IVF Success Rate by Age (2026 Guide)
Understand how age impacts IVF success in 2026. The Fertilife explains fertility rates by age and what every woman should know for informed decisions.
Read MoreTheFertilife runs male fertility assessments in Gurgaon under Dr. Anshika Lekhi, an infertility expert who has spent more than 13 years on this. It isn't a single test. She pulls together your history, a physical exam, the semen analysis, and hormone work where it's actually warranted — so couples across Gurgaon and the wider NCR walk out with a doctor's read on what's going on, not just a lab slip they have to decode alone.
To book a male fertility assessment, call or WhatsApp +91 95600 26697. Dr. Lekhi's team will schedule a time.
"A semen analysis report on its own often raises more questions than it answers. My role is to put those numbers in context — your history, a physical exam, repeat testing if needed — before telling a couple what it actually means for them." — Dr. Anshika Lekhi
A male fertility assessment begins with a detailed history, not a lab test. Dr. Lekhi asks about sleep, smoking, alcohol intake and any work that involves long heat exposure. She also asks about past surgeries and infections. These factors can affect sperm production and are not visible on a semen report.
The next step is a physical examination. The main finding she looks for is a varicocele, which is an enlargement of the veins in the scrotum. It is common and is found in about four out of ten men with fertility concerns, and it can usually be treated. She also checks the size of each testicle and examines for signs of a blockage. The examination takes a few minutes.
A semen analysis is done after the examination. It measures sperm count, sperm movement, sperm shape, the volume of semen and its acidity. A single sample is not enough on its own. Recent illness, stress or the number of days of abstinence before the test can all change the result. For this reason, two samples are usually taken a few weeks apart before any conclusion is made.
Hormone blood tests are done only when there is a clear reason. This may be a very low or zero sperm count, or a history of low libido or erectile difficulty. In these cases, testosterone is checked along with two pituitary hormones, FSH and LH. Thyroid hormone or prolactin may also be tested if the early results suggest it. A full hormone panel is not done for every patient.
A scrotal ultrasound is done only when the examination or the semen analysis raises a question that other steps cannot answer, such as confirming a varicocele or checking for a blockage. It is not a routine test.
Get assessed alongside your partner if you haven't conceived after 12 months of regular, unprotected intercourse — or after 6 months if your partner is 35 or older.
Consider getting assessed sooner if you have:
The most common thing by far is a varicocele, that same cluster of swollen veins. It tops the list of what shows up in men who can't conceive, and the encouraging part is that it can usually be treated.
After that, the trouble is often with the body's signalling rather than the plumbing. Testosterone can run low, or the gland in the brain that's meant to tell the testicles to get to work stops sending a clear message. The raw ability to make sperm is sitting right there; the instructions just aren't landing.
Sometimes it's the reverse. The hormones read perfectly normal and yet there's still no sperm in the sample at all (azoospermia). When that happens it usually means something is physically in the way, a blockage somewhere along the line rather than a failure to produce.
Old infections leave their mark too. The textbook example is mumps caught after puberty, but any serious infection down there can scar or narrow the passages over time.
Then there are the plain findings from the sample itself, like too few sperm, sluggish ones, or oddly shaped ones. On their own those aren't really diagnoses. They're clues. The whole point of the assessment is to work out the 'why' sitting behind them. Depending on what that turns out to be, the fix might be as small as giving up the sauna, or it might mean assisted options like IUI, IVF, or the more targeted ICSI or PICSI.
A single below-range result on one semen analysis doesn't necessarily mean infertility — values can vary between samples due to illness, stress, or the abstinence period before the test, which is why a repeat test is standard practice rather than an extra step. Dr. Lekhi reviews your results alongside your history and physical exam findings, not as numbers in isolation, before discussing what they mean for your specific situation and what (if anything) the next step should be.
The cost of male fertility assessment depends on whether you only need a semen analysis or more comprehensive evaluation by a fertility specialist.
A basic semen analysis from a Gurgaon diagnostic lab runs about ₹1,000 - ₹1,200. That's just the test — no doctor to interpret it, no context, no follow-up.
A full assessment costs more because it includes the consultation, the physical examination and any hormone tests that are needed. The exact cost depends on which tests Dr. Lekhi orders after the consultation. There is no fixed package, as the tests needed vary from one patient to another.
You do not need a previous semen analysis to book an assessment. Dr. Lekhi decides which tests are needed after taking a history and performing an examination.
To book, call or WhatsApp +91 95600 26697.
MBBS | MS (Obstetrics & Gynecology) | Fertility & IVF Specialist
The health information on this website is reviewed by Dr. Parjia Juneja, an experienced Obstetrician, Gynecologist, and Fertility Specialist, to help ensure medical accuracy, relevance, and adherence to current clinical practices. Our goal is to provide reliable educational information that empowers patients while encouraging consultation with qualified healthcare professionals for personalized medical advice.
This review helps maintain high editorial standards while supporting informed healthcare decisions.
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