​Male Infertility and Sexual Disorders​

Male infertility and sexual disorders refer to conditions affecting the male reproductive system that can make it difficult to conceive a child. In many cases, despite regular unprotected intercourse, a couple may face challenges in achieving pregnancy due to underlying issues in the male partner. These conditions are more common than many realise and can often be diagnosed and treated with the right medical support.

One of the most common causes of male infertility is difficulty in producing healthy, well-shaped, or mature sperm. This may result from genetic conditions, hormonal imbalances, immune system disorders, or inflammation. Lifestyle factors such as excessive use of caffeine, anabolic steroids, or certain medications can also impact sperm health. In some cases, structural issues with the penis or problems with ejaculation can contribute to infertility.​

Men with a history of hernia repair, genital infections and injured testicles are usually at higher risk of having the disorder.

The symptoms of male infertility and sexual disorders can vary depending on the underlying cause but commonly include:

  • Erectile Dysfunction: Difficulty achieving or maintaining an erection.
  • Reduced Libido: Decreased interest in sexual activity.
  • Ejaculatory Issues: Premature, delayed, or retrograde ejaculation.
  • Testicular Abnormalities: Pain, swelling, or lumps in the testicles.
  • Hormonal Imbalances: Symptoms such as decreased facial or body hair and gynecomastia (enlarged breasts).​

Consult our Urology or Endocrinology experts if you experience:

  • Inability to conceive after a year of regular, unprotected intercourse.
  • Persistent erectile or ejaculatory dysfunction.
  • Noticeable changes in sexual desire.
  • Pain, swelling, or a lump in the testicles.
  • A history of testicular, prostate, or sexual health problems.

Early evaluation can help identify treatable conditions and improve fertility outcomes.

Your time with your doctor may be limited, so make sure to prepare for your visit beforehand. Here are some tips to help get you started.​

To diagnose male infertility and sexual disorders, doctors may recommend:

  • Physical Examination: Checking the genitals for abnormalities.
  • Semen Analysis: Evaluating sperm count, motility, and morphology.
  • Hormone Testing: Measuring testosterone and other hormone levels.
  • Scrotal Ultrasound: Imaging to detect structural issues in the testicles.
  • Genetic Testing: To identify potential genetic causes of infertility.​

Treatment options for male infertility and sexual disorders depend on the underlying cause and may include:

  • Medications: Hormonal treatments to address imbalances affecting fertility.
  • Assisted Reproductive Technologies (ART): Techniques such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).
  • counselling and Behavioral Therapy: Addressing psychological factors affecting sexual health.
  • Lifestyle Changes: Maintaining a healthy diet, reducing stress, and avoiding tobacco and alcohol.
  • Surgical Interventions: Procedures to correct anatomical issues, such as varicocele repair or vasectomy reversal.​

The Aga Khan University Hospital offers financial assistance to those who are in need and fulfil the eligibility criteria. For further information, you can contact the Patient Welfare Department. You can find the contact number of the Patient Welfare Department in the 'Numbers' section on the website homepage.

The financial counselling staff is available during office hours, at the main PBSD (Patient Business Services Department), to answer your financial queries on treatment costs and authorise admissions on partial deposit as per hospital policies. The financial counsellor in the emergency room is open 24/7. You can find the contact number of the Patient Business Services in the 'Numbers' section on the website homepage. ​

 Your doctor or nurse will provide specific instructions regarding any prescribed medications. It is essential to follow their guidance carefully. Self-prescribing or altering medication without professional advice can be harmful. Inform your healthcare provider of any past adverse reactions to medications. If you experience symptoms of drug poisoning, overdose, or a severe reaction, contact the Pharmacy Services at The Aga Khan University Hospital immediately. 

The contact number is listed in the 'Numbers' section on the hospital's homepage. ​

The information provided on our website is for educational purposes and not intended to be a substitute for medical advice, diagnosis or treatment. You should always seek the advice of your doctor or other healthcare professional provider.