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    Male Infertility Treatment

    Improving Men’s Reproductive Health

    Illustration of MIP Treatment

    Treatment Options:

    • Improving Sperm Quantity and Quality

      For many cases, fertility can be optimised through a combination of lifestyle changes and medical support:

      • Lifestyle Interventions:

      • Balanced nutrition rich in antioxidants (e.g., fruits, vegetables, omega-3 sources)
      • Maintaining a healthy weight and regular exercise
      • Reducing or eliminating smoking and excessive alcohol use
      • Managing stress and ensuring sufficient, quality sleep
      • Avoiding prolonged heat exposure to the testicular area (tight clothing, hot tubs)
      • Taking supplements as recommended by your treating Specialist
      • Medical Support:

      • In selected cases, medications or hormonal therapies may be prescribed to enhance testicular function and sperm production.
    • Surgical Sperm Retrieval

      When sperm is absent in the ejaculate or when production is extremely limited, surgical retrieval may be recommended. These procedures are performed under anaesthesia and include:

      • PESA (Percutaneous Epididymal Sperm Aspiration) - sperm collection from epididymis
      • TESA (Testicular Sperm Aspiration) - aspiration directly from the testes
      • TESE / Open Biopsy - direct sampling from seminiferous tubules
      • Micro-TESE - microsurgical retrieval for severe production deficits
    • Assisted Reproductive Technologies (ART)

      When natural conception is unlikely due to poor sperm quality or quantity, ART provides effective treatment pathways for couples:

    FAQs 

    Not all cases of male infertility can be fully treated, but there are often options to improve fertility or help achieve pregnancy. 

    The approach depends on the underlying cause and may include lifestyle changes, medication, procedures, or assisted fertility treatments.

    The first step is a comprehensive assessment, including a sperm test and possibly hormone tests or imaging. Treatment is then tailored based on the results.

    No sperm in the semen is known as azoospermia. Azoospermia may be due to blockages preventing sperm from being released (obstructive) or due to sperm production issues (non-obstructive). 

    In such cases, surgical sperm retrieval can be done to collect sperm directly from the testes or epididymis. The retrieved sperm can then be used in assisted fertility treatments to try for pregnancy.

    Common methods include:

    • PESA (from epididymis) - sperm collection from the epididymis using a fine needle
    • TESA (from testicles) - sperm aspiration directly from the testicles
    • TESE or Open Testicular biopsy - used when TESA or PESA is not suitable
    • MESA - microsurgical sperm retrieval from the epididymis
    • MicroTESE (more advanced techniques) - a specialist procedure for severe sperm production issues

    The choice depends on your condition and diagnosis, and the above treatments are available at KL Fertility Centre (Malaysia).

    The success rate of sperm retrieval depends on the underlying cause of infertility and the type of procedure performed. In some cases, sperm can still be successfully retrieved even when no sperm are found in the semen sample.

    Your fertility specialist will recommend the most suitable retrieval method based on your diagnosis and test results.

    These procedures are performed under anaesthesia, so you will not feel pain during the procedure. Mild discomfort may occur afterwards, but is usually manageable.

    Recovery is usually quick for most sperm retrieval procedures. Patients may experience mild discomfort, swelling, or bruising for a few days after the procedure, but most men are able to return to normal daily activities within a short period of time.

    Your fertility specialist will provide post-procedure care instructions to support recovery.

    Yes. Surgically retrieved sperm are most commonly used together with IVF treatment, particularly ICSI (Intracytoplasmic Sperm Injection), where a single sperm is injected directly into an egg to achieve fertilisation.