MALE FERTILITY

Male Fertility can have an impact on mental health and Professor Suks Minhas understands the emotional toll infertility can cause you and your partner. We want to help you get to the root cause of your fertility issues so you can build your family.

Identifying the specific cause of infertility is an important step towards your goal of starting a family. It is essential to evaluate the male partner to determine the cause. 

Another reason to evaluate men for infertility is because it may be a symptom of significant but otherwise silent disease.

male fertility suks minhas

MALE FERTILITY SERVICES

  • Semen Analysis – For male infertility, we perform a comprehensive semen analysis that evaluates multiple components of the ejaculate, including:

Volume

Sperm Count

Motility

Morphology

Even if the patient suffers from azoospermia, where there is no sperm present in the ejaculated fluid, there are still treatment options, like a testicular sperm extraction.

  • Male Fertility Preservation – Suks Minhas understands the importance of preserving and restoring male fertility and has developed a comprehensive, streamlined evaluation for affected men.
  • Azoospermia – Azoospermia is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present.
  • Testis Biopsy – A testis biopsy is helpful in many cases of azoospermia. If an evaluation of azoospermia is not clearly showing whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production.
  • Surgical Male Fertility Treatment – Surgical treatment options include varicocele repair, ejaculatory duct resection and vasectomy reversal.
  • Sperm Mapping – Sperm Mapping is a technology that “maps” the location of sperm in the testis. The technique is designed to benefit severely infertile men. Sperm Mapping can determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimise invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.
  • Sperm Retrieval – Sperm retrieval procedures are designed to collect sperm from organs within the male reproductive tract. Sperm retrieval combined with in vitro fertilisation (IVF) and ICSI are invaluable for allowing infertile men without ejaculated sperm the opportunity to be fathers. Suks Minhas has over 15 years of experience in sperm retrieval procedures and pioneered many popular retrieval, minimally invasive methods that are used today.
  • Varicocele Repair – Varicoceles are enlarged veins (varicose) in the scrotum; they are the most commonly corrected reason for male infertility. Suks Minhas has developed and helped popularise a safe, minimally invasive, microsurgical procedure, has performed over 1000 cases, and published his excellent success rates.
  • Ejaculatory Duct Resection – Ejaculatory duct obstruction is presenting itself as a semen analysis with a low volume, ejaculatory duct obstruction is the cause of male infertility in 1-5% of men.
  • Second Opinion – Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you and you have a right to have all of your questions answered so that it does make sense to you.

DETERMINING THE CAUSE

Many factors can affect the quality of sperm and lead to male infertility, including:

Environment

Lifestyle factors such as smoking and heavy drinking can negatively affect semen quality. Additionally, environmental toxins, such as those found in the workplace, can damage a patient's sperm.

Ageing

The natural ageing process can impact male fertility and sexual function. The quality of your sperm will decrease with age. 

Health

Some health conditions like diabetes, HIV, and Gonorrhoea, among others, can lead to male infertility. During treatment, patients with kidney disease may also experience reduced sperm count and function.

Cancer

Cancer treatments like chemotherapy and hormone therapy can damage sperm cells. In many cases, sperm production slows or stops completely after chemotherapy, while hormone therapy can lower sperm production and cause erectile dysfunction.

Genetics

Some patients will experience male infertility because of certain genetic conditions. Chromosomal abnormalities, gene deletions, and gene mutations can all cause male infertility. 

HOW CAN WE HELP FACILITATE A PREGNANCY?

There are several steps that can be taken to improve the quality of your sperm. Depending on the cause or causes of your male factor infertility, we can recommend customised treatment to help facilitate conception and pregnancy. 

Surgery

While we always recommend conservative options first, in some cases, like azoospermia or varicocele, surgery may be necessary. A varicocele is an enlarged vein within the scrotum that can cause a block. If this is the cause of your infertility, the varicocele can be corrected through a surgical procedure that stitches or clips the vein shut. If azoospermia is the cause of your fertility issues, a testicular sperm extraction can be performed to retrieve the sperm directly from the testicles. 

Assisted reproductive technology

Assisted reproductive technology can include collecting sperm through ejaculation, testicular sperm extraction, or obtaining a sample from a donor depending on your wishes and goals. The collected sperm will then be inserted into the female partner or used for in vitro fertilisation (IVF). 

Lifestyle Changes

For fertility issues involving genetic conditions, environmental factors, or weight-related health conditions like diabetes, our team may recommend lifestyle changes. Sometimes maintaining a healthy diet and stopping habits like smoking can be enough to facilitate pregnancy.

CONTACT US

Get in Touch

Use the secure form to send a message regarding any concerns you may have. Should you have any information regarding a referral from a GP please also include this and we will be in touch with next steps.

18 Devonshire Street, London W1G 7AF

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