Male Infertility: Common Causes, Spermatogenesis, and Clinical Assessment
Comprehensive evaluation of male reproductive factors: hormonal, anatomical, genetic, and environmental.
Reviewed by Dr. Dileep Kumar H R, MBBS, DGO, DRM
October 2026 · Evidence-Based Healthcare
Male fertility is an equal contributor in reproductive health, yet it is frequently discussed with hesitation or stigma.
Spermatogenesis takes approximately 64 to 72 days. This means that a man's current sperm parameters reflect health, stress, fever, or medication exposures from 2 to 3 months ago.
Causes of male subfertility range from varicoceles (enlarged scrotal veins), hormonal imbalances (low testosterone or elevated prolactin), genetic factors (Y-chromosome microdeletions or Klinefelter syndrome), to previous infections and obstructive blockages.
At Srishti Fertility Hospital, male evaluation involves confidential and dignified semen diagnostics, scrotal Doppler ultrasound, and andrological consultations to outline clear treatment pathways.
Considering a Second Opinion on Your Reports?
Bring your previous cycle logs, scans, and tests for an unhurried, independent review with Dr. Dileep Kumar H R.
Frequently Asked Questions
Azoospermia requires distinguishing between obstructive and non-obstructive causes. In many cases, sperm can be retrieved directly from the testicular tissue using micro-surgical techniques (PESA/TESA) and used successfully with ICSI.