Male Infertility

Approximately 5-10% all couples will be diagnosed with infertility after trying to conceive for one year.  In about half the cases, male infertility will be a contributing factor.  Causes of male infertility include abnormal sperm production, abnormal sperm function, impaired sperm delivery or exposure to environmental factors. We help you determine where the problem lies and offer you options of treatment to help you start your family.

Diagnosis of male infertility involves an array of testing.  It starts with a thorough history, physical examination and two separate semen analyses.  Depending on these results we may proceed with testicular ultrasounds, prostatic ultrasounds, hormone blood testing, genetic testing, testicular biopsies and special sperm function testing.

Common causes of male infertility are varicocele, infections, testosterone deficiency, hormonal disorders, blockage of the vas deferens (tube that carries the sperm away from the testicle), chromosomal abnormalities, hypospadias or exposure to certain chemicals.

Varicocele

This is a condition that causes swollen veins in the testicle.  This prevents normal cooling of the testicle.  This in turn prevents normal sperm production, leading to decreased sperm count and motility.

Varicocele Repair – We offer the latest microscopic correction of varicoceles.  A small incision in the groin is made.  Using a microscope all dilated testicular veins are identified and ligated (tied off).  Within 3-6 months sperm production, count and motility improve.