Infertility in Men

Infertility in a couple can be caused by problems with one or both partners. 40 percent of cases of infertility in couples are caused by infertility in men and another 40 percent cases are caused by infertility in women. Problems with both male and female partners cause infertility in 10 percent of cases and for the remaining 10 percent an exact cause is not known (unexplained infertility).

In many of these cases of infertility, right medical intervention at the right time can help in achieving a successful pregnancy. The video below shows a couple who successfully conceived after infertility treatment.

Causes of Infertility in Men

Infertility in men can be caused by many factors. Most common causes are: sperm disorders, structural disorders, genetic disorders, erectile dysfunction, premature ejaculation, retrograde ejaculation, autoimmune problems, malnutrition and anaemia, obesity, exposure to harmful substances, exposure to radiations or high temperature, sexually transmitted diseases and life style factors such as smoking, alcohol abuse, use of marijuana or cocaine, excessive exercise, bike riding, stress etc. Each of these factors is explained in detail in the page: causes of infertility in men.

Symptoms of Infertility in Men

Common symptoms of infertility in men are: hormonal imbalances, erectile dysfunction or ejaculation problems, physical problems such as undescended testis or dislocated urethral opening and infections in the reproductive tract. Please click symptoms of infertility in men for detailed information.

Infertility Test for Men

Most common methods of infertility test for men are: home tests, physical examination, laboratory semen analysis, laboratory blood tests, post ejaculatory urine test, ultrasound test, vasography, testicular biopsy and genetic tests. Please view the page: infertility test for men for detailed explanation of each of these testing methods.

Infertility Treatment for Men

Infertility in men is treated using drugs, surgery and assisted reproductive technology (ART). All these treatment methods are explained in detail in the page: infertility treatment for men.

What is IVF?

Couples thinking about IVF as a treatment option, couples getting ready for IVF or couples undergoing IVF treatment need to understand what is IVF. This article gives detailed answers to questions below:

What is IVF?

IVF is the acronym of In Vitro Fertilization which is one of the most effective assisted reproductive technologies (ART). In IVF, fertilization of multiple eggs by sperm take place in a laboratory setting, and one or more embryos formed are then transplanted into mother’s uterus.

When is IVF used?

IVF can be used to treat infertility in a couple caused by male factors, female factors or both male and female factors. Women suffering from damaged or blocked fallopian tubes, cervical mucus defect, endometriosis, ovulatory disorders or sperm allergy and men suffering from sperm disorders, blocks in vas deferens or ejaculatory duct, retrograde ejaculation, premature ejaculation or erectile dysfunction can be treated with IVF.  IVF is also used to treatun explained infertility.

What is IVF procedure?

In IVF, fertility drugs are used to stimulate production of multiple ovaries (eggs) in women. Once these eggs mature, the fertility specialist retrieves them from ovary through a minor surgical procedure. In a laboratory setting, each egg is then mixed with sperm collected from normal ejaculate of male partner or sperm retrieved from the reproductive tract of male partner. This would result in fertilization of multiple eggs and formation of multiple embryos. One or more healthy embryos are then transplanted into woman’s womb (uterus). A successful pregnancy is achieved when one or more of these transferred embryos gets implanted to the uterus lining and starts growing there. There is a possibility of having a multiple pregnancy (pregnancy with two or more foetuses); if more than one embryo is transferred to a woman’s womb by IVF. This has a few risks associated with it. It is advisable to discuss with the fertility specialist about it. Embryos that are left over from an IVF cycle can be freezed for future use, donated to other infertile couples or destroyed.

IVF can also be performed using donated eggs and/or donated sperm.

The video below shows a 3D animation of IVF procedure.


How long does IVF treatment take?

One IVF cycle, that starts with use of fertility drugs to stimulate production of multiple ovaries and ends with transfer of embryos to mother’s uterus can take approximately four to six weeks. Pregnancy tests can be performed in between day 9 and day 14 after embryo transfer. IVF treatment does not usually require the individual under treatment to get admitted to the clinic or hospital (all procedures are performed on outpatient basis). However, regular visits to the clinic would be necessary till embryo transfer.

What is the success rate of an IVF cycle and what factors influence success rate?

Success rates of IVF can be defined either in terms of pregnancy rates (achieving a successful pregnancy that may or may not result in a live birth) or in terms of live birth rates. The success rate depends on a number of factors such as age of woman under treatment, underlying causes of infertility (could be male factors, female factors or both male and female factors), expertise of treatment facility and whether donor eggs or mother’s own eggs are used for IVF.

Success rates are usually higher for women below 35 years of age and lower for women above 42 years of age. However, if donor eggs (that can be retrieved from a younger woman) are used for IVF, success rates do not depend as much on age. On an average, success rate of a single IVF cycle in terms of achieving a successful pregnancy is 29.4% and success rate of a single IVF cycle in terms of live birth is 22.4%.

Failure of an IVF cycle can be challenging to go through. Be aware that repeated IVF cycles or another treatment method prescribed by the fertility specialist might help in achieving a successful pregnancy and giving birth to a healthy baby.

Please click IVF success rates of clinics in the United States for more information.

How much does IVF cost? How to finance IVF costs?

Cost of IVF can vary with location of clinic, success rates of clinic, expertise of treatment facility etc. In US, one IVF cycle costs between 10,000 to 15,000 dollars. An IVF cycle can have additional costs, if donor eggs (can be very expensive) or donor sperm are needed or procedures such as intracytoplasmic sperm injection (ICSI), assisted hatching or blastocyst transfer are performed in conjunction with IVF. Discuss in advance with the fertility clinic about total costs involved for an IVF cycle and budget for hidden costs such as taking time off work and travel expenses.

Insurance plans may either partially cover IVF or may not cover IVF at all. It is advisable to read the insurance plan carefully and get the help of an independent insurance advisor to find out whether the insurance plan covers the treatment. Click infertility insurance laws for more information on 15 states in the United States that require insurance coverage for infertility treatments.

Some other options for financing IVF are:

  • Some fertility clinics offer financing options in partnership with local banks
  • If there is a flexible spending account offered by the employer, use it
  • Take out money from retirement fund
  • Take out a loan
  • Shared risk or refund IVF programs: Couple pays up front for multiple IVF cycles. If the treatment does not succeed within the number of cycles for which the payment is made up front, the clinic or program refunds all or part of the money. Please pay attention to the terms and conditions which define “success” of the treatment. Some clinics define success of treatment as achieving a successful pregnancy, while others define it as live birth, that is, having a take-home baby. 

What are the risks of IVF?

Major risks of IVF are: ovarian hyper stimulation syndrome or over stimulation of ovaries (by fertility drugs), multiple pregnancy  (pregnancy with two or more foetuses) that can cause high blood pressure and diabetes in mother, premature labor and babies having low birth weight, ectopic pregnancy(a condition in which a fertilized egg gets implanted to fallopian tube instead of uterus and starts growing there), infections or damage to reproductive tract, birth defects in babies (chances are very low) and allergic reactions to drugs.

What are the things to take care of after IVF?

Once embryos are transferred to mother’s uterus, the couple has to wait for two weeks to see symptoms of pregnancy (in case of a successful IVF). Pregnancy tests can be performed between days 9 and 14 after embryo transfer.

It is important to stay relaxed. Following activities are usually forbidden after embryo transfer:

  • heavy lifting
  • strenuous physical activity
  • smoking, use of alcohol or recreational drugs

Couple are advised not to indulge in sexual intercourse and orgasms either till a foetal heartbeat is detected or till a negative pregnancy test.

In some cases, spotting and abdominal cramps result from IVF procedures or implantation of embryo to uterus lining. Though this is not some thing to worry about, in case of doubt, consult the fertility specialist as a precautionary measure.

The fertility specialist may give additional instructions depending on an individual’s medical and treatment history. Usually, there are no issues with going to work, travelling and engaging in light activities during the two week wait period after IVF.

What is blastocyst transfer in IVF?

A blastocyst is an embryo that has developed in the laboratory for at least five days after fertilization. A healthy blastocyst hatches from its shell (zona pellucida) six days or earlier after fertilization. It is then ready to get implanted to the uterus lining.

In a normal IVF procedure, embryos are transferred to mother’s uterus usually on the third day after fertilization. But in blastocyst transfer, embryos are transferred after they have developed to blastocyst stage on day 5 or day 6 after fertilization.

Blastocyst transfer has following advantages:

  • Embryos that survive till day 5 or day 6 are usually the healthiest ones (approximately 50 % of embryos die soon after third day in the laboratory). Hence, waiting till the fifth or sixth day helps to select best embryos from the lot. This increases chances of a successful pregnancy.
  • In blastocyst transfer, embryos are transferred to mother’s uterus at almost the same time as it would have happened in a natural pregnancy. This makes it more likely to achieve a successful pregnancy.
  • Since success rates are higher for blastocyst transfer, fewer embryos (usually one or two) need to be transferred to the uterus. This reduces the risk of multiple pregnancy (in comparison with normal IVF procedure).

However, IVF procedure involving blastocyst transfer requires more complex laboratory settings that have additional costs associated and approximately 50 % of embryos which could have been freezed for future use or donated to other infertile couples are lost during the process. In addition, blastocyst transfer has an increased risk of identical twins.

What is assisted hatching in IVF?

An outer layer called zona pellucida protects an embryo till it reaches the blastocyst stage of development (on day 5 or day 6 after fertilization). Then the embryo has to hatch out of this outer layer, so that it can implant to the uterus lining of mother. In some cases, the outer protective layer of embryos might be thicker than usual. This makes it difficult for the embryo to hatch out and get implanted to the uterus. Assisted hatching uses micro manipulation techniques to weaken the outer layer of an embryo by making a small opening. This process helps embryos to hatch out and successfully implant to uterus lining. Assisted hatching is performed while the embryo is in laboratory, usually on the third day after fertilization.

Assisted hatching is recommended for couples who had two or more failed IVF cycles, women over 38 years of age, women with high levels of follicle stimulating hormone (FSH) on day 3 of menstrual cycle, and for couples whose embryos have thick zona pellucida.

Though chances are very low, assisted hatching can cause damage to embryo and can increase risk of monozygotic (identical) twins.

What is intracytoplasmic sperm injection (ICSI) in IVF?

Intracytoplasmic sperm injection (ICSI) can be performed in conjunction with in vitro fertilization (IVF). ICSI may be recommended for men who suffer from sperm disorders such as low sperm count, complete absence of sperm cells in semen, poor sperm motility or abnormal sperm morphology. These disorders prevent sperm from successfully penetrating and fertilizing an egg. ICSI can also be used to treat infertility in men caused by premature ejaculation, erectile dysfunction or if previous attempts of IVF failed to achieve a successful pregnancy.

Treatment starts with collection of sperm either from normal ejaculate of male partner or from the reproductive tract of male partner and retrieval of ovaries (eggs) from female partner. Donated sperm and/or ovaries can also be used for ICSI. In a laboratory setting, a selected single sperm is then injected into the cytoplasm of an egg. This makes it easier for the sperm to penetrate the egg and fertilize it. Then another single sperm and egg are picked from the sample and same process is repeated (it is repeated a few times to increase chances of formation of multiple embryos). One or more healthy embryos are then transplanted into woman’s womb (uterus).

What is IUI?

This article gives detailed answers to questions below (please click for answers):

What is IUI?

Intrauterine Insemination (IUI) is a process in which sperm collected from normal ejaculate of male partner, sperm retrieved from reproductive tract of male partner or donated sperm are directly placed into a woman’s uterus, close to the time of her ovulation. Doing so would increase chances of fertilization, since a concentrate of high quality sperm is placed into the uterus and it is relatively easier for sperm to travel from the uterus to fallopian tube and fertilize the egg, rather than travelling all the way from vagina to fallopian tube through the cervix.

When is IUI used?

IUI can be performed to treat any of the following scenarios:

  • female partner has healthy fallopian tubes (without any blocks or damages) but suffers from cervical mucus defect, endometriosis or sperm allergy
  • unexplained infertility
  • male partner suffers from sperm disorders, blocks in vas deferens or ejaculatory duct, retrograde ejaculation, premature ejaculation or erectile dysfunction 

What is IUI procedure?

IUI cannot be performed in women who have blocked fallopian tubes, since blocks can prevent sperm from reaching the egg or prevent movement of fertilized egg. Hence, first step in IUI treatment is to check whether fallopian tubes are healthy. This is done using methods such as hysterosalpingogram (HSG), falloposcopy or laparoscopy. If at least one of the two fallopian tubes is healthy (and both ovaries are functioning), IUI can be performed. In this case, IUI can be carried out only when ovulation occurs from the ovary that is on the same side as the open tube.

IUI can be performed with or without administration of fertility drugs to stimulate ovulation (fertility drugs are usually administered for women who suffer from ovulatory disorders). Ovulation is tracked using blood tests, urine tests, ovulation predictor kits or ultrasound scans and insemination (placing sperm in uterus) is timed to coincide with ovulation. Sperm collected from normal ejaculate of male partner, sperm retrieved from reproductive tract of male partner or donated sperm can be used for IUI. Sperm are first washed and concentrated (this would take 30-60 minutes). These highly motile and concentrated sperm are then placed into the woman’s uterus close to the time of ovulation using a thin, flexible catheter (tube) inserted through the cervix. This is usually a simple, painless procedure which takes 15 to 20 minutes (in some cases, this procedure can cause mild cramps similar to menstrual pain). The individual under treatment can leave home after a short rest and will be advised to take pregnancy tests in 2 weeks time.

The video below shows a 3D animation of IUI procedure.

What is the success rate of IUI and what factors influence IUI success rate?

Success of IUI depends on factors such as age and health of woman (women under the age of 35 usually have higher success rates), quality of sperm, sperm count, timing of insemination etc. On an average, IUI has a success rate ranging from 10 – 20% per cycle. In case an IUI do not succeed, the process can be repeated or the fertility specialist might recommend for another treatment method.

How much does IUI cost?

Cost of IUI can vary with the location of clinic, success rates of clinic and expertise of treatment facility. In United States, IUI costs around 800 dollars. There can be additional costs for fertility drugs and donor sperm (if they are used). Discuss in advance with the fertility clinic about total costs involved for an IUI cycle.

Insurance plans may or may not cover infertility treatments. It is advisable to read the insurance plan carefully and get the help of an independent insurance advisor to find out whether the insurance plan covers IUI treatment. Click infertility insurance laws for more information on 15 states in the United States that require insurance coverage for infertility treatments.

What are the risks of IUI?

IUI is a relatively simple and safe procedure. It usually has very low risks. Some of the risks of IUI are:

  • Infection in reproductive tract
  • If fertility drugs are used in an IUI treatment, there are chances of occurrence of ovarian hyper stimulation syndrome or over stimulation of ovaries (by fertility drugs) and multiple pregnancy (pregnancy with two or more foetuses). Fertility drugs stimulate production of multiple ovaries. This would increase chances of fertilization of multiple eggs and formation of multiple embryos, resulting in multiple pregnancy. Multiple pregnancy can cause high blood pressure and diabetes in mother, premature labor and babies having low birth weight.

What are the things to take care of after IUI?

The IUI procedure usually takes only 15 to 20 minutes. The individual under treatment can leave home after a short rest. Stay relaxed and return to normal day to day activities. There are chances of light spotting and mild cramps after IUI. If the spotting is heavy or in case of any doubts, it is advisable to consult the doctor. Avoid strenuous physical activities, smoking, drinking and use of recreational drugs. Pregnancy tests can be performed in two weeks time after IUI. In case an IUI do not succeed, the process can be repeated or the fertility specialist might recommend for another treatment method.

Please visit the page: What isIVF? for information on IVF.

Pregnancy Miracle Review

Most of the pregnancy miracle reviews available online are hyped versions to sell the product. It is very hard to find a review that talks the truth about this program. I found this unfair and hence decided to write a review about pregnancy miracle that gives a thorough insight into what can be expected from this program and what are its pros and cons. Yes, I too get an affiliate commission for promoting this program, but the last thing I want is to earn commissions promoting a program by hiding information about it or by presenting false information. Please find below a totally unbiased review about pregnancy miracle that would help you to decide whether this program is right for you.

Who is Lisa Olson?

pregnancy miracle review

Lisa Olson, author of pregnancy miracle is a Chinese medicine researcher, alternative health and nutrition specialist, health consultant and former infertility sufferer. She battled with infertility for more than a decade spending enormous amount of time researching on infertility and trying out every infertility treatment known to science and natural health. Finally she succeeded in finding a system to cure infertility, got pregnant twice and she is now a proud mother of two healthy children. Through pregnancy miracle, Lisa Olson shares the secrets she found out over past 14 years of intense research and experimentation to permanently reverse infertility in both men and women across all age groups.

What is pregnancy miracle program about?

Pregnancy miracle is a 5 step multi-dimensional program which tackles all factors that contribute to infertility, using modern alternative medicine and powerful ancient Chinese techniques. The program focuses on a holistic approach to enhance mental, emotional and biological environment of couples in order to help them get pregnant and to reduce the risk of miscarriage and other pregnancy related complications.

Topics addressed in the program include: diets that can enhance fertility, how a couple can make love the right way and at the right time in order to achieve a successful pregnancy, most harmful infertility factors that should be eliminated first, how cleansing of internal systems can improve fertility, natural fertility supplements, effective use of acupuncture and acupressure to treat infertility, household products that can interfere with hormonal production system and significantly contribute to development of infertility, how exercise can improve fertility, how some of the day to day activities can negatively impact fertility, how to control stress, strategies for natural infertility healing, secrets to conceiving a healthy foetus and much more.

What are the pros and cons of the program?

Pregnancy miracle program has following pros and cons:


  • Though the program has helped many couples to get pregnant, there is not much information on the success rate of the program. There are no statistics available on: out of total number of people who follows the program, how many succeeded in getting pregnant and how many successfully carried the pregnancy to full term.
  • A visit to a fertility specialist is still the best way to diagnose exact causes of infertility in a couple.
  • There are only limited scientific evidences about effectiveness of some of the natural treatment methods mentioned in the program.


  • Thousands of couples, including many cases where fertility specialists expressed little or no hope, had successfully conceived and gave birth to healthy babies by following the program.
  • The program includes guidelines for customizing the principles outlined for the unique situation of an individual.
  • One of the few natural infertility treatment programs that helps in reversal of both male and female infertility across all age groups.
  • The program is easy to understand and follow.
  • Customer support from Lisa Olson is excellent. Along with pregnancy miracle program, Lisa offers a free private one on one email counselling for 3 months as a limited number offer (offer is open at the time of writing this review).
  • The program is regularly updated through continued research, testing, experimentation and feedbacks from customers. All future updates would be available for free for existing customers.
  • The two month instant money back guarantee shows that Lisa Olson is confident that the program will start showing results in two months time.


Pregnancy miracle is a highly effective program, but it may not work for everyone (even medical treatments for infertility fail some times). Proven results of the program, totally safe natural treatment methods, user friendly and logical layout, excellent customer support and the money back guarantee make pregnancy miracle a must try program. However, it is advisable for a couple whose female partner is over 35 years of age to seek immediate medical help from a fertility specialist, if they are not able to conceive after 6 months of regular sexual intercourse without using any contraceptives. Special care should be taken to avoid any delay in medical diagnosis and treatment in such cases. Usually, medical diagnosis and treatment for infertility is a lengthy process. Yet another good thing about pregnancy miracle is that, it is a natural treatment program which can be followed along with other fertility medication (but please do so only after consulting with your doctor).

pregnancy miracle

pregnancy miracle review

“Dear Lisa, I am living proof that your holistic program WORKS and can be incredibly useful to couples with infertility issues. My husband and I found out I was pregnant after over 6 years of desperately trying.” -Barbara Emile (Sweden)

pregnancy miracle reviews

Click here to know more

A clinically proven holistic and ancient Chinese plan for permanently reversing both male and female infertility
A completely natural and safe program for all age groups
Easy to follow instructions and diagrams
Proven strategies for natural infertility healing without drugs, synthetic hormones, surgery or other artificial therapies
Tips on fertility diets and natural fertility supplements
How to eliminate most harmful infertility factors?
How to make love the right way and at the right time in order to successfully conceive?
Secrets to conceiving a healthy foetus
Best selling program of its kind on the entire web for 3 years in a row! Successfully used by 1000s of couples from all over the world.
2 month instant money back guarantee
Limited number offer of free private one on one email counselling for 3 months with Lisa Olson, author of Pregnancy Miracle

Click here to know more

Note: It is advisable for a couple whose female partner is over 35 years of age to seek immediate medical help from a fertility specialist, if they are not able to conceive after 6 months of regular sexual intercourse without using any contraceptives.


Our mission is to support couples who are trying to conceive by providing them with accurate, reliable, easy to understand information in a user friendly way. We would be sincerely working towards making this website a place to find all the information related to infertility in a much more interactive way. We wish all the best to couples who are trying to conceive and sincerely hope that all of them would be blessed with babies very soon.

Please do not forget to bookmark this website, as contents and functionalities will be regularly updated. But, we wish that users of this website do not have to keep coming back for long. It would be a great feeling for us, if you could please share the good news by writing to us once you successfully conceive. If you wish, we would be more than happy to share your story, photos or videos on this website, since we believe that it can definitely inspire other couples.

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