Fertility treatments for men Treatment will depend on the underlying cause of the infertility. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Varicocele: Surgically removing a varicose vein in the scrotum may help. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. If the epididymis is blocked, sperm may not be ejaculated properly. Best Fertility Care Centre, Advanced Fertility Care Centre , Maternal & Child Health Care Centre, Ashwini Hospital & Fertility Centre Moondrumavadi K.Pudur Madurai-07.