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Male-factor infertility: five things every couple should know
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Fertility 101

Male-factor infertility: five things every couple should know

Dr. Darshan V. Sureja·Mar 22, 2026·7 min read

In Gujarat, infertility is still framed as a woman's problem. The science says otherwise: in 40–50% of cases the male partner contributes to the difficulty. A simple, painless semen analysis at week one saves months of unnecessary tests on the woman.

1. A single bad report does not mean infertility

Sperm count varies week to week, month to month. Fever, stress, tight clothing, and heat exposure all matter. We always confirm with a repeat sample two to three weeks apart.

2. Motility often matters more than count

A high count with poor motility can be harder to work with than a lower count of strong swimmers. We look at all three: concentration, motility, morphology.

3. Lifestyle changes work — but slowly

Sperm take ~74 days to mature. Diet, weight, sleep, and quitting tobacco/alcohol show real improvements at three months — not three days. Start early.

4. Modern IVF handles almost every male-factor case

With ICSI, IMSI, PESA and TESA, even severe male-factor cases now have strong pathways to biological children. Very few couples are truly without options.

5. The couple faces this together

We consult with both partners in the room. Infertility is a shared journey, and every test result belongs to both of you.

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