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Services: Male Infertility

Infertility affects up to 15% of couples trying to conceive. In these couples, a problem only with the man is found in 30%. In another 20% there is both a male and a female factor involved. With both of these groups taken into account the man is found to have an issue half of the time a couple is having difficulty.

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
    • Mumps
    • 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.

Common Causes:

  • Vasectomy
  • History of hernia surgery
  • Cystic fibrosis
  • Aspermia (no ejaculation)
  • Retrograde ejaculation


Evaluation

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.


Treatments

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.


Infertility Treatments

  • Varicocele correction
  • Microsurgical reconstruction of vas deferens or epididymis
  • Testicular biopsy
  • Electroejaculation
  • 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.