Top Azoospermia Specialist in Chennai, India
MBBS, MS – OBGYN, MCh – Reproductive Medicine & Surgery
Highest number of Azoospermia treatment cycles performed. Internationally trained in Andrology & Micro TESE at University of Miami, USA.
India's most qualified fertility specialist with world-class training in azoospermia treatment.
Among the first few in India to complete MCh degree in Reproductive Medicine & Surgery
Advanced IVF at Boston IVF, Harvard University, USA
Andrology & Micro TESE training at University of Miami, USA
PGD IVF & Embryo Biopsy from Cleveland Clinic, USA
Only Indian doctor with oral presentation at ASRM Conference, USA
Natural Cycle IVF training at Michigan IVF, USA
Accurate diagnosis is the first step to successful treatment. Our comprehensive evaluation includes:
The right treatment depends on whether your azoospermia is obstructive or non-obstructive. In both types, fatherhood is possible with modern fertility care.
Sperm production is normal, but a blockage stops sperm from reaching the semen. The goal is to bypass or correct the obstruction.
The testicles produce very little or no sperm. Even here, small pockets of sperm production can often be found and used.
Microdissection TESE is the most advanced sperm-retrieval technique for non-obstructive azoospermia. Here is what the procedure involves.
Hormone profile (FSH, LH, testosterone), genetic screening, scrotal examination and counselling to plan the procedure.
Performed under general or regional anaesthesia as a day-care surgery, so you go home the same day.
The testis is opened and examined under a high-power operating microscope (15–25x) to spot the larger, healthier seminiferous tubules most likely to contain sperm.
Only tiny, sperm-rich samples are removed. This preserves far more testicular tissue than conventional TESE and protects future testosterone production.
An embryologist examines the samples in the andrology lab as the surgery proceeds, confirming whether sperm has been found.
Retrieved sperm is either cryopreserved for a future cycle or used immediately with IVF-ICSI to fertilise the partner's eggs.
Outcomes depend on the type and cause of azoospermia. Micro TESE consistently finds sperm in more men than conventional methods.
Once sperm is retrieved, IVF-ICSI fertilisation and pregnancy rates are comparable to standard ICSI and depend largely on the female partner's age and egg quality. Every couple receives an individual assessment of their realistic chances before starting treatment.
The cost depends on the type of azoospermia, the procedure required and whether IVF-ICSI is needed. Below are typical ranges in India.
Indicative ranges only. Final cost varies with genetic testing, medication, sperm freezing and the number of cycles. Contact the clinic for a personalised estimate based on your diagnosis.
Dr. Arun Muthuvel has helped thousands of couples achieve parenthood even with zero sperm count. Get expert guidance today.
Watch Dr. Arun explain azoospermia treatments in Tamil & English
தமிழில் அஜோஸ்பெர்மியா சிகிச்சை படிக்க → (Read Azoospermia Treatment in Tamil)
Real families, real joy. See the happy moments from our azoospermia treatment success stories.
Among the first few in India to complete MCh degree in Reproductive Medicine & Surgery
India’s only Fertility Super Specialist with highest Embryology experience
Ranked among Top IVF Specialists in India
First doctor from India with oral presentation at American Society of Reproductive Medicine Conference, Salt Lake City, USA
First worldwide to use aqueous route of Progesterone for Frozen Embryo Transfer cycles
Performed highest number of PGD cycles in India
Radiocity Chennai City Icon Award 2018
Young Achievers Award at Times Health Awards 2018
Azoospermia is a medical condition where there is no measurable sperm in a man's semen. It affects about 1% of all men and 10-15% of infertile men. There are two types: obstructive azoospermia (blockage preventing sperm from reaching semen) and non-obstructive azoospermia (testicles produce little or no sperm).
Yes! With modern fertility treatments like Micro TESE and IVF-ICSI, men with zero sperm count can become biological fathers. Dr. Arun Muthuvel has helped hundreds of azoospermia patients achieve parenthood through surgical sperm retrieval and IVF.
Azoospermia can be caused by genetic factors (Klinefelter syndrome, Y-chromosome microdeletions), hormonal imbalances, infections (mumps orchitis), varicocele, undescended testicles, prior surgeries (vasectomy, hernia repair), chemotherapy/radiation, or medications.
Obstructive azoospermia (OA) occurs when sperm is produced normally but blocked from reaching the semen due to blockage in the vas deferens or ejaculatory ducts. Non-obstructive azoospermia (NOA) occurs when the testicles produce very little or no sperm due to testicular failure. Treatment approach differs significantly between the two.
Treatment depends on the type. For obstructive azoospermia, surgical correction or TESA/TESE can retrieve sperm. For non-obstructive azoospermia, Micro TESE (microsurgical testicular sperm extraction) is the gold standard, followed by IVF-ICSI. Dr. Arun Muthuvel has performed 200+ Micro TESE procedures — the highest in India.
Azoospermia is diagnosed through at least two semen analyses showing zero sperm. Further evaluation includes hormone tests (FSH, LH, testosterone), genetic testing, physical examination, and sometimes testicular biopsy to determine if it's obstructive or non-obstructive.
For non-obstructive azoospermia, microdissection TESE (Micro TESE) retrieves sperm in roughly 40–60% of men — significantly higher than conventional TESE. In obstructive azoospermia, sperm retrieval is successful in almost all cases. Once sperm is found, IVF-ICSI fertilisation and pregnancy rates are comparable to standard ICSI and depend largely on the female partner's age and egg quality.
Cost depends on the type of azoospermia and the treatment required. Surgical sperm retrieval (TESA/TESE) typically ranges from ₹25,000–₹60,000, Micro TESE from ₹60,000–₹1,50,000, and a complete IVF-ICSI cycle from ₹1,50,000–₹2,50,000. Genetic testing, medication and sperm freezing are additional. Contact the clinic for a personalised estimate based on your diagnosis.
Micro TESE is a day-care procedure. Most men return home the same day and resume desk work within 2–3 days, avoiding heavy lifting and strenuous activity for about 1–2 weeks. Mild swelling or discomfort is normal and settles quickly.
Consult with Dr Arun Muthuvel MS, MCh who is a specialist in Azoospermia at Iswarya Fertility centres in Chennai, India.
