The Withdrawal Method of Contraception
Men’s Health Blogs The Withdrawal Method of Contraception The Withdrawal Method of Contraception – quick facts Vanakkam and welcome to Dr. Shah’s clinic. Have you ever heard of the withdrawal method of contraception? alias pull out technique?. Wish you a very happy new year and it’s been quite some time since I post my last video. In this short blog post, we are going to discuss the withdrawal method of contraception also called the withdrawal method of birth control. Watch the video below if you do not have the patience to read through the full article. I promise you, it will be worth it. Now the withdrawal method of contraception is also called as a pull-out method. So in the withdrawal method what usually men do is that just before the point of ejaculation or just before they hit their orgasm they pull out the organ from the vagina so that intra-vaginal ejaculation does not happen and thereby an unwanted pregnancy can be avoided. Now what’s very interesting here is that withdrawal or the pull-out method of contraception is probably the oldest contraception method that has been used since time memorial. It’s a biblical method it’s been around for so very long. Now, it’s important to understand here that the withdrawal method of contraception gives a contraception protection rate of almost 95% and there is a 5% failure rate even in this method. Now what this means is that the withdrawal method of contraception is as good as a condom, so basically if you are averse to using a condom that is if you wear a condom and you feel you lose your erection you are not able to connect with your partner, bond with your partner because you are wearing a bloody condom try the withdrawal method of contraception, it usually works. It’s amazing as a method, because you have a good connection with your partner from a psychological perspective but the only problem here is that you are not going to get an intravaginal ejaculation. It’s more of a male method of contraception what happens here is that your partner’s satisfaction is not going to be impacted. So basically you have to last long enough so that you can give your partner the orgasm and then pull out and then you have to ejaculate outside the vagina. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Furthermore, you don’t want to give your partner an unwanted pregnancy and that’s why the withdrawal method or the pull-out method is so good. Many men pride themselves in using the withdrawal method or pull-out method of contraception since to some extent it shows that the man has tremendous control over his ejaculation. The next important point is the partner will also respect you because you care for her you don’t want her to have an unwanted or an unintended pregnancy. So the withdrawal method or the pull-out method has a 95% protection rate which is almost as good as a condom but a 4% to 5% failure rate because sometimes the pre-lubricating fluid can have a small number of sperms and there are about 6 to 7 studies on the topic. Some studies say that the pre-lubricating fluid has no sperm at all. Subscribe to our Newsletter All said and done the best way to optimize the success of the method to pass urine after sexual intercourse. This will help wash off any residual sperm present in the male reproductive tract. If you masturbate in the previous day or you had sexual intercourse the previous day what you should do is you should urinate flush your urinary system off any residues and then have sexual intercourse and then adopt the withdrawal method during the particular session. So this will lower diminish or completely remove the chances of unwanted pregnancy so even if a small amount of pre-lubricating fluid deposits in the vagina the chance of pregnancy is going to be very less. I hope you found this video quite informative and useful on this withdrawal method of contraception also the pull-out method of contraception. This is Dr Shah consultant sexologist in chennai, keep watching this space for more interesting articles References https://www.sciencedirect.com/ science/article/abs/pii/ S001078241400208X Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
Why Is My Semen Green? An Andrologist Explains
A worried man in a reassuring private consultation with a calm male andrologist in a warm clinic Why is my semen green? Most often, green or greenish semen is a sign of infection in the male reproductive or urinary tract — commonly prostatitis or a sexually transmitted infection such as gonorrhea — rather than something harmless. It is usually treatable, but if you also have pain, burning, foul smell or fever, please see a doctor promptly (Cleveland Clinic, 2024). Let me answer this the way I do almost every week in my clinic, when a worried man sits across from me and quietly says, “Doctor, my semen looked green — is something seriously wrong with me?” (Some men describe it as “green sperm,” though it is really the seminal fluid, not the sperm cells, that has changed colour.) First, take a breath. Noticing a colour change like this is alarming, and it is sensible that it brought you here. But I am not going to do what some articles do and simply tell you to “relax and ignore it.” That would be poor medicine. Green semen is one of the few colour changes that genuinely deserves attention, because the most likely explanation is an infection — and infections are easy to treat once we find them, but not safe to ignore. So let me walk you through exactly what greenish ejaculate means, what is probably causing it, and the clear signs that mean you should come in. Quick facts Normal semen is a whitish-grey, jelly-like fluid; its colour can shift slightly with diet, age and how long it has been since you last ejaculated (Cleveland Clinic, 2024). A yellow-green or bright green tint most often points to infection — prostatitis or a sexually transmitted infection — frequently alongside burning when you pass urine (Medical News Today, 2024; Healthline, 2026). STIs most associated with a green or yellow-green tint are gonorrhea and chlamydia (Medical News Today, 2024; Healthline, 2026). Excess white blood cells in semen — pyospermia (leukocytospermia) — can accompany infection and can harm sperm; the WHO threshold is more than 1 million peroxidase-positive leukocytes per millilitre (WHO, 2021). Green or foul-smelling semen with fever, pelvic pain, or pain/burning on urinating or ejaculating warrants prompt evaluation — not reassurance to ignore it (Cleveland Clinic, 2024). Here is something I want to correct straight away, because the older version of this very article said it. It is sometimes claimed that a “liver problem” or bilirubin turns semen green. In practice, jaundice and liver-related pigments are associated with a yellow tint, not a true green. When semen looks genuinely green, the explanation that matters clinically is infection. Let me explain the real causes. Green semen at a glance: usually an infection, get tested don’t guess, watch for pain or fever, often treatable What causes green or greenish semen? 1. Infection of the prostate or seminal tract (the most common reason) The prostate and seminal vesicles produce most of the fluid in your ejaculate. When they become infected or inflamed — prostatitis or seminal vesiculitis — pus and white blood cells mix into the semen and can give it a yellow-green, sometimes foul-smelling appearance (Medical News Today, 2024; Healthline, 2026). In my clinic this is the single commonest reason a man notices a green tinge, and it usually comes with a clue: a burning sensation while passing urine, a heavy ache in the pelvis or perineum, or discomfort on ejaculation (Cleveland Clinic, 2024). 2. Sexually transmitted infections (STIs) Green or yellow-green semen, especially after unprotected sex, can be a sign of an STI. Gonorrhea is the classic culprit and can produce a thick, greenish urethral discharge that colours the ejaculate; chlamydia is also linked to a yellow-green tint (Medical News Today, 2024; Healthline, 2026). Many STIs are silent in men, so colour change may be your only warning. If there is any chance of exposure, testing for gonorrhea and chlamydia is the responsible next step — a single NAAT swab or urine test screens for both (CDC, 2021). Other genital-tract infections — including genital herpes (HSV-2) — can drive inflammation and raise the white-cell count in semen (pyospermia) without specifically turning it green; the green tint itself points more to gonorrhea, chlamydia or prostatitis (Cleveland Clinic, 2023). 3. Pyospermia / leukocytospermia (too many white blood cells) When your body fights infection in the reproductive tract, it floods the area with white blood cells. An abnormally high count of these in semen is called pyospermia, or leukocytospermia. The WHO defines it as more than 1 million peroxidase-positive leukocytes per millilitre of semen (WHO, 2021). These cells release reactive oxygen species — useful against germs, but they can also damage your sperm and their DNA, which is why pyospermia matters if you are trying to conceive (Cleveland Clinic, 2023). A semen analysis will pick this up. 4. Medications, supplements and certain foods Not every colour change is sinister. Certain foods, spices, vitamins and supplements — and the metabolites of some medications — can be reflected in seminal fluid and lend a yellowish tinge (Cleveland Clinic, 2024). In my experience these dietary causes tint toward yellow rather than a true green, and any such change is usually mild, comes without any pain or smell, and settles once you stop the supplement or food. 5. Rarely, dyes or contamination Very occasionally a harmless dye, lubricant residue or external contamination explains an odd colour — a diagnosis of exclusion I reach only after infection has been ruled out (see the table below). Green semen: cause vs. what you might notice Likely cause Typical colour Accompanying signs What it usually means Prostatitis / seminal tract infection Yellow-green, may smell foul Burning urine, pelvic/perineal ache, painful ejaculation Needs urine + semen culture; antibiotics STI (gonorrhea, chlamydia) Yellow-green, sometimes with discharge Discharge, burning, recent unprotected sex Needs STI testing (gonorrhea + chlamydia NAAT) Pyospermia / leukocytospermia Yellowish to green Often none; may affect fertility Found on semen analysis; treat underlying
Is a curved penis normal? How much curve is too much?
Most curves are normal – the great majority of men I see walk out reassured, not treated. A quick, honest answer from Dr Shah Dupesh, MBBS — consultant Andrologist & Sexologist, Chennai. Last updated and medically reviewed July 2026, against current AUA and EAU guidance. Is a curved penis normal? For most men, yes — almost always. Many men have some natural bend, and a curve in the commonly cited 5-to-30-degree range, in any direction — up, down, left or right — needs no treatment at all if it is painless, stable, and does not get in the way of sex. In one large population study, roughly 1 in 5 men (about 19%) reported a visible curve, and most were mild (Chung, 2018). A curve only becomes a medical problem — most often a condition called Peyronie’s disease — when it is greater than about 30 degrees, painful, newly changing, or comes with a hard lump you can feel. So if you have gazed down and noticed your penis leans one way, take a breath. In my clinic, this is one of the single most common worries men bring me, and the great majority walk out reassured rather than treated. This guide tells you exactly where the line is — what is normal, how to measure it honestly, when to see a specialist, and every treatment that genuinely works if you do cross that line. If you only read one thing here, read this – the essentials at a glance, before we go deeper. In a nutshell Curved penis at a glance 1 A curve is common. About 1 in 5 men (19%) report a visible curve, and most are mild – a straight penis is still the norm, but a slight bend is completely normal. 2 Roughly 5-30° is the normal zone. If it is painless, stable and sex works, no treatment is needed – a clinical threshold, not a defect. 3 Over ~30°, painful, a lump, or newly changing = get assessed. This is the pattern of Peyronie’s disease. 4 Peyronie’s is not rare – roughly 0.5%-13% of men, most often in the 50s-60s but sometimes earlier. 5 It rarely straightens on its own. An early, untreated Peyronie’s curve improves in only ~12% and worsens in nearly half. 6 Real treatments exist – traction, collagenase injections and surgery all straighten curves. Oral cures and exercises do not. Is a curved penis normal? Let me be direct, because this is the question that keeps men awake at night: yes, in the overwhelming majority of cases, a curved penis is completely normal. The penis is not a straight steel rod; it is a paired erectile organ, and small differences in how the two chambers (the corpora cavernosa) and their surrounding sheath (the tunica albuginea) fill and stretch will tip an erection slightly one way. That is anatomy, not disease. When Chung and colleagues surveyed nearly 1,800 men aged 35–75, about 19% reported some curve, and only around a third of those described it as 30 degrees or more (Chung, 2018). In other words, a mild bend is one of the most ordinary things about the male body. What counts as “normal”? There is an important nuance most websites get wrong, so I want you to hear it from a clinician: no measurement study has ever defined a precise “normal number of degrees.” The commonly quoted “up to about 30 degrees is fine” is a clinical and guideline threshold — the point below which urologists agree a curve almost never needs fixing — not a statistical average. What actually matters is the trio I use in clinic: is it painless, is it stable (not changing month to month), and does sex work comfortably for you and your partner? If the answer to all three is yes, the exact number barely matters — the same reassurance I give men worried about penis size. Which way can it curve — up, down, left, or “C-shaped”? Any direction is possible and can be normal. An upward curve is the most talked-about; downward, sideways (left or right), and even a gentle C-shape are all seen. A slight upward tilt is so common that many partners never register it as unusual at all. Kya ling ka tedha hona normal hai? (Is a bent penis normal?) Haan — thoda tedhapan bilkul normal hai. In my Chennai practice a great many men ask “ling kitna teda hona chahiye?” (how much bend is acceptable) and “ling tedha kyon hota hai?” (why does it bend at all). The honest answers: a curve is usually either present from birth (congenital) or develops later from an injury or Peyronie’s; and a mild, painless, stable curve needs no ilaj (treatment) at all. It is only when the bend is severe, painful, or suddenly increasing that you should see an andrologist. How much curve is too much? The degree framework Here is the single most useful thing in this article — a clear ladder that tells you where your curve sits. This reconciles the numbers you will see quoted everywhere into one honest framework, built from the AUA and EAU guidelines (Nehra, 2015; Hatzimouratidis, 2012). Where your curve sits – and what it means. Curve What it usually means What to do ~5-30° Normal variation, if painless, stable and sex is fine Reassurance – no treatment needed Over ~30° Worth assessing; may be early/mild Peyronie’s; the treatment threshold See an andrologist; medical options open here Over ~60° Significant curve; grafting-type surgery is typical, though a stable 60-90° curve with good erections may try collagenase or traction first Specialist assessment ≥90° (severe) Frequently prevents intercourse Strong surgical candidate One important caveat: these bands describe an acquired curve (Peyronie’s disease). A stable, lifelong curve of the same number of degrees is usually congenital — not a disease — and is judged on whether it interferes with sex, not on degrees alone. Two caveats I always add. First, degrees are not the whole story — a
Sperm Leakage in Urine: Why It Happens & How to Stop It
Here’s the honest answer, straight away: in most men, sperm in the urine after sex or masturbation is completely harmless — leftover semen sitting in the urethra simply washes out with your next urine. The medical word for it is spermaturia, and on its own it is a finding, not a disease. True, persistent leakage points to retrograde ejaculation, diabetes, or a medication you are taking — and every one of those is treatable. As a practising andrologist in Chennai, I see this every week: the man who texts me a photo of his cloudy first urine at 6 a.m., certain that “sperm coming out with urine” means his fertility has drained away overnight. Let me explain what’s actually happening, because in roughly 8 out of 10 of the men I examine there is no disease at all. So for the few who do need treatment, my fix is usually tablets, not surgery. Book a Consultation Quick Facts Sperm in the urine after ejaculating is common and usually normal — it shows up in the post-sex urine of about 73% of proven-fertile men [2]. The commonest cause is simply passing urine soon after sex — the urine washes leftover semen out of the shared urethra. Not a disease. A one-off “sperm seen” on a routine urine test is usually just recent ejaculation — in a 5,005-man hospital review, sperm appeared in only 1.6% of routine urine samples [1]. Persistent, true leakage is most often retrograde ejaculation — semen pushed backward into the bladder by diabetes, alpha-blockers like tamsulosin, or prostate surgery [3][5][6]. Most respond to oral medication — combining bladder-neck tablets restored forward ejaculation in about 6 in 10 men with complete retrograde ejaculation in one diabetic series [4]. Is sperm leaking with urine normal? For most men I see, yes. After you ejaculate, a little semen stays behind, coating the urethra — the single tube that carries both semen and urine. So the next time you pass urine, it flushes that leftover semen out, and your first urine after sex can look cloudy. I call that washout, not a leak. In fact, when researchers measured it, sperm turned up in the post-ejaculatory urine of 73% of proven-fertile men — no different from the men being investigated for infertility [2]. So I tell my patients plainly: sperm in your urine after sex is normal plumbing, not a disease. Leftover semen sits in the shared urethra after sex and simply rinses out with your next urine — the harmless washout. Worried about sperm in your urine? Talk to Dr Shah today. Book a Call Sperm in a urinalysis report: what “spermatozoa seen” means A lot of men reach me not because of cloudy urine, but because a routine urine test for a master health check or a UTI came back saying “spermatozoa present” or “sperm cells seen,” and the word sperm on a lab report frightened them. Let me settle it: a one-off finding after recent sex is almost always harmless. In a hospital review of 5,005 men, sperm showed up in just 1.6% of routine urine samples — and when it did, the strongest links were to recent ejaculation and, in persistent cases, to the very factors behind retrograde ejaculation: diabetes, alpha-blocker tablets, and previous prostate surgery [1]. So here is how I read it: in nearly every man, you ejaculated — through sex, masturbation, or a nightfall — within a day or so of giving the sample, and a few leftover sperm rode out in the urine. The lab simply reports what it sees down the microscope. A single “spermatozoa seen” after recent sex does not mean an infection, cancer, or an infertility problem. If you want to understand the rest of the numbers on a fertility report, I walk through them in plain English in my guide to reading a semen analysis line by line. The one time sperm on a urinalysis genuinely matters is when it keeps recurring or appears alongside a dry orgasm — and I will come to that. Why does sperm come out automatically with urine? This is the question I get asked most: “sperm comes out automatically with urine” — without sex, without masturbation. Let me explain what’s actually happening, because it frightens men more than it should. Your testes and epididymis are always making and storing sperm. That store is not unlimited — when it fills and is not emptied for several days, your body releases the excess on its own. In the sexually inactive men I see, this overflow most often shows up as nightfall, and the residue appears in the morning’s first urine. So the men who abstain longest are the very ones who notice “automatic” sperm in their urine. So I reassure them this is the body doing exactly what it is built to do — not weakness, not a leak, not fertility draining away. The sperm is constantly replaced, and this overnight release is a healthy self-regulating system. If you feel tired, foggy or “weak” alongside it, that exhaustion is almost never the lost fluid — it is the worry. That cycle of anxiety about losing semen has a name in our part of the world, and I explain it fully in my piece on Dhat syndrome and feeling sexually weak. Why semen comes out when I strain on the toilet A very common Indian search is “sperm comes out during potty” or while straining at stool — and it understandably alarms men, who assume they are leaking their fertility into the toilet. Almost always, they are not. When you bear down hard, the pressure can squeeze a few drops of fluid from the prostate and the glands around the urethra. This is usually thin, clear-to-whitish prostatic fluid, not a full ejaculate — the old name for it is prostatorrhea. The same thing can produce a drop or two at the end of passing urine. It is harmless, it does not drain your strength, and it needs
What Happens If You Release Sperm Daily? Doctor Explains
What happens if you release sperm daily? Releasing sperm itself does no physical harm: it will not weaken your body, lower your testosterone, or reduce your sperm count. But that does not make compulsive daily masturbation harmless — the real damage is behavioural, not a loss of any vital fluid. As a practising andrologist in Chennai, I have this conversation almost every single day. A young man sits across from me, eyes down, convinced that “taking out sperm everyday” has quietly ruined his body — made him weak, drained his energy, finished his sperm for good. He has read it in a WhatsApp forward, heard it from an uncle, seen it on a Hindi YouTube short. Let me be honest with you on both counts: the fear that semen loss is physically draining you is the wrong fear — but that does not mean releasing sperm every day is a habit I would ever recommend. Let me explain exactly why. Book a Consultation Quick Facts Releasing sperm daily does not lower your testosterone. In healthy men, serum testosterone barely shifts in the days after ejaculating, with only a small transient rise around day 7 of abstinence (Jiang, 2002). Frequent release does not “finish” your sperm. A 2025 meta-analysis found shorter abstinence does not reduce — and can even improve — semen quality (Raditya, 2025). The “weakness” you feel is real — and it has a name. That cluster of fatigue, back ache, soft erections, poor focus and low mood is Dhat syndrome — a genuine, recognised and treatable condition, driven by the anxiety-and-compulsion cycle, not by any literal loss of “vital fluid” (Prakash, 2014; Kar, 2021). But daily masturbation is NOT harmless. The real harm is behavioural: a dopamine-and-novelty conditioning loop (the Coolidge effect) that dulls real-world arousal and can drive porn-induced sexual dysfunction (Ventura-Aquino, 2018; Park, 2016). The healthy path is real intimacy, not a daily habit. I do not encourage daily masturbation; I steer men toward a real relationship and using it sparingly, if at all. What happens if you release sperm daily? The honest answer Here is the honest answer in two halves, because anything shorter is a lie. First: the loss of semen itself does nothing harmful to your body. When you ejaculate, you release roughly a teaspoon of fluid that is over 90% water, salts, fructose and prostatic secretions, with sperm a tiny fraction of the volume. Your testes and prostate replace it continuously, around the clock. Semen is not a finite store of vitality you are “spending” — that idea is folklore, not physiology. Second, and this is the part the reassuring Western articles skip: the act being physically harmless is not the same as the habit being good for you. A behaviour can be medically harmless to your fluids and still quietly cost you your drive, your real arousal and your relationships. That is the honest, complete answer — and the rest of this article is me keeping both halves of it. Is there a medically safe limit? There is no toxic physical threshold — no number of ejaculations that poisons your body or empties a tank. But “no physical limit” is not the same as “do it daily and all is well.” As a doctor, I will not hide behind the comfortable half-truth. I do not recommend daily masturbation as a habit; I have explained why in my piece on how many times masturbation can be done in a day. If you are alone by choice, treat it as an occasional walking stick — nothing more — not a daily routine your brain comes to depend on. Does releasing semen daily cause weakness? (virya nikalne ke nuksan, kamjori) This is the fear behind almost every search that lands on this page — virya nikalne ke nuksan (the harms of releasing semen), kya virya nikalne se kamjori aati hai (does releasing semen cause weakness), jyada sperm nikalne se kya hota hai (what happens if you release a lot). So let me answer it head-on. Releasing semen daily does not cause physical weakness. It does not thin your bones, drain your blood, dull your brain or shorten your life. The semen you release is replaced; your body does not run a deficit. I treat this fear with complete respect, because the distress is absolutely real even when the physical “damage” is not — but I will not feed the myth that your strength is leaking out with the fluid. It is not. Why does my body feel tired or weak after releasing? Many men genuinely do feel tired, foggy or low after ejaculating, and I never dismiss that. But the tiredness is not the lost fluid leaving your body — it is the worry wrapped around it. When a man believes he has just damaged himself, his mind floods with anxiety, guilt and self-monitoring, and that is exhausting. There is also a brief, normal hormonal wind-down after orgasm that makes you feel relaxed and sleepy for a few minutes — your body resting, not weakening. Dhat syndrome: the real condition behind the “weakness” Here is where I correct both sides of the story, carefully. The crude folk mechanics — that semen is a finite “vital fluid” and that losing it directly drains your testosterone or destroys your fertility — is medically wrong. But the weakness, fatigue, back ache, soft erections, premature ejaculation, poor focus and low mood you feel are not imaginary, and I will never call them a myth. That symptom cluster has a name: Dhat syndrome — a recognised, diagnosable and treatable condition documented for over sixty years in Indian, Chinese and South- and South-East-Asian men. It is classified under ICD-10 as a culture-bound disorder (in the neurotic/somatoform group) and is carried into ICD-11 and DSM’s cultural concepts of distress (Prakash, 2014; Kar, 2021). What Dhat syndrome looks like in my clinic What I actually see across the desk is a consistent picture: deep preoccupation and anxiety about semen loss —
Can a sterile man get a woman pregnant ?
Men’s Health Blogs Can a sterile man get a woman pregnant ? In today’s awesome male infertility article we are going to discuss whether and if… “Can a sterile man get a woman pregnant?” Hi and welcome to Dr Shahs Clinic My name is Dr. Shah and I am a consultant sexologist doctor in Chennai and I primarily specialize in Male Infertility & Sexual Health. In today’s awesome post we are going to answer the question on – “Can a sterile man get a woman pregnant?” Not let us move on to the good stuff…. Okay now here is the thing… Male Infertility and Male Sterility are two completely different things!! Bear this fact well in mind, let me try to elaborate on why male infertility and male sterility should not be confused with one another… Now, a man is said to be infertile or suffer from infertility if he is unable to father a child within the 1st year of marriage in the absence of any specific problem affecting his partner. Some common causes of male infertility include – Low sperm count Low sperm motility Abnormal sperm shape Hormonal deficiencies Genetic causes Obesity and Poor Lifestyle habits Sexual Problems like erectile dysfunction and/or ejaculatory dysfunction But the most important fact to bear in mind is that a man diagnosed with male infertility can have sperm production! Most interestingly, in over 40% of the time men suffering from male fertility issues have absolutely NORMAL SPERM PRODUCTION!! Now, I am sure you understand one thing very well….male sterility is completely different from male infertility… As a result, you need to really know whether or if you can get pregnant with a sterile man?. The truth, however, can be a bit hard to understand. First of all, what are the causes of male sterility? Broadly speaking, a man is said to be completely sterile if his semen analysis report shows AZOOSPERMIA. Azoospermia means no sperm in the ejaculate! and it is a genuinely upsetting and terribly scary diagnosis for most men. Vasectomy is also a common cause of male sterility. We will briefly look at both Azoospermia and Vasectomy. Most probably, you would have heard about contraceptive procedures for men, this is called Vasectomy and it is also a method of family planning. In Vasectomy what is ultimately done is that the vas (the tube that carries sperm from the testis to the penis) is closed. However, vasectomy although highly effective in preventing a pregnancy has poor reversal success rates. This is exactly why we recommend vasectomy as a method of family planning, only after a man has completed his family!, Moreover, you would be surprised to learn that the success rate of a vasectomy reversal is seldom beyond 40%. Now let’s discuss whether an Azoospermic man can father a child ? or better yet let’s try to answer the following question .. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Can a sterile man become fertile? You most probably now understand that Azoospermic men are sterile, but… did you know that Azoospermic men can also father their child? This is possible because we have a medical technique by the name Testicular sperm extraction also called TESE. The image below explains TESE Consequently, sperms retrieved from the testis are used in fertility treatments. Sperm preservation is done for later use. So, let me ask you the question… Can a sterile man get a woman pregnant? The Answer is Hell YEAH!. Both Male Infertility and Male Sterility are definitely treatable. However, bear in mind that the success rates for treating men with problems like low sperm count, low sperm motility and other unexplained causes of male infertility are definitely better as compared to male sterility based issues. The best suggestions I can give is as follows Do not worry too much about male infertility, remember it is treatable Male sterility is a different issue altogether compared to male infertility If someone asks me can a sterile man get a woman pregnant ?, I would tell him that he needs a proper evaluation and that fertility is definitely possible with today’s technology Low sperm count and low sperm motility are not causes of male sterility. On the other hand, they are causes of male subfertility. Can a sterile man become fertile?…the answer is a definite YES. But male sterility needs the right evaluation. Subscribe to our Newsletter What does it mean to be sterile for a man? A diagnosis of male infertility can frequently break a man’s heart. Imagine, telling him he will never father a child through the natural route!. No man in the world can bear to hear a statement that he is sterile and he will never be able to father a child without a treatment. A diagnosis of a male sterility breaks men both physically and mentally. Men may not be able to sustain a normal sexual life after a diagnosis of male sterility. This scenario frequently occurs in a fertility center or fertility clinic when the male partner is diagnosed with Azoospermia. This happens simply because most fertility centers in India do not employ a full time qualified Andrologist to deal with the agony men face!. A sad story right? When Vasectomy reversal fails, men break down. Normally, a vasectomy reversal is done for those men who completed their family. However, in some instances, they may want to try for a child especially when unforeseeable circumstances cause the death of a sibling. Most married men fill the void left by the death of a previous child by trying for a baby, some other couples though may just dissolve their marriage to avoid the pain of seeing each other… So, to finally conclude… I hope you enjoyed reading this article on “Can a sterile man get a woman pregnant?”. Now that you know the truly scientific answer to this question, the next time someone blames a loved one for fertility issues YOU know you
Semen analysis : The Hard Truth
Men’s Health Blogs Semen analysis : The Hard Truth Semen Analysis: What you should know? Semen analysis also called sperm test in layman terms remains the gold standard test of Choice to assess a male’s fertility potential. Hello!!! This is Dr. Shah, and I am Consultant Andrologist and Sexologist doctor in Chennai and in this article, I am going to share with you some very interesting facts about the semen test. Here is the interesting bit… Now, when you look back into the past 20 or 30 odd years, it is very interesting to note a few things… Such as… Over 3.5 million babies are born every year through fertility therapies IVF procedures world over are increasing month on month and there seems to be no let off. Over 60% of the time, male infertility is the biggest cause of childlessness in a couple. What’s even sadder is that men are seldom blamed for fertility issues in conservative societies (eg: India) Over 20 to 30% of the time semen analysis tests would reveal true causes of male fertility like Azoospermia. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call This is exactly why we urge all men who come to our clinic to get a semen analysis done Now, as per the WHO 2010 reference laboratory values… A man is said to have a normal sperm test if he has A sperm concentration greater than 15 million/ml Sperm motility greater than 40% And last but not least, his normal sperm shape should be around 3% However, there is a catch!… Just having your semen report within those values mentioned above DOES NOT GUARANTEE A PREGNANCY!. Nature ultimately decides when pregnancy should happen, our job is to optimize the chances of a couple to achieve a pregnancy. Thus, it becomes very important for a thorough evaluation of both partners in a fertility clinic. Subscribe to our Newsletter Hope you enjoyed the Video and the short Article, Do share it with your friends and loved ones. And feel free to drop me questions through the contact form given below! If you looking for a sperm test in chennai get in touch with us below This is Dr. Shah, and I look forward to seeing you soon with more information to help you through your fertility journey. References: http://www.webmd.com/ infertility-and-reproduction/semen-analysis Get in touch with us below TAGS: INFERTILITY, MALE INFERTILITY, SEMEN ANALYSIS, SPERM TEST Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
How Do You Know If You Have a Low Sperm Count? Signs & Symptoms
You cannot see or feel a low sperm count — which is exactly why one simple test matters. Written and medically reviewed by Dr Shah Dupesh, MBBS, DCE, FASM — Consultant Andrologist & Sexologist, Chennai. · Last reviewed: 15 July 2026. The honest answer, straight away The signs of a low sperm count are almost always invisible — it usually causes no symptoms you can see or feel. It does not change your sex drive, your erections, how much you ejaculate, or how your semen looks — almost every man with a low count feels completely normal. The only way to truly know is a semen analysis, a simple, low-cost lab test. A handful of clues (trouble conceiving after a year, testicular changes, or low-testosterone signs) can hint that a check is due — but they are hints, not proof. I am Dr Shah Dupesh, a practising andrologist in Chennai, and “how do I know if my sperm count is low?” is one of the questions men ask me most quietly — usually after searching for it late at night. So let me speak to you directly, because the honest answer is reassuring and probably not what you are bracing for: a low sperm count is almost always invisible. You cannot judge it by how sex feels, how firm your erections are, or how your semen looks. This page walks you through the few clues that are genuinely worth noticing, the many things that tell you nothing, what the actual numbers mean, and the one test that gives a clear answer. In a nutshell What every man wondering about his count should know The essentials I give men in my clinic — what a low sperm count does and does not feel like, and the calm next step. 1 It is usually silent Most men with a low count have no symptoms at all — normal erections, normal desire, a normal-looking ejaculate. You cannot feel it. 2 Sex and semen fool you How sex feels and how your semen looks say almost nothing about the sperm inside it. A watery or a thick ejaculate can each carry a perfectly normal count. 3 A few clues do matter Trouble conceiving after a year, testicular pain or a lump, very low semen volume, or low sex drive with reduced body hair are worth acting on. 4 Know the real number Below 16 million sperm per millilitre is “low” (WHO 2021). Many popular sites still quote the older 15 million figure. 5 Only a test tells you A semen analysis is the only way to actually know — quick, inexpensive, and usually repeated once to be sure. 6 Often improvable A low count is frequently not permanent. Lifestyle changes over a 2–3 month sperm cycle, and treating the cause, often lift the numbers. Can you feel or tell if your sperm count is low? (Almost never) This is the single most important thing to take away, because it saves a lot of needless worry: a low sperm count has no reliable outward signs. Your fertility lives in the microscopic number and quality of sperm cells, and you simply cannot see, feel or sense that from the outside. In my clinic I regularly meet men with a strong physique, a healthy libido and firm erections whose semen analysis shows a very low count — and quieter men, worried sick, whose counts are perfect. How you look and how you perform in bed do not track your sperm count. This is not just my clinical impression. It is exactly why the major guidelines — the AUA/ASRM male-infertility guideline, and clinics like Mayo and Cleveland — build the entire male work-up around the semen analysis: a man can have completely normal sexual function and still have an abnormal count, and the only way to assess sperm is to test them (Schlegel et al., AUA/ASRM, 2021). So if you have been quietly studying yourself for “symptoms,” you are looking in the wrong place — finding no “symptoms” proves nothing either way. First, what actually counts as a “low” sperm count? Before we talk signs, it helps to know the number, because “low” has a precise meaning. The World Health Organization’s 6th-edition manual (2021) sets the lower reference limit for sperm concentration at 16 million sperm per millilitre. Below that is called oligozoospermia — a low sperm count. You will still see many popular health pages quoting 15 million; that is the older 2010 figure, now superseded. These numbers are not a pass/fail line for having a baby — they are the 5th-percentile values measured in recently-fertile men — but they are the yardstick every lab uses. The WHO 2021 lower reference limits — the yardstick your semen-analysis report is read against. WHO semen reference limits — the current (2021) numbers vs the older ones you may still see What the lab measures WHO 2021 (6th ed.) lower limit Older 2010 figure Sperm concentration 16 million / mL 15 million / mL Total sperm per ejaculate 39 million 39 million Total motility (moving sperm) 42% 40% Progressive motility 30% 32% Vitality (live sperm) 54% 58% Normal shape (morphology) 4% 4% Semen volume 1.4 mL 1.5 mL A few related terms are worth knowing, because a report can read as more than just “low”: severe oligozoospermia means fewer than 5 million/mL; cryptozoospermia means almost none — sperm are found only after the lab spins the sample down; and azoospermia means no sperm at all in the ejaculate. If your report throws up any of these, our plain-English guide to reading a semen analysis explains exactly what each number means, and azoospermia has its own, often treatable, causes. Low count, low motility, or low morphology? They are not the same thing Here is a distinction that trips up almost everyone who reads their own report. “Sperm count” is only one of three things a semen analysis measures, and the three can fail independently: Count (concentration) — how many sperm
Sexology – Quick facts you should know
Men’s Health Blogs Sexology Quick facts you should know Sexology – What’s the big deal ? Sexology is the branch of medicine that exclusively deals with male and female sexual health. With aggressively changing lifestyles, sexual health problems are rampantly rising all around the globe… But, The story does not end there… Sexual problems are darn frustating because standardized treatment protocols are still being actively researched and each and every indivdual has his or her own definition of Human sexuality, sex and sex related fantasies. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call What may be normal/right for one individual or a couple may not be normal/right for the other individual! And thus this is were the issue of individualizing treatment strategies in sexual medicine becomes extremely important. However… Sexology or sexual medicine is yet to be identified as a board certified or as a separate medical science/specialty. Sexologist doctors are experts who specifically treat sexual health problems as listed below – Erectile dysfunction Premature ejaculation Low sex interest Pain during sex Vaginismus Sexual paraphilias Other sexual disorders not classified. Subscribe to our Newsletter Most patients do not know who to visit when they have a sexual health problem, in these situations visiting a sexologist doctor or a male fertility specialist in Chennai is probably the best thing you can do for yourself. I hope you enjoyed reading this short post on Sexology quick facts! Do comment, like and subscribe to our blog! You are also most welcome to drop to visit our sexual health clinic in chennai below References Sex – Facts and Fiction Sexologist and Sexology – The Andrology Corner Sexologist – What you should know? Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
How Do I Know If My Husband Is Infertile? Signs of Male Infertility
You usually cannot tell if your husband is infertile from the outside — most infertile men look and perform completely normally. A Chennai andrologist explains the real signs, the myths, and the one test that gives a clear answer.