What problems can men have?
Three main areas that can cause infertility issues for men:
1. If there is a hormonal imbalance, sperm production can be interrupted. This can be detected with simple blood tests. If found, most hormonal imbalances can be corrected with medications. Common causes of this include: pituitary gland problems, age, obesity, and low testosterone.
2. Impaired testicular production of sperm. The testicles are just not making sperm. This can have a number of causes.
- Common Causes:
- Exposure to chemicals
- Low testosterone
- A history of undescended testicles
- Testicular cancer
- Cancers and cancer treatments
- Infections or fevers
- Chromosomal abnormalities
3. Post-testicular causes of infertility are due to a blockage of or failure of sperm transport from the testicle to the penis.
- History of hernia surgery
- Cystic fibrosis
- Aspermia (no ejaculation)
- Retrograde ejaculation
The basic infertility evaluation consists of a thorough reproductive history, physical examination, hormonal profile, and semen analysis. Further evaluation may be needed based on the results of these test. Additional test may include genetic testing, sperm testing, and ultrasound of prostate or other urologic organs.
Each patient is treated to optimize his fertility potential based on the results of his evaluation. Medical treatments for infertility include correction of hormonal imbalances, most commonly a low testosterone.
- Varicocele correction
- Microsurgical reconstruction of vas deferens or epididymis
- Testicular biopsy
- Sperm retrieval
- Transurethral resection of ejaculatory ducts
- Vasectomy reversal
Assisted Reproductive Techniques
Depending on a number of factors some couples best option for fertility may be with In Vitro Fertilization (IVF) and ICSI. By partnering with several of our area's leaders in female infertility, we are able to offer our patients the latest techniques with the highest chances of healthy babies.