Male Infertility Treatment in Nepal | Sishu Fertility Clinic
If your semen analysis has come back with a problem, low sperm count, poor motility, no sperm found, or an abnormal result you do not fully understand, you are in the right place. At Sishu Fertility Clinic in Nepal, we assess and treat male infertility as a core part of our practice. Every week, men come to us after months or years of trying to conceive, often after being told nothing is wrong or being given no clear direction. Our job is to find out exactly what is happening and give you a treatment plan that is specific to your situation, not a generic one.
Meet Our Fertility Experts
Our team of experienced, Nepal Medical Council-registered fertility specialists has helped hundreds of couples across Nepal achieve their dream of parenthood. Each specialist brings dedicated expertise in reproductive medicine, IVF, and women’s health.
Who Should Come to Sishu Fertility
You should book a consultation at Sishu Fertility IVF center in Nepal if any of the following apply to you:
- Your semen analysis has shown low sperm count, poor motility, no sperm, or abnormal morphology
- You and your partner have been trying to conceive for more than 12 months without success
- You have been diagnosed with a varicocele and want to understand your options
- You have previously had a testicular infection, injury, or surgery that may have affected fertility
- A doctor has recommended IVF with ICSI for male factor infertility
- You want a second opinion on a semen result you have received elsewhere
We recommend that both partners attend the first consultation together. Male and female factors frequently co-exist, and testing both at the same time gives us the clearest possible picture from the start, saving you time and avoiding the cycle of treating one partner while overlooking the other.
Do not wait 12 months if any of the following apply:
The standard advice to try for a year before seeking help does not apply in every situation. Come to us sooner, ideally within three to six months of trying, if you have a known varicocele, a history of testicular injury, surgery, or infection, a history of mumps that affected the testicles, previous cancer treatment including chemotherapy or radiation, known hormonal conditions such as low testosterone, a history of undescended testicles, or if you are over 38. In these cases, waiting a full year simply delays treatment that should begin earlier.
Male Infertility Conditions We Treat
A normal sperm count is at least 15 million per millilitre. Men with counts below this can still conceive, but the probability decreases as the count falls. Depending on the severity, oligospermia can be managed through lifestyle changes, hormonal treatment, IUI, or IVF with ICSI.
This means no sperm is found in the semen at all. It can be obstructive, a physical blockage preventing sperm from exiting, or non-obstructive, where the testicles are producing little or no sperm. The distinction matters because the treatment differs significantly. We evaluate both types and have options for each.
Sperm are present but not swimming effectively enough to reach and fertilise an egg. IVF with ICSI is usually the most effective route, as it bypasses the need for sperm to travel independently.
When the majority of sperm have an abnormal shape, the chance of natural fertilisation drops significantly. This is frequently managed with ICSI, which selects the best-quality individual sperm regardless of overall morphology.
An enlarged vein in the scrotum that raises the temperature around the testicles, gradually damaging sperm production. It is the most common and most treatable cause of male infertility, and many men have no symptoms at all until a fertility assessment finds it. Surgical repair has a meaningful success rate and can restore natural fertility in suitable cases.
Low testosterone, elevated prolactin, or disrupted FSH and LH levels can all impair sperm production. These are identified through a simple blood test and are often correctable with targeted medication.
A blockage anywhere along the reproductive tract, from the epididymis to the vas deferens, can prevent sperm from appearing in the ejaculate even when production is normal. PESA can retrieve sperm directly in these cases.
Why Choose Sishu Fertility Clinic for MALE INFERTILITY ?
At Sishu Fertility Clinic, we understand the profound desire to build a family. That’s why we’re dedicated to providing the highest quality IVF treatment in Nepal to help you achieve your dream of parenthood. Here’s what sets us apart:
Sishu Fertility Clinic has consistently high IVF success rates.
Our team includes the most experienced fertility specialists, embryologists, and nurses.
Our team includes the most experienced fertility specialists, embryologists, and nurses.
We utilize advanced technology and the latest techniques in reproductive medicine, including advanced embryo culture systems, Preimplantation Genetic Testing (PGT), and time-lapse embryo monitoring.
Every patient is unique, and so are our treatment plans. We understand your circumstances and develop a customized IVF plan to maximize your success rate.
We prioritize clear and honest communication that includes the costs, potential risks, and expected outcomes before IVF.
Considering IVF in Nepal?
Don’t hesitate to reach out to Sishu Fertility Clinic today. Schedule a consultation with our fertility specialists to discuss your unique situation and explore how IVF can help you achieve your dream of parenthood.
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MALE INFERTILITY TREATMENTS
IUI
IUI stands for intrauterine insemination. It’s also sometimes called donor insemination, alternative insemination, or artificial insemination. IUI works by putting sperm cells directly into your uterus around the time you’re ovulating, helping the sperm get closer to your egg. This cuts down on the time and distance sperm travels, making it easier to fertilize your egg.
IVF
IVF stands for In virto fertilization. This is a type of assisted reproductive technology that includes the fertilization of an egg with the sperm outside of the female body, in a laboratory dish or test tube. This process starts with the stimulation of the ovaries to produce multiple eggs. After that, these eggs are retrieved and mixed with sperm in a laboratory dish for fertilization.
ICSI
ICSI (Intracytoplasmic Sperm Injection) is a form of assisted reproductive technology used to treat male infertility. In traditional IVF (In vitro fertilization), the sperm is introduced to the egg in a dish and left to fertilize naturally. However, in cases where the sperm is not able to penetrate the egg due to low motility or abnormal morphology, ICSI can be used to directly inject a single sperm into the egg to facilitate fertilization.
VARICOCELE SURGERY
Because a varicocele rarely produces symptoms, it is not uncommon for a man not to be aware of it unless it causes problems with fertility. Surgical treatment redirects the blood flow toward normal veins. Surgery is done on an outpatient basis.
PESA
Percutaneous Epididymal Sperm Aspiration (PESA) is a procedure that involves a fine needle being passed into the epididymis for fluid extraction which is then checked immediately by the embryologist for the presence of sperm. The epididymis is a duct that is behind the testes where sperm cells are collected and mature prior to ejaculation.
MESA
Microsurgical Epididymal Sperm(MESA) refers to the retrieval of sperm-containing fluid from the epididymis that is sent for processing and extraction of the sperms. This procedure is conducted using an operating microscope that provides the high optical magnification required for this procedure. To induce fertilization and pregnancy, the extracted sperm is then directly injected into the partner’s egg by a procedure known as Intracytoplasmic sperm injection or ICSI.
TESE
TESE(Testicular Sperm Extraction), is the extraction of small portions of the tissue from the testicle through a minor surgical procedure under anesthesia. This procedure is also referred to as testicular biopsy. After the treatment of the tissue samples, usually, it is possible to extract single sperm cells that can later be used for fertility treatments like ICSI.
A Note on Confidentiality
We understand that for many men in Nepal, seeking fertility treatment is not something they want widely known. Every consultation at Sishu Fertility Clinic is completely private. Your records, results, and the fact that you attended the clinic are not shared with anyone outside your care team without your explicit consent. You can attend alone if you prefer, and you can ask questions that you might feel uncomfortable asking elsewhere. There is no judgement here — only assessment and solutions.
The Emotional Side – You Are Not the Only One
A male infertility diagnosis affects far more than the semen analysis result. Many men describe feeling isolated, inadequate, or reluctant to talk about it — even with their partner. In Nepal, where family pressure and social expectations around fatherhood are significant, this silence can become its own burden.
What we see every day at Sishu Fertility is that these feelings are completely normal and that they do not help you make better treatment decisions. Couples who talk openly, with each other and with their care team, tend to navigate the process better.
At your consultations, you can ask anything. You do not need to know the right words or understand the medical terminology in advance. If you want to attend the first appointment alone before bringing your partner, that is fine. If you want to understand all your options before committing to anything, that is what the consultation is for.
We do not rush these conversations. Fertility treatment is not something to be pushed into before you are ready.
Cost of Male Infertility Treatment in Nepal
The cost depends entirely on what your investigation finds. Below are approximate figures to help you plan. A written estimate specific to your case is provided at the consultation.
Treatments | Approximate Cost (NPR) |
Semen analysis | 1,000 – 2,000 |
Hormone blood panel (FSH, LH, testosterone, prolactin) | 2,000 – 4,000 |
Scrotal ultrasound | 1,500 – 3,000 |
Varicocele surgery | Provided at consultation |
IVF with ICSI (full cycle) | 3,50,000 – 5,50,000 |
IUI (per cycle) | 15,000 – 25,000 |
PESA | Provided at consultation |
Sperm freezing (first year storage included) | 25,000 – 40,000 |
Donor sperm programme | Provided at consultation |
There are no hidden charges. If the cost of any treatment changes during the process, we will tell you in advance, never after the fact.
FAQs About MALE INFERTILITY TREATMENTS in Nepal
1. What is male infertility?
Male infertility is the inability of a male to impregnate a woman even after a year of unprotected sexual intercourse. Males are entirely responsible for around 20% of infertility cases and contribute to another 30–40% of all cases. Since male and female infertility often co-exist, it is important that both partners are investigated and managed together.
2. What are the most common causes of male infertility?
There are several causes of male infertility including azoospermia (no sperm in semen), oligospermia (low sperm count or poor motility), hormonal imbalances like low testosterone or high prolactin, varicocele (enlarged veins in the scrotum), genetic disorders such as Klinefelter syndrome, infections like prostatitis or STIs, certain medications, environmental toxin exposure, lifestyle factors.
3. How is male infertility diagnosed at Sishu Fertility Clinic?
Diagnosis begins with a semen analysis, where a fresh sample is examined under a microscope. The lab team evaluates five key parameters: semen volume, sperm motility (movement), sperm morphology (shape), sperm concentration (count per milliliter), and semen appearance (color and consistency). In some cases, a hormone blood test may also be conducted to check for genetic or hormonal conditions.
4. What does sperm motility mean and why does it matter?
Sperm motility refers to the movement of sperm. During semen analysis, sperm are graded from A to D based on their swimming speed and direction — A being the fastest and straightest, D being completely immobile. If less than 25–30% of sperm are moving forward progressively, motility is considered low, which reduces the chances of natural fertilization.
5. What is a normal sperm concentration according to WHO?
According to the World Health Organization (WHO), normal sperm concentration ranges from 15 to 259 million sperm per milliliter of semen. Normal semen should contain at least 15 million sperm per milliliter. A count below this threshold is associated with reduced fertility.
6. What male infertility treatments are available at Sishu Fertility Clinic?
Sishu Fertility Clinic offers a range of male infertility treatments depending on the diagnosis. These include IUI (intrauterine insemination), IVF (in vitro fertilization), ICSI (intracytoplasmic sperm injection), varicocele surgery, PESA (percutaneous epididymal sperm aspiration), MESA (microsurgical epididymal sperm aspiration), and TESE (testicular sperm extraction).
7. What is ICSI and when is it used for male infertility?
ICSI (Intracytoplasmic Sperm Injection) is a specialized form of assisted reproductive technology used when sperm cannot naturally penetrate the egg due to low motility or abnormal morphology. Unlike traditional IVF, where sperm and egg are left to fertilize naturally in a dish, ICSI involves directly injecting a single sperm into the egg to facilitate fertilization.
8. What is TESE and how does it help with male infertility?
TESE (Testicular Sperm Extraction) is a minor surgical procedure performed under anesthesia where small portions of tissue are extracted from the testicle, also referred to as a testicular biopsy. After processing the tissue samples, individual sperm cells are extracted and can be used in fertility treatments like ICSI to achieve fertilization and pregnancy.
9. What is varicocele and how is it treated?
A varicocele is the enlargement of veins in the scrotum, which can cause heat damage to sperm and negatively affect sperm count and motility. Because it rarely produces symptoms, many men are unaware of it until it causes fertility issues. It is treated through surgery, which redirects blood flow toward normal veins. The procedure is performed on an outpatient basis.
10. Why choose Sishu Fertility Clinic for male infertility treatment in Nepal?
Sishu Fertility Clinic stands out for its experienced team of fertility specialists, embryologists, and nurses, along with consistently high IVF success rates. The clinic uses advanced technology including Preimplantation Genetic Testing (PGT) and time-lapse embryo monitoring. Every patient receives a customized treatment plan, and the clinic maintains transparent communication about costs, risks, and expected outcomes.
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