Male Infertility Clinic in Busan, Korea

Male Factor Infertility — The Most Under-Investigated Half of Couples Trying to Conceive

Male factor is identified in approximately 40–50% of couples with infertility, yet female investigation typically begins first. A WHO 2021 CASA semen analysis (computer-assisted sperm analysis) is the definitive starting point for male evaluation — available same-day at Busan urology clinics with English report.

What WHO 2021 CASA Measures

• Sperm concentration (million/mL) — normal: ≥16 million/mL
• Total sperm count — normal: ≥39 million per ejaculate
• Total motility — normal: ≥42%
• Progressive motility — normal: ≥30%
• Morphology (Kruger strict criteria) — normal: ≥4% normal forms
• Sperm vitality — normal: ≥54% alive
• DNA fragmentation index (DFI) — ordered if above parameters are borderline

Results are issued in written English with WHO 2021 reference ranges clearly indicated. The report is in a standard format accepted by IVF centres and fertility specialists worldwide.

Varicocele — The Most Treatable Cause

Varicocele (dilated veins in the scrotum) is the most common correctable cause of male infertility, present in 15% of all men and 35% of infertile men. Grade II–III varicocele with abnormal semen parameters is a clear surgical repair indication. Microsurgical varicocele repair (sub-inguinal approach, 10× loupe magnification) is available in Busan at USD $1,800–$2,800.

Results from varicocele repair: improvement in semen parameters typically seen at 3–6 months post-surgery. Spontaneous pregnancy rates improve significantly in men with Grade II–III varicocele and impaired semen quality. Surgical repair is recommended before IVF in appropriate candidates — lower overall cost and higher cumulative pregnancy rate over 2 years compared to proceeding directly to IVF.

TESA — Sperm Extraction for Azoospermia

TESA (testicular sperm extraction via aspiration) is indicated for men with non-obstructive or obstructive azoospermia (zero sperm in ejaculate). Fine needle aspiration of the testis retrieves sperm directly for IVF/ICSI. USD $600–$900 in Busan. Sperm can be cryopreserved on the same day for use at a home-country IVF centre.

IVF Coordination — Using Busan Results Abroad

Many foreign patients use Busan for the male fertility evaluation and send results to their home-country IVF centre. Busan urologists provide a comprehensive English IVF referral letter covering: WHO CASA results, DNA fragmentation results, varicocele assessment, and treatment performed. This letter is accepted by IVF centres in Australia, UK, USA, Singapore, and most other countries.