Urology
Starting from
$500
Up to $5,000 depending on centre
Typical duration
5–12 days
Including pre-operative work-up
Partner hospitals
1
Vetted for outcome data & accreditation
Content reviewed for medical accuracy by: Dr. Rodina Ainasoa · Medical Content Writer & Health Communications
Comprehensive male fertility assessment and surgical treatment — from advanced semen analysis and hormone profiling to microsurgical varicocelectomy and sperm retrieval (TESA/PESA/Micro-TESE) for men with azoospermia. International centers in India and Turkey offer world-class andrology care alongside affordable IVF programs for couples.
Your case is matched to a centre on the basis of clinical outcome data, not marketing. We coordinate every step — from pre-operative work-up to post-treatment follow-up — with a dedicated care coordinator.
Male Infertility Evaluation & Treatment
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Average coordinated costs across our partner centres. Final pricing depends on clinical complexity and chosen hospital.
| Country | Avg. cost | vs. cheapest |
|---|---|---|
🇮🇳 India New Delhi · Chennai · Bengaluru · Hyderabad · Mumbai · Kochi | $1,000 | —chevron_right |
🇹🇷 Turkey Istanbul | $2,000 | +100%chevron_right |
Costs are indicative estimates and vary by procedure specifics, hospital, and clinical complexity. Request a personalised estimate for your specific case.
This treatment category covers several different operations with different levels of invasiveness, recovery times, and costs. The country averages above blend all of them together — use the breakdown below for a more realistic, procedure-specific estimate.
A detailed diagnostic workup — semen analysis (checking sperm count, motility, and shape), reproductive hormone panel (FSH, LH, testosterone, prolactin), and often scrotal ultrasound or sperm DNA fragmentation testing — is used to pinpoint the underlying cause of infertility before deciding on the right treatment path. This is a diagnostic step, not a treatment in itself.
Typical recovery · Same day
Semen and blood samples are collected in a single same-day visit with no downtime. Basic semen analysis and hormone results are typically available within 1–3 days, while specialized tests such as DNA fragmentation analysis can take 1–2 weeks; because sperm counts vary naturally, doctors often recommend repeating the semen analysis at least once, 2–3 months apart, before drawing conclusions.
India
$60–$300
Turkey
$100–$350
Thailand
Estimate pending verification — ask your care coordinator for a current quote
Enlarged, dysfunctional veins in the scrotum (varicocele) are tied off through a small groin incision using an operating microscope, which helps the surgeon preserve the testicular artery and lymphatics while blocking the abnormal backward blood flow blamed for reduced sperm quality. It is generally offered to men with a clinically significant varicocele and abnormal semen parameters.
Typical recovery · 1–2 weeks
Usually performed as day surgery with a few hours in hospital rather than an overnight stay. Most men return to a desk job within 2–3 days and to full activity, including exercise, within 2–3 weeks. Semen parameters improve in a majority of men but not all, with any benefit typically becoming visible on repeat semen analysis 3–6 months after surgery — not immediately.
India
$900–$3,000
Turkey
$1,700–$4,350
Thailand
Estimate pending verification — ask your care coordinator for a current quote
For men whose semen contains no sperm (azoospermia), sperm is retrieved directly from the epididymis (PESA) or testicle (TESA), or, for more difficult non-obstructive cases, through an operating-microscope search of testicular tissue (Micro-TESE) to find isolated pockets of sperm production. Retrieved sperm is frozen or used fresh for ICSI (a specialized form of IVF) rather than for natural conception.
Typical recovery · 3–5 days
Performed as day surgery under general or local anesthesia; most men go home the same day with some scrotal swelling and soreness for 3–5 days, managed with rest and pain relief. Success in finding usable sperm depends heavily on the underlying cause: retrieval rates are high (often over 90%) for obstructive azoospermia, but only around 40–60% for non-obstructive azoospermia treated with Micro-TESE, so no retrieval is a realistic possible outcome that patients should be counselled on beforehand.
India
$1,200–$3,500
Turkey
$2,000–$5,000
Thailand
Estimate pending verification — ask your care coordinator for a current quote
For infertility caused by a hormonal imbalance — most often low gonadotropins (hypogonadotropic hypogonadism) — daily or several-times-weekly injections of gonadotropins (hCG with or without FSH), or in some cases clomiphene citrate, are used to stimulate the testicles' own sperm and testosterone production. This is an ongoing medical therapy rather than a single procedure.
Typical recovery · Ongoing
No hospital stay is required; treatment is managed through self-administered or clinic injections alongside regular blood tests and semen analysis to track response. Because sperm production takes roughly 3 months to mature, meaningful improvement is usually assessed no sooner than 3–6 months into treatment, and a full course commonly runs 6–12 months or longer depending on response.
India
$150–$400 per month
Turkey
$200–$500 per month
Thailand
Estimate pending verification — ask your care coordinator for a current quote
Cost ranges are indicative estimates for international patients and vary with implant choice, number of levels treated, surgeon, and hospital. Request a personalised quote for your specific case.
Clinical detail: AAOS OrthoInfo, Mayo Clinic Health System, Cleveland Clinic. Cost ranges cross-checked across multiple independent medical-tourism sources per country where marked; ranges flagged "pending verification" could not be independently confirmed at the time of writing.
Kochi, India
Amrita Hospital Kochi is a major teaching hospital in Kerala with extensive departments, advanced diagnostics and strong academic/research links. Established in 1998, it operates 1350 beds with 450 doctors across cardiology, oncology, haematology, neurology and orthopaedics, and holds NABH, NABL and ISO 9000:2015 accreditation, combining tertiary clinical care with medical education and research.
450+
Specialists
1,350+
Beds
All three are surgical sperm retrieval techniques used when a man has azoospermia (no sperm in ejaculate). PESA (Percutaneous Epididymal Sperm Aspiration) involves a needle aspiration from the epididymis and is used for obstructive azoospermia — where sperm are produced but blocked from reaching the ejaculate. TESA (Testicular Sperm Aspiration) takes a small tissue sample from the testis and works for mild non-obstructive cases. Micro-TESE is the most advanced technique, using an operating microscope to identify and extract rare sperm-producing tubules in the testis — it is recommended for non-obstructive azoospermia where sperm production is severely impaired. A hormone panel (FSH, LH, testosterone) and testicular ultrasound help predict which technique will be most successful. Our andrologists review all records before you travel to recommend the best approach.
No fees. No commitment.
We are compensated by our partner hospitals — never by patients. You get independent clinical matching, cost transparency, and end-to-end coordination at no cost to you.
