Can males with infertility undergo IVF?

Written by Kang Jian Hua
Reproductive Center
Updated on June 15, 2025
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It cannot be generalized whether men with infertility can undergo IVF as it must be determined after detailed examination. For example, in cases of male semen abnormalities such as severe oligospermia, asthenospermia, or azoospermia, if no sperm are obtained after testicular or epididymal aspiration, IVF can be considered. However, for conditions like varicocele, sexual dysfunction, and common reproductive infections causing infertility, treatment should be attempted first, and if the treatment is not effective, then IVF can be considered.

Other Voices

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Written by Kang Jian Hua
Reproductive Center
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Can infertility be inherited?

Regarding the question of whether infertility is hereditary, we cannot generalize. We should analyze specific situations individually. For infertility caused by chromosomal or genetic abnormalities, it may be inherited by offspring. In such cases, one should choose targeted treatments under the guidance of a specialist. However, infertility due to non-genetic factors can often be cured through proactive treatment. Usually, the female can conceive and the condition will not be passed on to the offspring. For better treatment and diagnosis, it is recommended to visit a reputable public hospital locally to get a clear diagnosis and treatment, which can save both time and money.

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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What to eat to regulate the body for cold-induced infertility?

Cold body infertility, in traditional Chinese medicine, is mainly caused by the deficiency of spleen and kidney yang. Clinically, this will manifest as a pattern of deficiency and coldness. At this time, one should first make adjustments through diet. The diet should include more warm foods and less raw, cold, especially frozen foods, and more animal-based foods, which are beneficial for the body, such as beef, lamb, dog meat, fish, shrimp, leeks, pepper, and Sichuan pepper, etc. At the same time, one should also engage in more physical exercise to get the body moving and slightly sweating, which can improve the cold constitution and increase the chance of conception.

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Written by Zhang Wei Wei
Integrative Medicine
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Infertility is what it means.

I think it's important to first clarify the definition of infertility, which is defined as couples living together for over two years with regular sexual activity, not using contraception, and not conceiving. Those who have never conceived without contraception after marriage are defined as primary infertility, while those who have been pregnant before and then, without using contraception, have not conceived again for two years are defined as secondary infertility. According to the World Health Organization's manual on standard examinations and diagnoses for infertile couples, the clinical standard for infertility is defined as one year. However, currently, we think that individuals who have had regular sexual activity without contraception and have not conceived for over a year should be advised to visit a specialized hospital and consult the gynecology or traditional Chinese medicine departments to investigate the causes of infertility.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Can infertility caused by endometriosis be cured?

When endometrial glandular and stromal tissues are found outside the uterine cavity, it is called endometriosis. The main clinical symptoms of endometriosis include lower abdominal pain, painful menstruation, and varying degrees of discomfort during sexual intercourse. Some women may also experience abnormal menstruation, such as prolonged menstrual periods, increased menstrual flow, and spotting before menstruation. For women of childbearing age, infertility is the greatest obstacle. Endometriosis should be treated under medical advice, with standardized and correct treatments, which can include surgery or medication. However, medication does not significantly help in improving pregnancy rates for infertile women, while surgical treatment can increase the pregnancy rate post-operation. The effectiveness of the treatment depends on the extent of the disease. For those hoping to conceive, postoperative medication is not advisable; instead, treatments that stimulate ovulation should be pursued to increase the chances of pregnancy as soon as possible. If pregnancy is not achieved within two years after surgery, the chances of conceiving are slim. For those who still cannot conceive after preserving fertility through surgery, assisted reproductive technologies like in vitro fertilization and embryo transfer may be considered. It is important to follow your doctor's advice, and if you have further questions, it is recommended to consult a doctor at a hospital for more detailed advice.

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Written by Kang Jian Hua
Reproductive Center
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How to treat infertility?

The treatment methods for infertility primarily include medication, surgical treatment, and assisted reproductive technologies. For couples with infertility, it is essential to adopt appropriate treatment methods based on different causes and conditions. Medication is a commonly used method, mainly targeting conditions such as oligospermia, asthenozoospermia, and reproductive tract infections in men, as well as menstrual disorders and reproductive tract infections in women. Surgical treatment mainly targets conditions such as varicocele and vas deferens obstruction in men, and uterine fibroids and polycystic ovary syndrome in women. Assisted reproductive technologies are mainly used for some patients who do not respond well to medication or surgery, such as men with idiopathic oligospermia and women with blocked fallopian tubes, requiring these technologies for treatment.