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Male Infertility Evaluation & Treatment

Complete male fertility evaluation including semen analysis, hormonal testing, and advanced treatments. Expert care for couples struggling to conceive in Nepal.

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Male Infertility TestingEpididymitisErectile DysfunctionPremature EjaculationLow LibidoDelayed EjaculationRetrograde Ejaculation

Medically Reviewed

Expert Verified
Dr. G.P. YadavNMC: 15834
MBBSMD
Reviewed: Jun 1, 2025
Updated: Jun 1, 2025
Symptoms of Male Infertility Evaluation & Treatment
  • Inability to conceive after 1 year
  • Low sperm count on previous testing
  • History of testicular trauma
  • History of STDs
  • Sexual dysfunction
  • Varicocele

Testing & Treatment

Comprehensive workup includes semen analysis (count, motility, morphology), hormonal profile (testosterone, FSH, LH, prolactin), scrotal ultrasound, genetic testing (karyotype, Y-chromosome microdeletion), and post-ejaculatory urinalysis.

Varicocelectomy (for varicocele), hormonal therapy (clomiphene, HCG, FSH), antibiotic treatment for infections, lifestyle optimization (weight loss, smoking cessation, antioxidant supplements), and referral for IVF/ICSI when needed.

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Emergency Contact Information:

National Emergency:

102 (Ambulance)

Our Clinic:

+977-9700682800 (WhatsApp available 24/7)

Bir Hospital Emergency:

+977-1-4412400

TU Teaching Hospital:

+977-1-4434320

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Last Updated: June 16, 2026 |Clinic: STD Treatment Clinic |License: 15834

Frequently Asked Questions About Male Infertility Evaluation & Treatment

What causes male infertility?
Common causes include low sperm count (oligospermia), poor sperm motility (asthenospermia), abnormal sperm morphology (teratospermia), varicocele, hormonal imbalances, genetic conditions, infections (STDs, prostatitis), testicular trauma, heat exposure, smoking, alcohol, and certain medications.
How is male infertility diagnosed?
Semen analysis is the primary test, evaluating sperm count, motility, morphology, and volume. Additional tests include hormone blood tests (testosterone, FSH, LH, prolactin), scrotal ultrasound, genetic testing, and post-ejaculatory urine analysis to check for retrograde ejaculation.
Can male infertility be treated?
Yes, 50-70% of male infertility cases are treatable. Options include varicocelectomy (surgical repair of varicose veins), hormonal therapy, antibiotics for infections, lifestyle changes, and assisted reproductive techniques (IVF/ICSI). Our clinic offers comprehensive male fertility evaluation and treatment.
What is a normal sperm count?
According to WHO guidelines, a normal sperm count is 15 million or more sperm per milliliter of semen. Total sperm count should be 39 million or more per ejaculate. Sperm motility should be 40% or higher, and normal morphology should be 4% or higher.
Can STDs cause male infertility?
Yes, untreated STDs like gonorrhea, chlamydia, and mycoplasma can cause epididymitis and urethritis, leading to scarring and blockage of the reproductive tract. These infections can permanently damage sperm transport. Early treatment of STDs prevents infertility.
How long does it take to improve sperm quality?
Sperm production takes approximately 74 days (about 2.5 months). Improvements from lifestyle changes, supplements, or medical treatment are typically seen 3 months after starting. Consistency in treatment and lifestyle is key for meaningful improvement.
Can varicocele cause infertility?
Yes, varicocele is the most common correctable cause of male infertility, found in 35-40% of men with primary infertility. Varicocele increases scrotal temperature and causes oxidative stress, damaging sperm. Varicocelectomy surgery improves sperm parameters in 60-80% of cases.
What vitamins improve male fertility?
Key supplements include Coenzyme Q10 (200-300mg daily), Zinc (30mg), Selenium (200mcg), Vitamin C (500-1000mg), Vitamin E (400 IU), Folic Acid (400mcg), L-Carnitine (1000mg), and Omega-3 fatty acids. A healthy diet with these nutrients supports optimal sperm health.
Does smoking affect male fertility?
Yes, smoking significantly reduces sperm count, motility, and increases DNA fragmentation. Men who smoke have 15-20% lower sperm counts compared to non-smokers. Quitting smoking can improve sperm quality within 3 months. The effects are partially reversible.
Can stress cause infertility in men?
Yes, chronic stress increases cortisol and oxidative stress, which can lower testosterone and impair sperm production. Stress-related lifestyle factors (poor diet, lack of sleep, reduced exercise) also negatively affect fertility. Stress management is an important part of fertility treatment.
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