Male Infertility Treatment in Pitampura, Delhi

As an experienced male infertility specialist in Delhi, we follow a thorough diagnostic protocol:

1. Detailed Medical History

• Sexual history and practices
• Previous pregnancies with any partner
• Childhood illnesses (mumps, hernias)
• Surgeries or injuries to reproductive organs
• Medications and supplements
• Lifestyle factors (smoking, alcohol, drugs)
• Occupational exposures

2. Physical Examination

• General health assessment
• Examination of penis, scrotum, and testicles
• Checking for varicocele
• Prostate examination if indicated
• Assessment of secondary sexual characteristics

3. Semen Analysis (Critical Test)

The cornerstone of male fertility evaluation, analyzing multiple parameters:

Volume: Normal range 1.5-5 ml Sperm concentration: At least 15 million/ml Total sperm count: At least 39 million per ejaculate Motility: At least 40% showing movement; 32% with progressive motility Morphology: At least 4% normal-shaped sperm pH level: 7.2-8.0 White blood cells: Less than 1 million/ml (higher indicates infection) Liquefaction time: Should liquefy within 20-30 minutes

Important note: One abnormal result doesn’t confirm infertility. We typically recommend 2-3 tests over 2-3 months as sperm production varies.

4. Hormone Testing

Blood tests measuring:

• Testosterone: Primary male sex hormone
• FSH (Follicle Stimulating Hormone): Regulates sperm production
• LH (Luteinizing Hormone): Stimulates testosterone production
• Prolactin: Elevated levels indicate pituitary issues
• Estradiol: Elevated levels can suppress sperm production
• Thyroid hormones: Thyroid dysfunction affects fertility

5. Advanced Tests (When Needed)

Scrotal Ultrasound: Identifies varicocele, blockages, or structural abnormalities.

Genetic Testing: For severe oligospermia or azoospermia (no sperm), genetic tests identify chromosomal issues.

Antisperm Antibody Test: Determines if immune system is attacking sperm.

Post-ejaculation Urinalysis: Checks for retrograde ejaculation (semen entering bladder).

Testicular Biopsy: In cases of azoospermia, determines if sperm production is occurring.

Ayurvedic Perspective on Male Infertility

In Ayurveda, male infertility is understood as “Vandhyatva” or “Klaibya,” primarily resulting from disturbances in Shukra dhatu (reproductive tissue).

The Ayurvedic Understanding

Shukra Dhatu: The seventh and most refined tissue in the body, responsible for reproduction. When Shukra dhatu is deficient or impaired, fertility suffers.

Key Contributing Factors:

1. Weak Agni (Digestive Fire): Poor digestion prevents proper nutrient absorption needed for healthy sperm production.
2. Ama (Toxins) Accumulation: Undigested food matter creates toxins that circulate through the body, damaging reproductive tissues.
3. Dosha Imbalances:
   • Vata excess: Causes dryness, low quantity, and poor motility
   • Pitta aggravation: Creates inflammation and damages sperm structure
   • Kapha imbalance: Causes thick semen, blockages, and sluggish movement
4. Depleted Ojas: Ojas represents vital essence and immunity. Chronic stress, poor sleep, overwork, and unhealthy lifestyle deplete Ojas, affecting all bodily functions including reproduction.

The Holistic Advantage

This comprehensive understanding allows our male infertility treatment approach to address:

• Root causes, not just symptoms
• Multiple contributing factors simultaneously
• Overall health alongside reproductive function
• Both physical and psychological aspects

Comprehensive Ayurvedic Treatment for Male Infertility

Our time-tested treatment protocol at Ashok Clinic combines ancient Ayurvedic wisdom with modern understanding, offering proven low sperm count treatment and overall fertility enhancement.

Phase 1: Detoxification (Shodhana)

Purpose: Remove accumulated toxins (ama) that impair reproductive function.

Methods:

• Herbal detoxifiers: Triphala, Trikatu to cleanse digestive system
• Panchakarma therapies (when indicated): Specialized cleansing procedures
• Dietary modifications: Light, easily digestible foods during detox phase

Duration: 1-2 weeks

Phase 2: Rejuvenation (Rasayana)

Purpose: Nourish and strengthen reproductive tissues, improve sperm parameters.

Powerful Fertility-Enhancing Herbs:

1. Ashwagandha (Withania somnifera)

The gold standard for male fertility treatment.

Scientific evidence:

• Increases sperm count by 167% in some studies
• Improves sperm motility by 57%
• Enhances semen volume by 53%
• Reduces oxidative stress markers
• Increases testosterone by 15-17%
• Reduces cortisol (stress hormone) by 27%

How we use it: 500-600mg of standardized extract twice daily, typically combined with milk or honey.

2. Gokshura (Tribulus terrestris)

Powerful testosterone-supporting herb used in Ayurveda for centuries.

Benefits for fertility:

• Supports natural testosterone production
• Improves sperm count and motility
• Enhances libido and sexual function
• Supports prostate health
• Improves overall energy

Dosage: 500-1000mg twice daily

3. Safed Musli (Chlorophytum borivilianum)

Called “white gold” for male reproductive health.

Research-backed benefits:

• Significantly increases sperm count
• Improves sperm motility
• Enhances testosterone levels
• Boosts sexual stamina
• Improves overall vitality

Dosage: 500-1000mg twice daily with milk

4. Kaunch Beej (Mucuna pruriens)

Natural L-DOPA source with remarkable fertility benefits.

Proven effects:

• Increases sperm concentration by 200% in some studies
• Enhances sperm motility dramatically
• Boosts dopamine and testosterone
• Improves mood and motivation
• Reduces stress and anxiety

Dosage: 500mg twice daily

5. Shilajit

Himalayan mineral-rich resin with 85+ minerals.

Fertility benefits:

• Increases total sperm count by 60%
• Improves sperm motility by 12%
• Boosts testosterone levels
• Enhances energy and stamina
• Provides essential trace minerals

Dosage: 300-500mg daily with milk

6. Shatavari (Asparagus racemosus)

While primarily known for female health, supports male fertility too.

Benefits:

• Balances reproductive hormones
• Nourishes Shukra dhatu
• Reduces stress and inflammation
• Improves overall sperm health

Dosage: 500mg twice daily

7. Vidarikand (Pueraria tuberosa)

Traditional strength and fertility builder.

Effects:

• Enhances semen quality and quantity
• Improves sexual vigor
• Builds physical strength
• Supports healthy weight gain

8. Other Supporting Herbs:

• Yashtimadhu (Licorice): Hormone balance
• Amalaki (Indian Gooseberry): Antioxidant protection
• Guduchi: Immune support and detoxification
• Bala: Strength and energy enhancement

Phase 3: Vajikarana (Aphrodisiac Therapy)

Specialized Ayurvedic therapy focusing specifically on reproductive health and vitality.

Components:

• Specific herbal formulations
• Rejuvenating foods and herbs
• Lifestyle optimization
• Sexual health practices

Our Customized Approach

We don’t use one-size-fits-all formulations. As experienced male infertility specialists, we create personalized protocols based on:

• Your specific semen analysis results
• Body constitution (Prakriti)
• Current dosha imbalances
• Underlying health conditions
• Age and lifestyle factors
• Treatment goals and timeline

Treatment Timeline and Expectations

Understanding the Sperm Cycle: Complete sperm production takes approximately 74 days (about 2.5 months). This means:

Month 1:

• Begin herbal treatment
• Implement dietary changes
• Start lifestyle modifications
• Herbs begin nourishing reproductive tissues
• Reduction in inflammation and oxidative stress

Months 2-3:

• New, healthier sperm cells developing
• Continued tissue nourishment
• Hormone balance improving
• Energy and vitality increasing

Month 4:

• Repeat semen analysis (critical milestone)
• Most patients see significant improvements:
  • 40-60% increase in sperm count
  • 30-50% improvement in motility
  • Better morphology
  • Increased volume

Months 4-6:

• Continued optimization
• Maximum fertility potential
• Many couples conceive during this period
• Ongoing support and monitoring

Success Rate: Over 70% of our patients show significant improvement in sperm parameters within 4-6 months of comprehensive treatment.

Essential Lifestyle Modifications

Low sperm count treatment requires more than just medication—lifestyle plays a crucial role.

1. Temperature Management

Why it matters: Testicles need to be 2-4°C cooler than body temperature for optimal sperm production.

Action steps:

• ❌ Avoid hot tubs, saunas, and very hot baths
• ❌ Don’t place laptops directly on lap (use lap desk)
• ✅ Wear loose, breathable cotton underwear (boxers better than briefs)
• ✅ Avoid tight jeans or pants
• ✅ Take breaks if working in hot environments
• ✅ Sleep in cool room

2. Optimal Weight Management

The connection: Obesity increases estrogen, reduces testosterone, and impairs sperm production.

Target: BMI 20-25 for optimal fertility

Benefits of achieving healthy weight:

• Improves sperm count by 40-50%
• Enhances motility
• Balances hormones
• Boosts energy and confidence

3. Diet for Fertility

Foods to Include Daily:

Antioxidant-rich foods (protect sperm from damage):

• Berries (blueberries, strawberries)
• Pomegranate juice
• Dark leafy greens (spinach, kale)
• Tomatoes (lycopene)
• Carrots, sweet potatoes

Zinc-rich foods (essential for sperm production):

• Pumpkin seeds (handful daily)
• Chickpeas and lentils
• Cashews and almonds
• Oysters
• Dark chocolate

Omega-3 fatty acids (improve sperm membrane health):

• Walnuts (5-6 daily)
• Flaxseeds (1 tablespoon ground)
• Fish (if non-vegetarian)
• Chia seeds

Folate sources (supports sperm DNA):

• Lentils and beans
• Asparagus
• Broccoli
• Eggs

Selenium-rich foods (antioxidant protection):

• Brazil nuts (2-3 daily)
• Sunflower seeds
• Mushrooms

Complete proteins:

• Eggs (2 daily)
• Milk and dairy products
• Chicken, fish (if non-vegetarian)
• Legumes and lentils

Ayurvedic superfoods:

• Ghee (clarified butter): 1-2 teaspoons daily
• Almonds: Soak 5-6 overnight, peel and eat in morning
• Dates: 2-3 daily with milk
• Figs: Excellent for reproductive health
• Coconut water: Hydrating and cooling

Foods to Avoid:

• ❌ Processed and junk foods
• ❌ Excessive caffeine (limit to 1-2 cups daily)
• ❌ Alcohol (severely damages sperm)
• ❌ Sugary beverages and foods
• ❌ Trans fats and fried foods
• ❌ Soy products in excess (phytoestrogens)
• ❌ Food in plastic containers (BPA exposure)

4. Exercise Guidelines

Moderate exercise boosts testosterone and improves overall health.

Recommended:

• 30-45 minutes of moderate activity daily
• Walking, swimming, cycling
• Strength training 2-3 times weekly
• Yoga for stress reduction

Avoid:

• ❌ Excessive endurance training (marathons, ultra-cycling)
• ❌ Anabolic steroids (severely damage fertility)
• ❌ Very tight cycling shorts for long duration

5. Stress Management

The connection: Chronic stress elevates cortisol, which suppresses testosterone and impairs sperm production.

Proven stress-reduction techniques:

Daily meditation: Even 10 minutes reduces cortisol by 20%

Pranayama (Breathing exercises):

• Anulom Vilom (Alternate Nostril Breathing): 10 minutes daily
• Bhramari (Bee Breath): Calms nervous system
• Deep abdominal breathing: Activates relaxation response

Yoga asanas for fertility:

• Paschimottanasana (Seated Forward Bend)
• Sarvangasana (Shoulder Stand)
• Halasana (Plow Pose)
• Bhujangasana (Cobra Pose)

Quality sleep: 7-8 hours nightly is non-negotiable

Work-life balance: Set boundaries, take breaks, pursue hobbies

6. Eliminate Toxins

Quit smoking immediately: Reduces sperm count by 23% and damages DNA

Limit alcohol: No more than 2 drinks weekly during treatment

Avoid drug use: Marijuana reduces sperm count and motility by 30-40%

Minimize chemical exposure:

• Choose organic foods when possible
• Avoid pesticides
• Use natural cleaning products
• Limit plastic use (especially heated plastics)

7. Sexual Activity Optimization

Frequency: Every 2-3 days maintains optimal sperm freshness and count

Timing: Track ovulation and time intercourse during fertile window

Avoid: Long abstinence (reduces motility) or daily ejaculation (may reduce count)