Male fertility plays an essential role in conception, and understanding the options available can provide both reassurance and clarity. At Child Fertility, we offer evidence-based investigations and treatments for male reproductive health, guided by your individual circumstances.
In practice, treatment is usually recommended only after a specialist assessment, semen analysis and any further investigations that are needed, such as hormone tests, genetic tests or imaging. The aim is to improve the chance of conception, whether naturally or with treatment such as IVF or ICSI.
01
Semen analysis shows abnormalities in sperm count, movement, or shape
02
There has been difficulty conceiving after 6 to 12 months of regular unprotected sex
03
Structural issues such as varicocele or a blockage are identified
04
Genetic or hormonal testing suggests a specific male-factor cause
05
Non-surgical or less invasive treatment is unlikely to be enough on its own
Treatment depends on the underlying cause, and may include lifestyle changes, drug treatment, surgery, or assisted reproductive treatment. Some male-factor conditions are specifically treatable with medical or surgical therapy, while others are managed most effectively through IVF or ICSI, sometimes using surgically retrieved sperm.
While outcomes vary, many men are able to achieve successful conception with the right combination of treatment and support.
Specialised techniques used to collect sperm directly from the testicles or epididymis when there are no sperm, or extremely low numbers of sperm, in the semen.
These procedures are most often used in cases of azoospermia, whether this is caused by a blockage or by very low sperm production.
Retrieved sperm can then be used in assisted treatment, most commonly ICSI, to support fertilisation.
Common surgical sperm retrieval (SSR) techniques include:
Lifestyle & supportive care
Optimising general health is often the first step. Guidance on weight, smoking, alcohol, exercise and other lifestyle factors may help sperm quality in some cases.
Hormonal therapy
Where hormonal imbalance is identified, medications may be used to support sperm production.
Varicocele repair
A procedure that treats enlarged veins in the scrotum (varicocele), which may impair sperm production and quality.
Sperm retrieval techniques
Techniques such as PESA, TESA and TESE are selected based on the underlying cause, with testicular methods more commonly used when sperm production is reduced.
Microsurgical procedures
Highly specialised techniques performed under magnification to correct blockages or structural abnormalities in the reproductive tract to restore sperm transport within the reproductive tract.
Scenario 01
In some cases, treating the male factor, such as a hormonal imbalance or a varicocele, may help improve sperm quality and support natural conception.
scenario 02
In others, particularly where sperm numbers are very low or absent, IVF with ICSI may be recommended to achieve fertilisation.
scenario 03
Sperm retrieval procedures are often used alongside ICSI, allowing sperm to be collected directly and used in the laboratory when they are not present in the ejaculate.
If you are concerned about male fertility or have received test results indicating potential challenges in KSA, early consultation can be empowering.
At Child Fertility, we provide personalised care, thorough explanations, and compassionate support, helping you navigate your fertility journey with confidence.
Sperm retrieval procedures are used when sperm are absent from the semen, or present in numbers too low for standard fertility treatment. They allow sperm to be collected directly for use in fertility treatment, most commonly ICSI.
Many causes of male infertility can be treated or managed, depending on the diagnosis. Treatment may include lifestyle changes, medication, or surgical procedures.
Sperm retrieval procedures are performed under sedation, so discomfort is minimal. Recovery is typically quick, with only temporary soreness or bruising afterwards in some cases.
Many men with low sperm counts go on to become fathers, either naturally or with the help of modern fertility treatments. The most suitable approach depends on sperm quality, the underlying cause and the fertility picture as a whole.
Many men with low sperm counts go on to become fathers, either naturally or with the help of modern fertility treatments. The most suitable approach depends on sperm quality, the underlying cause and the fertility picture as a whole.