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Good News IVF & Fertility Centre • Patna

Male Infertility & Micro-TESE in Patna

Advanced Andrology & Surgical Sperm Retrieval • Comprehensive Male Care

Home Services Male Infertility & Micro-TESE
15+ Years Experience Up to 85% Success Rate ART Act 2021 Compliant 0% Interest EMI
Specialized Male Fertility Care

Overcoming Male Factor Infertility with Modern Andrology

Male factor accounts for approximately 40% to 50% of all infertility cases. At Good News IVF Patna, we believe male fertility deserves equal clinical rigor and compassionate care. Our dedicated andrology suite offers advanced computerized semen analysis (CASA), sperm DNA fragmentation index (DFI) testing, and specialized hormonal evaluations.

For men diagnosed with zero sperm count (azoospermia), our specialized microsurgical sperm retrieval techniques—including PESA, TESA, and Micro-TESE—extract viable sperm directly from the epididymis or testicular tissue, which are then used in ICSI to achieve biological fatherhood.

  • Computer-Assisted Semen Analysis (CASA) meeting strict WHO 6th Edition standards
  • Sperm DNA Fragmentation Index (DFI) identifying hidden genetic damage
  • Surgical sperm retrieval (TESA, PESA, Micro-TESE) for obstructive & non-obstructive azoospermia
  • Medical, antioxidant, and hormonal therapies to improve natural sperm counts and motility
Consult Dr. Vandana Mishra
Male Infertility & Micro-TESE Patna
Class 10,000 Cleanroom Lab
85% Success Rate

Under 35 Benchmark

Why Choose This Care

Why Choose Good News IVF for Male Infertility

World-class embryology facilities, individualized clinical protocols, and transparent ethical care right here in Patna.

WHO 6th Edition CASA

Automated computer-assisted analysis eliminating human bias in sperm count and motility.

Sperm DFI Testing

Measures DNA damage in sperm heads linked to unexplained IVF failures and miscarriages.

Surgical Retrieval (TESA/PESA)

Minimally invasive 15-minute needle aspiration recovering viable sperm in azoospermia.

Specialist Andrologist

Comprehensive clinical evaluation of varicoceles, hormonal deficiencies, and genetics.

Evidence-Based Therapy

Targeted hormonal therapies, lifestyle guidance, and antioxidant protocols.

100% Confidential Care

Private collection rooms and respectful, non-judgmental male fertility consultations.

Step-by-Step Protocol

The Male Infertility Journey

Clear, structured milestones at every phase of your personalized fertility journey.

1

Advanced Semen Analysis (CASA)

Initial Assessment

Standardized 3-5 day abstinence semen analysis assessing volume, concentration, progressive motility, and strict Kruger morphology.

2

Sperm DNA Fragmentation Index (DFI)

Diagnostic

Fluorescence microscopy assessment identifying the percentage of sperm with broken DNA strands (ideal DFI <15%).

3

Hormonal & Genetic Screening

Endocrine Workup

Blood tests evaluating Serum Testosterone, FSH, LH, and Prolactin, plus Karyotype and Y-chromosome microdeletions if indicated.

4

Scrotal Color Doppler Ultrasound

Imaging

Non-invasive imaging evaluating testicular volume, epididymal anatomy, and venous reflux (varicocele grading).

5

Medical Therapy or Surgical Retrieval

Treatment Phase

3-month targeted medical regimen or planning surgical retrieval (TESA/PESA/Micro-TESE) for azoospermic men.

6

ICSI Fertilization with Retrieved Sperm

Fertilization

Retrieved testicular sperm are immediately paired with mature eggs via ICSI in our cleanroom IVF laboratory.

Diagnosed with Zero Sperm (Azoospermia)? You Still Have Hope
Clinical Spotlight
Clinical Breakthrough

Diagnosed with Zero Sperm (Azoospermia)? You Still Have Hope

A semen report showing zero sperm (azoospermia) does NOT mean you cannot have a biological child. In Obstructive Azoospermia (blocked ducts), millions of healthy sperm are being produced inside the testes. Even in Non-Obstructive Azoospermia, Micro-TESE can locate microscopic pockets of active sperm production.

  • PESA (Percutaneous Epididymal Sperm Aspiration): 10-minute needle retrieval with high yields
  • TESA (Testicular Sperm Aspiration): Direct needle biopsy recovering viable sperm from testicular tubules
  • Micro-TESE: Operating microscope dissection locating active spermatogenic islands
  • High ICSI fertilization and healthy pregnancy rates using freshly retrieved testicular sperm
Schedule Andrology Consultation
Clinical Insights

Obstructive vs. Non-Obstructive Azoospermia

Understanding the two primary categories of zero sperm count

Obstructive Azoospermia (OA)

  • Testes produce normal sperm, but physical blockages prevent exit in semen
  • Causes: Congenital absence of vas deferens (CBAVD), past infections, vasectomy
  • Normal hormone levels (FSH and LH) and normal testicular size
  • Nearly 100% sperm retrieval success using simple needle aspiration (PESA/TESA)
Recommended Protocol

Non-Obstructive Azoospermia (NOA)

  • Testes produce very few sperm due to primary testicular failure or hormonal deficiency
  • Causes: Undescended testes, genetic factors, mumps orchitis, chemotherapy
  • Often elevated FSH levels and reduced testicular volume
  • Requires Micro-TESE under operating microscope with 40-60% retrieval odds

Storage Duration, Safety & Quality Standards

Every clinical and laboratory procedure at Good News IVF strictly complies with the ART (Regulation) Act 2021 and international embryology guidelines.

500+
Surgical Retrievals
PESA, TESA & Micro-TESE
WHO 6th
Edition Standards
Computerized CASA semen lab
24h
Report Turnaround
Rapid, confidential reporting
Candidacy Guide

Who Should Undergo Male Fertility Evaluation?

Comprehensive andrology testing is strongly recommended in the following cases:

Men whose routine semen analysis shows low count (<15 million/ml), low motility (<32%), or poor morphology
Couples experiencing unexplained infertility where female evaluations are completely normal
Men diagnosed with Azoospermia (zero sperm in ejaculate)
Couples with recurrent first-trimester miscarriages or recurrent IVF/ICSI implantation failures
Men with clinical or subclinical Varicocele causing scrotal pain or abnormal semen parameters
Men with a history of mumps orchitis, undescended testes (cryptorchidism), or groin surgery
Male Infertility & Micro-TESE Candidates
Our Commitment

Choosing The Right Clinic in Patna

Why hundreds of families across Bihar trust Good News IVF & Fertility Centre for their parenthood dreams.

Dedicated Male Fertility Room

Comfortable, private, sound-proof semen collection rooms ensuring comfort and privacy.

Comprehensive DFI Analysis

Advanced tests to identify DNA-level damage that routine microscopic semen analyses miss.

Minimally Invasive Surgery

Outpatient TESA/PESA performed under local anesthesia with same-day return home.

Transparent Treatment Plans

Honest guidance on whether medical therapy, varicocele surgery, or TESA-ICSI is best for you.

Dr. Vandana Mishra Fertility Specialist Patna
Verified Specialist
Clinical Director

Dr. Vandana Mishra

Senior Gynecologist, Obstetrician & Reproductive Medicine Specialist
  • 15+ Years Clinical Experience: Dedicated fertility specialist with 5,000+ completed cycles.
  • Individualized Protocols: Personalized stimulation plans customized to ovarian reserve & hormone profile.
  • Professional Memberships: Active member of ISAR, ESHRE, and Indian College of Obstetricians.
  • Transparent & Ethical Care: Clear treatment advice, no unnecessary tests or hidden costs.

5,000+

Happy families and healthy babies delivered across Bihar & Eastern India.

Book Consultation

Your Parenthood Dreams Deserve Trust & Excellence

Take the first confident step toward starting your family. Schedule your private, comprehensive consultation with Dr. Vandana Mishra today.

Frequently Asked Questions

Your Questions, Answered Clearly

Clear answers regarding procedure timeline, preparation, and what to expect during Male Infertility.

Can low sperm count be improved with medication?

Yes. If low sperm count is caused by hormonal imbalances, oxidative stress, nutritional deficiencies, or infections, a 3-month regimen of targeted antioxidants and hormonal therapy often produces substantial improvement.

Is surgical sperm retrieval (TESA/PESA) painful?

No. PESA and TESA are performed under local anesthesia with mild sedation. The procedure takes only 15 minutes, causes minimal discomfort, and you can comfortably return to work the next day.

What is a normal sperm count according to WHO guidelines?

According to WHO 6th edition guidelines, a normal sample has a volume of at least 1.4 ml, a concentration of at least 16 million sperm per ml, progressive motility of at least 30%, and normal morphology of at least 4%.

What is Sperm DNA Fragmentation (DFI) and why does it matter?

DFI measures physical breaks in the sperm’s genetic code. Even if sperm count and motility appear normal, high DFI (>25-30%) can cause failed fertilization, poor blastocyst development, and recurrent early miscarriages.

What should I do if my semen report shows zero sperm (Azoospermia)?

Do not panic. A single test should first be repeated after a 2-week gap with a centrifugated pellet search. If confirmed, our specialist will perform hormonal and ultrasound evaluations to determine whether simple TESA/PESA can retrieve sperm.
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