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🌸 Dr. Sayali Chavan-Shitole – Male infertility Specialist in Pune | Expertise in IVF, ICSI, IUI, Fertility Preservation & Advanced Hysteroscopy 🌸

chavandrsayali@gmail.com

Male Infertility Treatment in Pune - Dr. Sayali Chavan Shitole | Femcare Fertility

Male infertility treatment at Femcare Fertility, Kalyani Nagar, Pune addresses low sperm count, poor motility, abnormal morphology and azoospermia through semen analysis, hormonal evaluation, IUI, or ICSI. Dr. Sayali Chavan Shitole coordinates investigations and treatment for both partners. Consultation: ₹500.

Male Infertility Treatment in Pune - Addressing the 50% Most Couples Overlook

When a couple struggles to conceive, the investigation usually begins with the female partner. Blood tests, ultrasound scans, a hysteroscopy evaluation - the female side gets thoroughly checked while the semen analysis, which takes 30 minutes and requires no invasive procedure, is often delayed or skipped altogether. This is one of the most common and costly mistakes in fertility medicine.

Male factor infertility contributes to approximately 40-50% of all cases of couple subfertility. In many cases, it is the only cause. Dr. Sayali Chavan Shitole at Femcare Fertility in Kalyani Nagar, Pune, insists on evaluating both partners from the first consultation, because treating only one side of an infertile couple is never an efficient approach.

Understanding the Male Fertility Evaluation

Semen Analysis

Semen analysis is the starting point of male fertility evaluation. A fresh ejaculate sample is examined under the microscope to assess:

  • Sperm count (total number and concentration per mL)
  • Motility (percentage of sperm moving and whether movement is progressive)
  • Morphology (percentage of normally shaped sperm, assessed by Kruger's strict criteria)
  • Volume and pH of the semen
  • Presence of white blood cells suggesting infection or inflammation
Hormonal Profile

When sperm count is very low or absent, blood tests measuring FSH, LH, testosterone and prolactin help distinguish between testicular failure, hormonal problems and obstructive causes of azoospermia.

Sperm DNA Fragmentation Testing

Standard semen analysis can be completely normal, yet sperm DNA fragmentation - breaks in the genetic material carried by sperm - can still lead to fertilisation failure or recurrent early miscarriage. Dr. Sayali recommends sperm DNA fragmentation testing in cases of unexplained infertility, recurrent pregnancy loss, or repeated IVF failure.

Common Male Infertility Diagnoses and Treatment Options

Oligozoospermia - Low Sperm Count

Mild-to-moderate oligozoospermia (1-15 million/mL) may respond to IUI in selected cases. Severe oligozoospermia ( "<" 5 million / mL) typically requires ICSI within an IVF cycle.

Asthenozoospermia - Poor Motility

When less than 32% of sperm show progressive movement, fertilisation capability is reduced. ICSI allows selection of the most viable sperm regardless of overall motility percentages.

Azoospermia - No Sperm in Ejaculate

Obstructive azoospermia (blocked vas deferens or ejaculatory ducts) can often be treated with PESA (Percutaneous Epididymal Sperm Aspiration). Non-obstructive azoospermia requires TESA (Testicular Sperm Aspiration) coordinated with a urologist. Retrieved sperm are used with ICSI.

Elevated Sperm DNA Fragmentation

Lifestyle modifications (stopping smoking, reducing alcohol, antioxidant supplements), along with a shorter ejaculatory interval, can reduce fragmentation. Where fragmentation is very high, surgically retrieved testicular sperm - which have lower DNA damage than ejaculated sperm - can be used with ICSI.

Lifestyle Factors That Affect Male Fertility

Smoking - reduces sperm count, motility and significantly increases DNA fragmentation

Alcohol - affects testosterone production and sperm motility

Obesity - alters hormonal balance and increases scrotal temperature

Heat exposure - frequent use of hot tubs, saunas, or tight clothing

Anabolic steroids - suppress the hormonal axis responsible for sperm production

Male Infertility Treatment at Femcare Fertility

At Femcare Fertility, Dr. Sayali evaluates the male partner as a core part of every infertility workup. She communicates results clearly to both partners, recommends the most appropriate treatment and coordinates with specialist urologists for surgical sperm retrieval when needed. Couples from Viman Nagar, Kharadi, Nagar Road, Koregaon Park and Hadapsar come to Femcare Fertility specifically for this whole-couple approach to fertility care.

Frequently Asked Questions (FAQ).

Dr. Sayali Shitole

For mild infertility - slightly low count or motility - lifestyle improvements (stopping smoking, healthy BMI, reduced alcohol, antioxidant supplements) over 3-6 months can sometimes bring parameters into the range where IUI becomes viable. For severe parameters, ICSI is the most reliable option.

A semen analysis takes 30-60 minutes at a diagnostic lab. Results are typically available within the same day or next day. Dr. Sayali will refer you to a coordinated lab and review the results at your follow-up consultation.

A normal basic semen analysis is reassuring, but not definitive. If fertility is unexplained despite normal results, Dr. Sayali may recommend sperm DNA fragmentation testing, which is not part of the standard semen analysis.

Yes, in many cases. Surgical sperm retrieval (TESA or PESA) can recover sperm from the testes or epididymis even when none appear in the ejaculate. These sperm are used with ICSI to fertilise eggs.

Both partners attending the first consultation is ideal, as Dr. Sayali will review the complete history and examination of both. However, the female partner can attend first and the male partner can provide a semen sample at a coordinated lab at any time.