Infertility Specialist & Advanced Gynecological Endoscopic Surgeon
Male Infertility Evaluation & Treatment
Accurate Diagnosis, Effective Treatment, Real Results
Male-factor issues contribute to a significant share of infertility cases — yet they're often the most under-evaluated. From a complete diagnostic workup to hormonal therapy, varicocele repair and surgical sperm retrieval, Dr. Mostafa Al-Tarique (Ronee) builds a treatment plan around your actual diagnosis, not assumptions.
Comprehensive Semen Analysis
WHO-standard lab evaluation
Hormonal & Genetic Workup
Root-cause diagnosis
Microsurgical Techniques
Varicocelectomy & sperm retrieval
European Trained
France, Italy, Germany & Belgium
Top Infertility Specialist
DR
Dr. Mostafa Al-Tarique (Ronee)
Consultant, Reproductive Endocrinology & Infertility
Bangladesh Medical University (Ex-PG Hospital)
- Advanced surgical fellowships across leading centers in France, Italy, Germany & Belgium.
- Specialist in male & female infertility, hormonal therapy and microsurgical sperm retrieval.
- Integrated couple-centered care spanning diagnosis, treatment, and IUI/ICSI/IVF planning.
"Male infertility deserves the same clinical rigor as female fertility care — accurate diagnosis first, then a treatment plan built around the couple's actual chances of conception."
Understanding The Condition
What Is Male Infertility?
Male infertility refers to a man's biological difficulty in contributing to conception — most commonly related to reduced sperm production, impaired sperm function, or a blockage that prevents sperm delivery. Male factors are estimated to play a role in a substantial proportion of infertility cases, either alone or alongside a female factor — which is why a couple's fertility workup should always include a thorough male evaluation.
Root-Cause Diagnosis
Semen analysis, hormonal profiling and, where indicated, genetic testing identify whether the issue is hormonal, structural, genetic or lifestyle-related.
Structural & Hormonal Correction
Conditions such as varicocele or hormonal imbalance often respond well to targeted microsurgical repair or medical therapy.
Fertility-Preserving Sperm Retrieval
For azoospermia, techniques such as TESA, PESA or Micro-TESE can retrieve sperm directly for use with ICSI, even when none is found in the ejaculate.
Not every case needs surgery or ART. Many men with mild-to-moderate abnormalities improve with lifestyle correction or medical treatment alone. The right pathway depends entirely on your specific diagnosis.
Diagnostic Benchmark
Semen Analysis: Reference Parameters
A basic semen analysis is usually the first step. These are general WHO lower reference limits — your own report should always be interpreted by a specialist alongside your full clinical picture.
| Parameter | Reference Lower Limit | When Further Evaluation Is Considered |
|---|---|---|
| Semen Volume | ≥ 1.4 mL | Persistently low volume may suggest a collection issue, partial obstruction or hormonal cause. |
| Sperm Concentration | ≥ 16 million/mL | Below reference = oligospermia; very low or zero count needs hormonal and genetic workup. |
| Total Motility | ≥ 42% | Reduced motility (asthenozoospermia) may relate to infection, varicocele or lifestyle factors. |
| Normal Morphology | ≥ 4% | Lower values (teratozoospermia) are considered alongside other parameters, not in isolation. |
| Total Sperm Number | ≥ 39 million/ejaculate | Guides whether natural conception, IUI or ICSI is the more realistic pathway. |
Reference ranges follow WHO laboratory manual lower limits and can vary slightly between labs. A single abnormal report is not a diagnosis — repeat testing is often recommended.
Clinical Expertise
Causes We Diagnose & Treat
Explore the range of male-factor conditions addressed through a structured, evidence-based evaluation.
Semen Analysis Finding
Oligospermia & Azoospermia
Low sperm count or complete absence of sperm in the ejaculate. Further hormonal, genetic and imaging workup identifies whether the cause is production-related or obstructive.
Guides the right treatment pathway
Structural
Varicocele
Enlarged veins within the scrotum — one of the most common correctable causes of male infertility. Microsurgical varicocelectomy may be considered when clinically indicated.
May improve semen parameters
Hormonal
Hypogonadism & Hormonal Imbalance
Low testosterone or abnormal FSH/LH levels can impair sperm production. Targeted hormone therapy is used where a hormonal cause is confirmed.
Corrected via targeted hormone therapy
Obstructive
Obstructive Azoospermia
A physical blockage in the vas deferens or epididymis prevents sperm from reaching the ejaculate, despite normal sperm production in the testes.
Surgical sperm retrieval enables ICSI
Genetic
Genetic & Chromosomal Factors
Conditions such as Klinefelter syndrome, Y-chromosome microdeletions or CFTR gene mutations can affect fertility and inform treatment and counseling.
Guides fertility counseling & ART planning
Lifestyle & Infection
Lifestyle, Infection & Other Factors
Smoking, obesity, excessive heat exposure, certain medications and reproductive tract infections (like epididymitis) can all affect sperm quality.
Often improves with targeted correction
Evidence-Based Approach
Why A Structured Male Fertility Workup Matters
1
Comprehensive Diagnostic Evaluation First
Semen analysis, hormonal panels and imaging are reviewed together — never a single test in isolation — before any treatment is recommended.
2
Couple-Centered Treatment Planning
Male-factor findings are considered alongside the partner's fertility evaluation, so the treatment plan reflects the couple's actual chances of conception.
3
Individualized, Evidence-Based Pathway
Not every case needs IVF or ICSI directly — some resolve with lifestyle correction or medical therapy; others need surgery or ART. The diagnosis decides the path.
Male infertility evaluation should never rest on a single semen report. Reference ranges guide interpretation, but the right treatment plan depends on repeat testing, hormonal assessment, and — where indicated — genetic and imaging studies. Dr. Mostafa reviews each case individually before recommending a treatment pathway, whether that's lifestyle modification, medical therapy, microsurgery, or assisted reproduction.
This page describes general clinical principles and does not state specific success or pregnancy rates. Ask Dr. Mostafa about what's realistic for your individual case.
Clear & Transparent Protocol
Your Male Fertility Evaluation Journey
Step-by-step overview of what to expect from your first visit onward.
Step 01
Initial Evaluation
- History & Exam: Medical, lifestyle, surgical and reproductive history, plus a focused physical examination.
- Semen Analysis: Typically two samples, a few weeks apart, following WHO collection guidance.
- Initial Counseling: Findings are explained clearly, with next steps outlined.
Step 02
Advanced Diagnostics & Targeted Treatment
- Hormonal Panel: FSH, LH, testosterone and related markers where indicated.
- Scrotal Doppler / Genetic Testing: Used selectively based on findings so far.
- Targeted Treatment: Hormonal therapy, varicocelectomy or surgical sperm retrieval as appropriate.
Step 03
Fertility Pathway & Follow-Up
- Pathway Planning: Natural conception guidance, IUI, or ICSI/IVF integration with your partner's plan.
- Follow-Up Testing: Repeat semen analysis to track response to treatment.
- Ongoing Support: Adjustments to the plan as results come in.
Patient Guidance
Frequently Asked Questions
Male infertility generally refers to difficulty contributing to conception after a year of regular, unprotected intercourse, most often linked to abnormal sperm production, function, or delivery. A specialist evaluation helps confirm the specific cause.
Not always. Sperm count is one of several parameters — motility, morphology and overall reproductive health also matter, as does the partner's fertility status. A complete evaluation gives a clearer picture than count alone.
Yes, in selected cases. A varicocele can affect testicular temperature and sperm quality. Not every varicocele requires surgery — the decision depends on semen parameters, symptoms and the couple's fertility goals.
Azoospermia means no sperm is found in the ejaculate. Depending on whether it's obstructive or non-obstructive, options may include correcting a blockage or performing surgical sperm retrieval (TESA/PESA/Micro-TESE) for use with ICSI.
Not necessarily. Many cases improve with lifestyle changes or medical therapy alone. Surgery — such as varicocelectomy or sperm retrieval — is considered only when the diagnosis specifically supports it.
In many cases, yes. Reducing heat exposure, smoking and alcohol, managing weight, and treating any underlying infection can meaningfully improve semen parameters over a few months.
When natural conception or IUI isn't realistic, sperm — whether from ejaculate or surgical retrieval — can be used directly with ICSI as part of an IVF cycle, planned together with your partner's treatment.
Take The First Step
Schedule Your Male Fertility Evaluation Today
If you and your partner have been trying to conceive without success, a structured male fertility evaluation is often the fastest way to find out what's actually going on — and what can be done about it.
Direct Helpline: 01789-732601, 01789-732639
Chamber 01
BMU (Ex-PG Hospital) Chamber
Department of Reproductive Endocrinology & Infertility, Dhaka
Chamber 02
Comfort Dhanmondi / Green Road
Dhaka, Bangladesh
Chamber 03
Regional Consultation Chambers
Khulna & Jessore / Jhenaidah