Male infertility: assessment and treatment in Rabat
When a couple has not conceived after about a year of regular unprotected intercourse, a male factor is involved in nearly half of cases. In Rabat, Dr Najib Abakka assesses the male partner and, depending on the cause, offers medical or surgical treatment or sperm retrieval for assisted reproduction.
Conditions we treat
- Abnormal semen analysis (sperm count, motility, morphology)
- Azoospermia (no sperm in the semen)
- Varicocele
- Undescended testicle
- Hormonal disorders
When should you seek help for male infertility?
- No pregnancy after 12 months of regular intercourse
- After 6 months if the female partner is over 35
- An abnormal semen analysis
- History of undescended testicle, surgery or genital infection
- Varicocele or testicular pain
- History of chemotherapy or radiotherapy
The male assessment
The assessment combines a medical history, a testicular examination and one or more semen analyses. It is completed when needed by hormone tests, a scrotal ultrasound and, in some cases, genetic testing. It is carried out in coordination with the couple's gynecologist and fertility center.
Treatments offered, depending on the cause
- Addressing contributing factors (smoking, weight, heat, medication)
- Hormone therapy when indicated
- Microsurgical varicocele repair under high magnification
- Surgical sperm retrieval
- Micro-TESE under high magnification for azoospermia
- Surgery for an undescended testicle
Frequently asked questions
What is micro-TESE?
Micro-TESE (microdissection testicular sperm extraction) is a procedure that looks for sperm directly in the testicle, under high magnification, in men with azoospermia. Any sperm found is used for in vitro fertilization with ICSI.
Should a varicocele be operated on?
Not always. Surgery is discussed when the varicocele can be felt and is associated with an abnormal semen analysis in a man trying to conceive, or when it is painful.
Is a single semen analysis enough for a diagnosis?
Not always: results vary from one test to another and are often repeated. They are interpreted alongside the clinical examination and, when needed, hormone tests and ultrasound.
Other specialties
Prostate conditions
Benign enlargement, screening and management of prostate cancer.
Learn moreUrinary & kidney stones
Diagnosis and treatment of urinary and kidney lithiasis.
Learn moreUrinary disorders
Voiding disorders, incontinence and recurrent urinary infections.
Learn moreAndrology & men's health
Sexual health disorders and men's health at every age.
Learn moreUrological surgery
Conventional, minimally invasive and robot-assisted surgery, depending on the indication.
Learn moreDr Najib Abakka's Urology Clinic in Rabat
Dr Najib Abakka's practice is located in Hassan, Rabat.
A urologist in downtown Rabat
Located in Hassan, near the Police Prefecture, the practice is easy to reach from all over Rabat and the surrounding area. We regularly see patients coming from:
- Agdal
- Hay Riad
- Souissi
- Salé
- Témara
- Kénitra