Andrology | "Making fatherhood dreams come true"

Advanced blood test for predicting successful sperm retrieval in Azoospermic men

• Testosterone (Free / Total)

• Estradiol

• LH / FSH

• Prolactin

• Inhibin B

• Y Chromosome Micro Deletion (YCMD)

• Karyotyping

Advanced Semen Analysis

Advanced blood test for predicting successful sperm retrieval in Azoospermic men

• Computerized Semen Analysis

• Sperm DNA Fragmentation Index (DFI) by Flowcytometry

• Semen Reactive Oxygen Species (ROS) by Luminometer

• Vitality testing

• HOS testing

Sperm Optimization for successful IUI & IVF

Advanced blood test for predicting successful sperm retrieval in Azoospermic men

Sperm Optimization for successful IUI & IVF

Hormonal and Medical therapies to improve the sperm

morphology
motility
counts

Surgical Sperm Retrieval

Reconstructive Surgeries for blocked sperm tube

Sperm Optimization for successful IUI & IVF

• Testicular Sperm Aspiration (TESA)

• Testicular Sperm Extraction (TESE) by mapping

• Percutaneous Epididymal Sperm Aspiration (PESA)

• Micro-TESE

Reconstructive Surgeries for blocked sperm tube

• Vaso-Epididymal Anastomosis (VEA)

• Vaso-Vasal Anastomosis (VVA)

• Transurethral Resection of Ejaculatory Duct (TURED)

Sexual Medicine & Men's Health | "Reignite Your Desires"

Erectile Dysfunction

Penile Shockwave Therapy

Erectile Dysfunction

• Systematic investigations to find out the cause of ED

• Penile Colour Duplex Doppler imaging to assess the blood flow to the penis

• Advanced investigations in patients with ED to assess the endothelial damage which is a harbinger of cardiovascular diseases like angina, heart attack or stroke

• Personalized treatment protocols to suit the patient’s individual needs with minimal side effects

PRP / P-Shot

Penile Shockwave Therapy

Erectile Dysfunction

• PRP injection into the penis. This can cause neoangiogeneis (new blood vessel formation) thereby treating ED for having better erections

Penile Shockwave Therapy

Sexual Pleasure Enhancement

• Penile Shock wave therapy to increase the intensity of erections and to get back the lost erections

Sexual Pleasure Enhancement

• Penile boosting regimens to augment the sexual pleasure and to intensify orgasms

• Libido Enhancers to reignite your lost vigor

• Lubricant gels for mutual increase in pleasure

• Intravaginal Sildenafil for females

Penile Aesthetics

Sexual Pleasure Enhancement

Ejaculatory Dysfunction

• Increasing the penile length and girth

• Correction of buried penis

• Whitening the groin area

• Penile Curvature Correction

Ejaculatory Dysfunction

Sexual Pleasure Enhancement

Ejaculatory Dysfunction

• Premature Ejaculation / Retrograde Ejaculation / Delayed Ejaculation/ Anejaculation

Detailed examination and investigations will be done and the treatment will be individualized according to the patient’s age and need

• Circumcision surgery for Phimosis

• Vibrator Therapy for Semen Collection

Andropause

Penile Implant Surgery

• Supplementing hypogonadal men with the optimal testosterone dosing can improve their sex drive, muscle mass, bone strength and elevate their mood without causing any side effects

• For hypogonadal men with diabetes, testosterone replacement can increase the sexual performance and improve their glycemic control

Penile Implant Surgery

• Domestic and imported penile implants for men who have failed to respond to their medications. This will make them sex-ready, any time and every time!

• Intracavernous injection of bimix preparation, especially for patients who have failed to respond to oral medications, with contra-indications to drugs or not willing for penile implant surgery.

Venous Leak Surgeries

Penile Implant Surgery

Venous Leak Surgeries

• Venous Leak surgeries for conditions when ED, especially in very young men, is due to increased back flow of venous blood. This might provide a successful solution for ED without the need for medicines or with concomitant usage of Vacuum Erect Devices.

Peyronie’s Disease

Geriatric Sexual Health Care

Venous Leak Surgeries

• With our advanced treatment options, the plaques on the penis can be reduced and thus the curved penis can be treated which will lead them to have a normal sex

• Our treatment strategies include medications, shock wave therapy and penile stretching/traction devices

Geriatric Sexual Health Care

• Age is never a criteria to have sexual abstinence, provided the men are not being a menace to their family and the society

• We provide exclusive geriatric sexual advice to counsel them on myths and misconceptions in sexual longevity

Sex Therapy

Geriatric Sexual Health Care

• For couples who are having trouble in their sex life

• Non-Consummated Marriages

• For newly married couples facing performance anxiety or fear of sex

Regenerative Medicine | "You carry your own reparing kits"

Male Infertility (Experimental)

Erectile Dysfunction (Experimental / Expert Opinion)

o In many patients failed sperm retrieval only gives them an opportunity for therapeutic donor insemination (TDI) or donor IVF. This creates an extreme situation for the couple to decide on the donor sperm.

o At Andregn, we provide an experimental option of spermatagonial cells regeneration only under research protocol. After optimizing the testicular environment for better sperm production, Platelet Rich Plasma (PRP) or Autologous Bone Marrow cells (BMMNC) will be injected intratesticularly. This can increase the chance of spermatogonial regeneration. Further a sperm retrieval can be tried for ICSI/IMSI by TESE/Micro-TESE which provides infertile men an opportunity to become a biological father.

Erectile Dysfunction (Experimental / Expert Opinion)

o Erectile Dysfunction occurs in young & middle aged men due to accelerated vascular aging & diabetes being one of the most important cause among all. After assessing the cause of ED, patients who have failed to attain satisfactory erection with Viagra like drugs or young patients with mild to moderate ED, who wanted to regain their natural erection, will be given an experimental option for intracavernous injection of PRP with an intention of neoangiogenesis only under research protocol.

o This along with their lifestyle modifications can be beneficial and may require repeated injections every once in six month’s interval depending upon their response and needs.

Penile shockwave therapy

Adjuvant Therapy for Penile Rejuvenation in Erectile Dysfunction

Erectile Dysfunction is a very distressing condition for men of any age especially in young men. One of the common reasons being the vascular dysfunction. The penile arteries lose their compliance (elasticity) and their ability to produce nitric oxide. The resultant is stiff arteries which doesn’t engorge when there is a sexual demand. This condition is a part of a syndrome called Early Vascular Aging, where the vascular age of a man is higher than the chronological age. For example, men around the age of 30, could be having a vascular age of 45 and more. Since the advent of Viagra and Cialis like drugs in the market, the need to assess & evaluate the patient with erectile dysfunction has gone down drastically. As these drugs corrects the symptoms, ie., poor erection, without correcting the underlying cause, ie., the vascular problem. Due to this, the underlying the problem when it to gets to an advanced stage, the above drugs loses its effectiveness.

At Andregn Clinic, we have efficient vascular screening technologies and protocols to assess the vascular age and endothelial health of men. By doing this we provide personalized and comprehensive treatment for men with erectile dysfunction. In continuation of our advanced men’s health services, we have introduced, Penile Shock Wave Therapy.

We are happy to announce that for the first time in Trichy at Andregn Clinic we have started a Low Intensity Penile Shock Wave Therapy. It’s a very convenient, day care treatment without medicines or injections. The patients just have to lie down on a bed and our therapists will provide shock waves to their whole length of the penis. This works by revascularization and by improving the vascular compliance. Total of 8-12 such sessions are required to increase their strength of erection. It’s a non-invasive approach to treat erectile dysfunction without drugs or injections. Also there is no side effects of this treatment as the vibrations like shock waves are only delivered on the penis.

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Treatment can be scheduled prior for outstation patients. Consult our doctor to know more about this treatment.

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Vibrator Therapy

Anejaculation and IUI semen collection

Anxiety or Diabetes induced anejaculation

Many diabetic men suffer from retrograde and anejaculation. Vibrator therapy helps them to ejaculate and provide semen for IUI or ICSI. Also, they can be trained to ejaculate normally during sexual intercourse.

Few men will face trouble in providing semen for IUI or ICSI due to anxiety. Assisted vibratory therapy can help them to provide semen.

Men with spinal cord injuries will have a loss of the ejaculatory reflex. Assisted vibratory therapy can help them to provide semen.