Dedicated Andrology and Male Wellness Services

Conditions treated

• Male infertility: low sperm count, poor motility or abnormal shape, and azoospermia (no sperm in semen)
• Varicocele: swollen veins in the scrotum that can affect sperm quality and testosterone
• Erectile dysfunction (ED): difficulty getting or keeping an erection
• Premature ejaculation and delayed ejaculation
• Low testosterone (hypogonadism): tiredness, low libido and low mood
• Peyronie’s disease: a curve in the penis caused by plaque
• Vasectomy and vasectomy reversal

Male infertility: the male factor is often missed

In roughly half of couples who struggle to conceive, a male factor contributes. Yet men are often tested last. A basic evaluation is simple and should be done early, ideally alongside the female partner’s tests.

How evaluation works:

• A detailed history covering medicines, smoking, alcohol, heat exposure, past infections and surgery
• Physical examination to look for varicocele and check the testes
• Semen analysis, repeated if abnormal, since one test can vary
• Hormone tests: testosterone, FSH, LH and prolactin
• Scrotal Doppler ultrasound and, when needed, genetic tests or DNA fragmentation tests

Treatment options include lifestyle changes and antioxidants, hormone therapy, treatment of infection, microsurgical varicocelectomy, and surgical sperm retrieval (PESA, TESA or micro-TESE) for men with azoospermia so the couple can proceed with IVF/ICSI. Dr. Bivek Kumar works closely with fertility specialists so both partners’ care is coordinated.

Erectile dysfunction is treatable

ED is common and is often an early sign of diabetes, high blood pressure, high cholesterol or heart disease, so it deserves a proper check-up rather than over-the-counter pills. Treatment depends on the cause and may include tablets (PDE5 inhibitors), correction of hormone levels, low-intensity shockwave therapy for selected men, injection therapy, counselling, and, for men who do not respond to other treatments, a penile implant.

A private, respectful consultation

Sexual and reproductive concerns can be difficult to talk about. Consultations are private and unhurried, and you can bring your partner if you wish. Dr. Bivek Kumar consults in English, Hindi, Kannada and Bengali.

Andrology clinic in Koramangala and Bellandur

See Dr. Bivek Kumar at Superhealth Hospital, Koramangala (OPD Monday to Saturday, 9 am to 6 pm) or Nelivigi Multispeciality Hospital, Bellandur (OPD Tuesday, Thursday and Saturday, 7 pm to 8 pm; Sunday by appointment only).

More questions patients ask

Does varicocele cause infertility?

Varicocele can lower sperm count and quality. In men with a palpable varicocele and abnormal semen tests, microsurgical repair often improves sperm parameters.

Can sperm be found if the semen shows zero sperm?

Often, yes. Depending on the cause, sperm can frequently be retrieved directly from the testis using micro-TESE and used for ICSI.

Is erectile dysfunction only psychological?

No. Most ED in men over 40 has a physical cause such as reduced blood flow, diabetes or low testosterone, sometimes combined with stress or performance anxiety.

Is testosterone therapy safe if I want children?

Testosterone replacement can suppress sperm production. Men who want to father children should discuss alternatives with an andrologist before starting it.