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Teritary Care
Tertiary Care· Common Causes:
o Low sperm count, poor motility, abnormal morphology
o Hormonal imbalances
o Genetic factors
o Lifestyle factors (smoking, obesity, heat exposure)
· When to Seek Help:
o After 12 months of unprotected sex (or 6 months if female partner is >35)
o Known risk factors (e.g., prior surgeries, infections, chemotherapy)
Male Infertility· Semen Analysis : Key metrics (volume, count, motility, morphology)
· Hormonal Blood Work: Testosterone, FSH, LH, prolactin
· Advanced Tests:
o DNA fragmentation assay
o Genetic testing
o Scrotal ultrasound (for varicocele detection)
Lifestyle Modifications:Medications: Varicocele Repair: Outpatient surgery to improve sperm parametersSperm Retrieval Techniques : IUI: Washed sperm placement for mild cases IVF + ICSI: For severe male factor Donor Sperm: Option for untreatable cases IUI Success: ~15 to 20% per cycle (depends on sperm quality)IVF-ICSI Success: ~70–80% live birth rate (under 35, with normal female factors)Varicocele Repair Impact: Improves SA parameters Nutrition Counselling: Tailored fertility diets through NutritionistsMental Health Resources: Coping with infertility stress through qualified Psychiatrists
FAQFrequent ejaculation (even daily) doesn’t lower sperm count long-term. For fertility testing, abstain 2–5 days before a semen analysis for optimal results.
Tight underwear may slightly raise scrotal temperature, potentially affecting sperm production. For optimal fertility, choose breathable fabrics and avoid prolonged heat exposure to the groin.
Sperm regeneration takes ~74 days. Most see improved semen analysis results after 3 months of lifestyle changes like diet, exercise, and avoiding toxins. Be patient!
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