Male Infertility Treatment in Johor Bahru and Batu Pahat, Johor
Trying for a baby without success? Consultant urologist Dato’ Dr Azhar Amir Hamzah assesses and treats the male side of fertility, which plays a part in about half of couples who struggle to conceive.
What is male infertility?
Male infertility is when a man’s sperm or reproductive system makes it harder for his partner to become pregnant. A man can be healthy, with normal sex life and erections, and still have a sperm problem. Many causes can be treated, which can improve the chance of natural pregnancy or of success with fertility treatment.
Signs
- No pregnancy after a year of regular unprotected sex
- An abnormal semen analysis result
- Swelling or enlarged veins in the scrotum (varicocele)
- Low sex drive or erection problems
- Small or soft testes
Common causes
- Varicocele, enlarged veins around the testis
- Hormone imbalance, including low testosterone
- Previous infection, injury or undescended testis
- A blockage in the tubes that carry sperm
- Smoking, heat, obesity and anabolic steroid or testosterone use
- Genetic conditions in some men
How Dato’ Dr Azhar assesses and treats male infertility
Assessment starts with a semen analysis, ideally repeated, together with hormone blood tests and an examination. An ultrasound of the scrotum checks the testes and veins. Based on the results, treatment may include lifestyle changes, medicine for hormone problems, varicocele surgery, or treatment of a blockage. When sperm is needed for IVF, he works with your fertility specialist on the best approach.
When to see a urologist
- After a year of trying without pregnancy, or six months if your partner is over 35
- An abnormal semen analysis
- A history of undescended testis, testicular injury or cancer treatment
- Swelling or a lump in the scrotum
FAQs
Should the man be tested too?
Yes. Male factors contribute in about half of couples who have trouble conceiving, and a semen analysis is a simple first test.
Can a varicocele cause infertility?
It can lower sperm quality in some men. Treating it may improve sperm counts.
Does testosterone help fertility?
No. Testosterone treatment can lower sperm production, so it should be avoided when trying for a baby.