The branch of medicine concerned with men’s health, particularly male infertility and sexual dysfunction is called andrology.
At Fortis, Bangalore, the Department of Andrology is a full-service facility dedicated to providing state-of-the-art medical & surgical care in all aspects of the male reproductive system. We provide patient-oriented diagnosis and management of male infertility and sexual dysfunction using the highest standard of quality of care. We perform advanced surgical procedures which include the most current surgical and reconstructive techniques. Our team of highly experienced surgeons is supported by the most advanced medical equipment, computer navigation, and imaging equipment. We create a personalized care plan to help you reach your family’s goals in the least invasive way possible. We provide the highest care to all of our patients and understand the emotional journey you are undertaking. Our team is with you every step of the way.
Our diagnostic laboratory specializes in a variety of high-quality diagnostic tests to aid doctors in determining causes of male infertility. Our services include comprehensive semen analysis, retrograde semen analysis, post-vasectomy sperm check, sperm antibody testing, sperm DNA damage assessment and sperm function tests. A variety of specialized sperm preparations for intrauterine inseminations are also available and are tailored to each individual’s needs. We offer several diagnostic tests that can help your treatment process, including semen analysis, sperm penetration assay, and an anti-sperm antibody test.
We offer leading-edge treatments for men and couples looking to build a family.
Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples, it is very difficult to conceive. A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm is of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy. Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.
A vasectomy (male sterilization) is a surgical procedure to cut or seal the tubes that carry a man’s sperm to permanently prevent pregnancy. While the procedure can be reversed, a vasectomy is considered to be a permanent choice of birth control as a reversal of the procedure is not always a success. A vasectomy works by stopping sperm getting into a man’s semen, the fluid that he ejaculates. The tubes that carry sperm from a man’s testicles to the penis are cut, blocked or sealed with heat. This means that when a man ejaculates, the semen has no sperm in it and a woman’s egg can’t be fertilized.
Varicocele is an enlargement of the veins within the scrotum, not unlike the varicose veins that appear in the legs. They are generally acquired during puberty and is more common in younger males, ages 15-25. Most varicoceles (>80%) occur on the left side. While approximately 15 percent of men have a varicocele, among men evaluated for infertility, about 40 percent have a varicocele in at least one testicle. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility. However, not all varicoceles affect sperm production. Varicoceles can also cause testicles to fail to develop normally or shrink. Most varicoceles develop over time. Fortunately, most varicoceles are easy to diagnose and many don’t need treatment. If a varicocele causes symptoms, it often can be repaired surgically.
Male hypogonadism is a condition in which the body doesn’t produce enough testosterone — the hormone that plays a key role in masculine growth and development during puberty — or has an impaired ability to produce sperm or both. You may be born with male hypogonadism, or it can develop later in life, often from injury or infection. The effects — and what you can do about them — depend on the cause and at what point in your life male hypogonadism occurs. Some types of male hypogonadism can be treated with testosterone replacement therapy.
Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It’s also sometimes referred to as impotence. Occasional ED isn’t uncommon. Many men experience it during times of stress. Frequent ED can be a sign of health problems that need treatment. It can also be a sign of emotional or relationship difficulties that may need to be addressed by a professional.
Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it’s not cause for concern. However, you might be diagnosed with premature ejaculation if you:
Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.
Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems. There are several effective treatments for prostate gland enlargement, including medications, minimally invasive therapies and surgery. To choose the best option, you and your doctor will consider your symptoms, the size of your prostate, other health conditions you might have and your preferences.
Hypospadias is a birth defect (congenital condition) in which the opening of the urethra is on the underside of the penis instead of at the tip. The urethra is the tube through which urine drains from your bladder and exits your body. Hypospadias is common and doesn’t cause difficulty in caring for your infant. Surgery usually restores the normal appearance of your child’s penis. Surgery is typically recommended between the first 6 months to 2 years after birth.
Chordee is a birth defect in boys in which the penis is bent during an erection, which even infants can experience. Males with chordee often have hypospadias, a condition where the opening of the urethra tube through which urine passes is located on the underside of the penis rather than at the tip. Chordee is relatively common. It may occur in as many as one in 200 male births. Children with suspected chordee or hypospadias should not be circumcised as newborns. Instead, circumcision should wait until a later date (usually about six months to one year). This is because urologists may need to use the foreskin for corrective surgeries on the penis.
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