage. It demonstrates changes in nutrient requirements and utilization, which aids in the formation of stage-specific culture media. It aids in the development of the embryo during the preimplantation period.
  2. The implantation rate in Blastocyst transfer is higher because the embryos have more time to develop in the laboratory. This makes it easier for the embryologist to select the embryo that will be implanted in the womb. According to the study, the success rate of blastocyst transfer based on clinical pregnancy rate is 43.4 per cent per blastocyst transfer.
  3. During the blastocyst transfer, a small number of embryos are transferred to the uterus. This reduces the likelihood of multiple pregnancies and increases the likelihood of success. As a result, only one or two embryos are implanted in the uterus. When two embryos are transferred, it results in multiple pregnancies in 25% of such cases because both embryos begin to develop.
  4. Preimplantation Genetic Diagnosis (PGD) is easier to perform on a blastocyst because more cells can be used for production and testing. PGD tests to aid in the elimination of faulty embryos and ensure that a good embryo free of genetic defects is transferred during the IVF procedure.

Blastocyst Transfer recommended for to whom?

IVF Specialist in Pune at Ashakiran Hospital will recommend Blastocyst Transfer to the couples who have repeatedly failed to conceive after transferring high-quality cleaved embryos (if the embryos are implanted and do not respond to a blastocyst, it may indicate a potential egg problem).

And also to those who want to become pregnant without the risk of having multiple pregnancies.

 And Couples who do not want their extra embryos frozen.

If you looking for Infertility Center in Pune for Blastocyst Transfer you can visit Ashakiran Hospital.



What Causes Erectile Dysfunction

Erectile dysfunction, or ED, is a prevalent sexual problem among males. Is it a common occurrence in India? According to research every year, around 10 million males in India are diagnosed with it. Fortunately, this is a curable problem.

What is erectile dysfunction?

Some men are unable to achieve or maintain an erection long enough to engage in sexual activity. Not getting an erection at times of stress or grief is quite natural. However, Erectile Dysfunction is a condition in which the problem becomes chronic, meaning that getting an erection is constantly difficult.

Because Erectile Dysfunction makes a guy believe he is impotent, it can have a traumatic effect on his mind.

How will you know if you have Erectile Dysfunction for sure?

If you have Erectile Dysfunction, you will experience the following symptoms:

  • Low libido
  • Ejaculation that occurs too soon
  • Incapacity to experience orgasm

If these symptoms last longer than two months, you are most certainly suffering from erectile dysfunction.


Why should you be concerned about erectile dysfunction?

Erectile dysfunction can be a sign of an underlying health condition as well as a source of marital problems. One of these disorders that need rapid care can cause ED.

  • Problems with the heart
  • Blood vessels that are clogged
  • LDL hypertension is characterized by high levels of bad cholesterol (LDL).
  • Diabetes
  • Parkinson’s disease is a neurological disorder that affects people.
  • Sleep disturbances

What factors increase your chances of developing Erectile Dysfunction?

Here are a few things that increase your chances of developing erectile dysfunction:

  • Tobacco smoking narrows your blood vessels and decreases the blood supply to your penis (an erection is only possible when a large volume of blood travels to the penis).
  • Obesity also affects the flow of blood to the penis.
  • Surgery or radiation therapy for prostate cancer.
  • An injury to the nerves or arteries that supply blood to the penis.
  • A procedure that involves the spinal cord or nerves.
  • Drinking excessively or abusing drugs.

Is Erectile Dysfunction curable?

Fortunately, erectile dysfunction can be controlled. Speaking with a therapist can assist you in overcoming the mental barriers that hinder you from achieving an erection.

If some medications you’re taking are the cause of your problem, your doctor may lower the dose or change the prescription. You can visit to Ashakiran hospital as they provide Male Infertility treatment in Pune.

IVF Specialist

What Effect Does PCOS Have on Fertility?

PCOS, or Polycystic Ovary Syndrome, is a hormonal disorder that affects 10% of reproductive-age women. The fact that 70% of PCOS cases go undetected due to a lack of understanding about the disorder is frightening. PCOS tends to interfere with your life in ways you may not be aware of. But do not be disappointed! Let’s clear up some frequent PCOS inquiries so you may put your fears to rest.

What causes PCOS to occur? What are the impacts on Women?
While there is no definitive answer as to what causes PCOS, there has been some research that links certain characteristics to the condition. Genes are one of them. Some research has discovered a relationship between PCOS and heredity. Another issue that contributes to PCOS is insulin resistance. Insulin resistance causes the body to produce too much insulin, which leads the ovaries to release more male hormones. Diabetes and PCOS are both increased as a result of this. PCOS can harm a woman’s body, which is why it’s so important to get it diagnosed. Low metabolism, obesity, sleep apnea, endometrial cancer, and depression are just a few of the side effects. However, one of the most often asked questions by women around the world is, “Does PCOS Affect a Woman’s Ability to Conceive?” Yes, PCOS stops the egg from being released regularly, which makes fertilizations difficult. PCOS has a high prevalence of infertility, with about 75% of women with the condition having difficulty conceiving.

How does PCOS treatment happen?
Birth control pills to manage the cycle, Metformin to regulate insulin, Clomiphene to promote fertility, and, in some situations, surgery is some of the most frequent approaches to treat PCOS. It is crucial to remember, however, that these drugs can have adverse effects, which is why it is best to consult a doctor before deciding on the best treatment option for you. Dr Ashish Kale is the IVF Specialist in Pune. Following a nutritious diet and maintaining a regular exercise regimen are two things you may do at home to help with PCOS therapy. Obesity continues to be the leading cause of PCOS infertility, thus it’s critical to address it first. PCOS sufferers can improve their fertility by losing just 5-10% of their body weight.

Why choose Ashakiran Hospital for PCOS and infertility Treatment?
Ashakiran Hospital is a well-known Infertility Center in Pune that has a high success rate with IVF in PCOS patients. Fertility treatments can be difficult for the body to handle and can sometimes go wrong. Overstimulation of the ovaries to create more eggs during IVF in PCOS individuals might have hazardous consequences for the body. Ashakiran Hospital is aware of these dangers and employs strategies to mitigate them. Instead of being stimulated for 4-5 weeks, the ovaries are stimulated for only 10-11 days. This prevents the ovaries from being overstimulated or hyperstimulated.
PCOS and infertility might be difficult to deal with, but it is possible to conceive even if you have PCOS. Ashakiran Hospital is led by Dr Ashish Kale, who is an expert in IVF treatments. To schedule an appointment, please contact us on


Male Infertility Evaluation & Treatment

Male Infertile can have more than one cause, so it’s likely you will both need to see a gynaecologist. It might take a few tests to determine the cause of infertility. 

  1. Semen Analysis:

This is a routine lab test in which semen is collected in a sterile tube, and the sample is studied. The quality of the sperm is analyzed by studying sperm volume, sperm count, movement, concentration, and structure. Reports are given on the same day.

  1. Hormone Evaluation:

Testosterone and other hormones are responsible for the production of healthy sperms. Hormone evaluation also helps the doctor to rule out if you are suffering from any other underlying health problem.

  1. Testicular Biopsy:

This test is done when your semen analysis shows low sperm count or no sperms. A needle biopsy is taken to check for the presence of healthy sperms. This helps to diagnose if there is any blockage, and also these sperms can be used in the process of assisted reproduction.

  1. Surgical Sperm Retrieval (SSR)Techniques :
  1. Percutaneous Epididymal Sperm Aspiration (PESA):

A small needle is placed into the epididymis, which is a reservoir of sperm that sits atop each testicle, using local/general anaesthesia and sperms are aspirated.

2. Testicular Sperm Aspiration (TESA) /Testicular Sperm Extraction (TESE):

If PESA is unsuccessful, TESA or TESE may be offered. In this procedure, the sperm is obtained directly from the testicle either by a needle or a tissue biopsy.

3. MicroTESE:

MicroTESE is done under the microscope where our urologist dissects out only microscopic tissue (tubule) from areas with dilated seminiferous tubule, identified as having active spermatogenesis. Sperm may be found in 50-60% of well-selected cases. Microscopic tissue removal ensures no harm is done to the testis.

Treatment Protocol

  1. Lifestyle Changes:

We ensure that the male partner loses weight, takes a good diet rich in antioxidants, exercises regularly and reduces stress. At the same time, he quits smoking alcohol and any other addictions.

  1. Hormone Replacement:

If hormones are deficient and are required to boost sperm production we start the replacement therapy (hCG & FSH). This therapy takes at least 3 months to show results.

  1. Surgical Interventions:

In case of dilated veins in the testis surgical clipping (Variocelectomy) is done. This brings down the raised local temperature of testis enhancing sperm production. In case the outlet duct (vas deferens) is blocked and the condition is good enough to try and repair. 


We at Ashakiran – Infertility Center in Pune, ensure that we identify the cause of infertility and address it accordingly. Dr. Ashish Kale an IVF Specialist, provides excellent Female and Male Infertility treatment in Pune to his patients. 



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