Male infertility, erectile dysfunction, low testosterone, premature ejaculation, varicocele, phimosis — these are conditions millions of Indian men carry silently, often for years, because the conversation feels too awkward to start. It shouldn't be.
Dr. Deepesh Kalra runs a dedicated confidential men's health OPD at Kalra Endo-Uro Care. Same direct, modern, judgement-free care — for the conditions men have been told are theirs alone to deal with.
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Around half of all men over 40 experience some degree of erectile dysfunction. Around 15% of couples struggle with conception, and in roughly half of these cases the male factor contributes. Varicocele affects about one in seven men. Low testosterone affects up to 40% of men over 45. Premature ejaculation affects nearly one in three men at some point.
These aren't rare conditions. They're extremely common. And yet — particularly in India — most men carry them for years before seeking help, because the conversation is awkward, the GP doesn't know where to refer, and the internet is full of advertising disguised as medicine.
The result: men with treatable infertility never have a child. Men with treatable ED never recover function. Men with treatable low testosterone live with brain fog, fatigue, and low mood for years. Couples drift apart. Marriages break. Treatable conditions become hard ones, simply because nobody started the conversation in time.
The consultation room is private. Records are confidential. Even with insurance, the diagnosis is yours alone — not your family's, not your office's. We protect this strictly.
Embarrassment is the biggest barrier to men's health. We approach every condition the same way we'd approach a kidney stone — clinically, directly, without moralising.
Modern andrology has come a long way. We treat with the same standard of care a tertiary hospital would offer — not with unverified "alternative" or "traditional" formulas.
Andrological problems often have underlying causes — metabolic, hormonal, vascular, psychological. Treating the symptom alone rarely works. We find the cause.
You can come alone, with your partner, or with a family member — whatever feels right. Many of our infertility consultations are couples; many of our ED and PE consultations are men alone. There is no expected format.
In about half of couples struggling to conceive, the male side contributes. Most cases are treatable — sometimes with surgery, often without. Learn more →
Often the first sign of underlying vascular disease. Modern treatment works in the vast majority of cases — PDE5 inhibitors, lifestyle, hormonal or vascular correction. Learn more →
One of the most under-treated men's health conditions. Behavioural, topical, and oral treatments are all evidence-based and effective. Learn more →
Affects up to 40% of men over 45. Fatigue, low libido, brain fog, muscle loss — symptoms often blamed on ageing that are actually treatable. Learn more →
Enlarged scrotal veins — the single most common surgically treatable cause of male infertility. Microsurgical repair restores fertility in many couples. Learn more →
Fluid collection around the testicle. Painless, benign, usually easily fixed with day-care hydrocelectomy when treatment is needed. Learn more →
Inability to retract the foreskin. Common, treatable with creams in mild cases or with circumcision when severe. Paraphimosis is an emergency. Learn more →
Scar tissue causing penile curvature and sometimes pain. Best addressed early. Treatment depends on the phase — acute or chronic. Learn more →
Causes range from infection to torsion — a surgical emergency where every hour matters. Sudden severe one-sided pain needs urgent care. Learn more →
Lumps, spots, skin conditions, sensation changes. Most are benign. The few that aren't, you want caught early. WhatsApp a photo first if you'd prefer. Learn more →
Modern stapler-based circumcision in under 15 minutes. No stitches, no visible scar, faster healing. The current global gold standard. Learn more →
In around half of couples struggling with conception, the male side contributes. Most of the time, the male side is treatable.
Male infertility means the inability — over 12 months of regular unprotected intercourse — to achieve pregnancy with a fertile female partner. It's a couple's diagnosis, but the male contribution is something we can assess with one simple test: a semen analysis.
Common causes include:
The standard workup: semen analysis (two samples), hormonal panel (testosterone, FSH, LH, prolactin, TSH), scrotal ultrasound, and selected genetic tests if indicated.
Treatment depends entirely on the cause. Varicocele responds well to microsurgical repair. Hormonal causes respond to medical therapy. Lifestyle causes respond to lifestyle change. Obstructive causes may need surgical correction. Where natural conception isn't possible, we coordinate with reproductive medicine partners for IUI, IVF, or ICSI.
ED is common, treatable, and often an early warning sign of broader health issues.
Erectile dysfunction (ED) is the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity. Occasional difficulty is normal — at any age. Consistent or progressive ED is a medical condition, not a personal failing.
ED has two broad categories of cause:
The workup includes a focused history (situational vs persistent, morning erections, partner factors), targeted blood work (testosterone, lipid profile, HbA1c, prolactin), and rarely penile Doppler ultrasound for selected cases.
Treatment options:
Premature ejaculation affects nearly a third of men at some point — and modern treatment works.
Premature ejaculation (PE) is defined by ejaculation that consistently happens sooner than a man or his partner would like — often within a minute of penetration — and causes distress or interpersonal difficulty. There are two patterns:
Treatment options that actually work:
PE is one of the most under-treated conditions in men's health because the conversation rarely starts. The medical solutions are evidence-based and effective — most men see meaningful improvement within the first treatment cycle.
Low testosterone (hypogonadism) affects up to 40% of men over 45 — and the symptoms are often blamed on "ageing."
Testosterone is the principal male hormone. It declines naturally with age — about 1% per year after 30 — but in some men the decline is faster or starts earlier, producing symptoms that are easy to attribute to "getting older" when they're actually treatable.
Common symptoms of low testosterone:
The workup: total testosterone measured on a fasting morning blood sample (between 8–10 AM, when levels peak). Confirmation with a second sample. Additional tests: free testosterone, SHBG, LH, FSH, prolactin, full blood count, lipid profile, HbA1c. Sometimes pituitary MRI in selected cases.
Treatment options:
Varicocele affects about 1 in 7 men and is the single most common surgically treatable cause of male infertility.
A varicocele is an abnormal enlargement of the pampiniform plexus — the network of veins that drain the testicle. It's essentially varicose veins, but inside the scrotum. Most varicoceles occur on the left side because of the way the left testicular vein drains.
Varicoceles are graded from 1 to 3 based on examination, and are extremely common — often discovered incidentally. Many cause no symptoms. But they matter when they do, because they're associated with:
When to treat: A varicocele that's painful, associated with infertility, or causing testicular atrophy generally warrants treatment. Asymptomatic small varicoceles in fertile men usually do not need surgery.
Treatment options:
A painless scrotal swelling that's almost always benign — and almost always easily fixed.
A hydrocele is a collection of fluid in the tunica vaginalis — the thin sac that surrounds the testicle. It causes a soft, painless scrotal swelling that may be one-sided or bilateral. Hydroceles can be congenital (present from birth) or acquired (developing later in life).
Common features:
When to treat: Small asymptomatic hydroceles often need no treatment. Larger or symptomatic hydroceles, hydroceles affecting hygiene or causing embarrassment, or hydroceles in children that don't resolve by age 1–2 should be treated.
Treatment options:
Most hydrocele surgery is day-care or single-overnight admission, with recovery to normal activities in 7–10 days.
Phimosis is common — and modern treatment is far less daunting than older techniques.
Phimosis is the inability to retract the foreskin behind the head of the penis. It can be:
When it matters:
Treatment options:
A condition that's far more common than men realise — and one most don't bring up.
Peyronie's disease is a condition where scar tissue (plaque) develops under the skin of the penis, causing the penis to curve, bend, or shorten during erection. It can also cause painful erections and difficulty with intercourse. The cause is usually micro-trauma during intercourse that doesn't heal normally.
The condition has two phases:
Treatment depends on the phase and the severity:
Peyronie's is best addressed early. Treatment in the acute phase has different goals (limit progression) than in the chronic phase (correct deformity).
Testicular pain has many causes — some benign, some emergencies. The first step is always to find out which.
Testicular or scrotal pain is one of the most common reasons men present to a urologist. The causes range from emergency conditions that need surgery within hours, to chronic conditions that need a long-term plan.
Causes worth knowing:
Most penile concerns turn out to be benign. The few that aren't, you want caught early.
We see a wide range of penile presentations at the men's health OPD — and we treat them with the same matter-of-fact approach as any other body part. Common reasons men attend:
If you're not sure whether what you're looking at is normal — the cost of a 20-minute consultation is much less than the cost of a year of worry. Send a photo over WhatsApp if you'd rather not come in for the first conversation; we can usually tell you whether it warrants in-person review.
Modern stapler-based circumcision — for adults and children. Less pain, faster healing, no visible scar.
The ZSR (Zhonghuan Stapler) circumcision uses a disposable stapler device to perform circumcision in a single, precise step. The foreskin is removed and the wound is simultaneously closed with a ring of tiny absorbable staples that fall off naturally over 10–14 days. There are no stitches, no thread to remove, and no visible scar.
ZSR is indicated for:
Why ZSR over traditional circumcision:
The procedure is done as day-care under local or spinal anaesthesia. You walk in, walk out, and recovery is typically straightforward with simple home care.
Not slotted between unrelated patients. A confidential consultation with privacy by design — separate waiting flow if needed.
Many andrological issues need surgical solutions — varicocele, hydrocele, phimosis, infertility surgery. We diagnose and treat under one roof.
We treat ED, premature ejaculation, and infertility like we treat kidney stones — as medical conditions with evidence-based treatments.
For infertility cases that need IVF, ICSI, or advanced reproductive treatments, we coordinate with reputable partner centres. No commissions, no kickbacks — just the right referral.
| Service | Starting from |
|---|---|
| Confidential consultation | ₹ [____] |
| Semen analysis | ₹ [____] |
| Hormonal workup (full panel) | from ₹ [____] |
| Scrotal ultrasound + Doppler | from ₹ [____] |
| Microsurgical varicocelectomy | from ₹ [____] |
| Hydrocelectomy | from ₹ [____] |
| ZSR Circumcision (adult) | from ₹ [____] |
| Traditional circumcision | from ₹ [____] |
| Penile Doppler (for ED) | from ₹ [____] |
| Testosterone replacement (monthly) | from ₹ [____] |
Varicocele, hydrocele, circumcision (when medically indicated), and infertility workups are typically covered by major Indian health insurers. ED medications and some andrological consultations may not be covered. We bill discreetly and avoid conditions that might trigger workplace insurance flags where you'd prefer privacy.
After five years of trying, we'd almost given up. Dr. Kalra found a varicocele on the first visit. Six months after the surgery, my wife was pregnant.
Yes. The consultation room is private. Your records are confidential and not shared with family members, employers, or anyone else without your written consent. For insurance claims where you'd prefer privacy, we use diagnostic coding that doesn't disclose specifics. If you want even greater privacy, you can pay privately — many andrology patients do.
Whatever works for you. Infertility consultations are often most useful with both partners present. ED, PE, and testosterone consultations are usually done alone but some men bring their partners — it's your choice. There is no expected format.
No. Medical confidentiality is absolute. With insurance, the claim shows a urology consultation — not a specific andrological diagnosis. If your concern is workplace insurance, paying privately for the consultation is an option many patients choose.
Yes. A focused andrology evaluation is far more thorough than what a generalist can do in a routine consultation. For persistent ED, infertility, or low-T symptoms, a specialist workup — including the right blood tests, semen analysis, and ultrasound — finds causes that a GP visit will miss.
The first visit usually takes 30–40 minutes — longer than a typical OPD visit. We take a detailed history, do a focused examination, and discuss the workup plan. Follow-up visits, once we have test results, are usually 15–20 minutes.
Only if you're being evaluated for infertility or certain andrological conditions. Semen analysis is done at a partnered diagnostic centre or our facility, with discreet specimen collection arrangements. Two samples, 2–3 weeks apart, are usually needed for accurate assessment.
The standard andrological medications — PDE5 inhibitors (sildenafil, tadalafil), dapoxetine, SSRIs for PE, testosterone replacement when properly monitored — all have well-established safety profiles. We avoid the unverified "alternative" or "herbal" products marketed aggressively in this space — they have unpredictable efficacy and sometimes contain undisclosed active ingredients.
Yes — for visible concerns (lumps, skin changes, post-circumcision queries), WhatsApp photos can help us tell you whether you need an urgent appointment, a routine one, or whether the concern is benign and doesn't need a visit. WhatsApp +91 9509370455. Photos remain confidential.
We don't do IVF in-house. We do the complete male side of the infertility workup, treat conditions we can treat (varicocele, hormonal issues, obstruction), and coordinate with reputable reproductive medicine partners for IUI, IVF, or ICSI when needed. We do not take commissions for referrals.
TRT is safe and effective when indicated, properly dosed, and properly monitored. It is not for every man with fatigue. We use it only after confirming low testosterone on two separate morning samples, ruling out other causes, and discussing the long-term commitment. Monitoring includes haematocrit, PSA, and cardiovascular risk.