Couples who struggle to conceive are often tested through the woman first, even though male infertility plays a part in roughly half of them. That can delay answers by months. A semen analysis closes that gap early. A simple test, and an important one.
According to Dr. Mohit Saraogi, one of the Best IVF Doctor in Mumbai, “Many couples assume the problem sits with the woman. It often doesn’t. A semen analysis takes a day and can save months of guesswork.”
Wondering if a semen analysis should be your first test?
What Lies Behind Male Infertility?
Some male infertility causes appear on a single semen report, while others need blood work or an ultrasound to find. In many men no single reason is ever found.
Sperm production problems: A semen report may show a low count, weak movement or abnormal shape. Some men have all three at once.
Blockages: Sperm exit the testicles through narrow ducts. A blocked or missing duct is behind about 10% to 20% of cases.
Hormone imbalances: Low testosterone or a thyroid disorder can quietly reduce sperm output. Neither always produces symptoms, which is why diagnosis usually rests on a blood test.
Varicocele: In a varicocele the veins around the testicle become enlarged and this can interfere with sperm production. It is common, and treatment is often possible.
Once the cause is known, treatment can follow a clear plan. Depending on the findings, the options within our male infertility treatment program at Saraogi Hospital run from IUI to ICSI and IMSI.
When Should Men Get Tested for Infertility?
A man does not have to wait for repeated failed attempts before being tested. A few situations make it worth doing early.
After 12 months of trying: Doctors generally advise testing both partners once a year of regular unprotected sex has passed without a pregnancy. Where the woman is 35 or older, that window is usually shortened.
A relevant medical history: An undescended testicle, a past injury or cancer treatment can all affect fertility years later. It is worth telling the doctor about these even if they happened long ago.
Lifestyle and health factors: Heavy drinking and smoking can lower sperm quality. So can obesity and diabetes.
Before starting IVF: A semen analysis should come first. It decides whether standard IVF or ICSI fits. Without those results, the choice of treatment is a guess.
Because sperm take about 74 to 90 days to mature, a lifestyle change made today will not show up on a semen report for a few months. Our earlier piece on improving sperm quality before IVF explains what that 90 day window looks like.
Why Choose Saraogi Hospital for Male Infertility Care in Mumbai?
Dr. Mohit Saraogi brings 13 years across gynaecology, obstetrics and clinical embryology to male factor fertility cases. More than 18,000 patients have been treated under his care at Saraogi Hospital and IRIS IVF Centre. ICSI and IMSI are available on site, so couples can move from diagnosis to treatment without changing clinics.
Every consultation starts with what the semen report actually means for the couple. Treatment is recommended only once the cause is clear. To book a consultation, call +91-99306-66930.
Not sure what your semen report means for your next step?
Frequently Asked Questions
Can a man with a low sperm count still have a biological child?
Often yes, since ICSI needs only one healthy sperm for each egg.
What test is done first in a male fertility check?
A semen analysis, which checks sperm count, movement and shape.
Is male infertility treatable?
Many causes respond to treatment, and ICSI helps when they don’t.
How long before lifestyle changes improve sperm quality?
Usually about 74 to 90 days, the time new sperm need to develop.
Disclaimer:
This blog is intended for informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.