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Male Fertility

Approximately 15% of couples are unable to conceive after one year of unprotected intercourse...

Approximately 50% of couples struggling with infertility will have a male component present as a contributing factor! Almost 20% of these couples will have a male factor present as the isolated cause. Therefore, it is crucial that all males be properly evaluated in a timely fashion if infertility is suspected. We believe that both partners should be evaluated simultaneously to avoid unnecessary testing and delays if a male factor be diagnosed.

There are multiple facets of male infertility. Sometimes a varicocele, dilated veins surrounding the testicle(s), is identified. Varicoceles can potentially lower sperm counts and quality. Additionally, it is very common for men to experience temporary erectile or ejaculatory dysfunction when dealing with stress of infertility. Other times, the male may have had a previous vasectomy and is now interested in future fertility.  These couples' reproductive options are vasectomy reversal versus proceeding directly with in vitro fertilization (IVF).

Male fertility is also important for men who will be undergoing cancer treatment which can place their future fertility at risk. Fertility preservation counseling is very important for these men PRIOR to starting treatment. Lastly, some men may need for sperm to be extracted directly from their testicles (sperm extraction). The reasons for needing this type of operation are quite variable and complex. Fortunately, for men with no sperm in their ejaculate (non-obstructive azoospermia or NOA), studies indicate there is approximately a 50% chance of finding sperm at the time of microsurgical testicular sperm extraction (micro-TESE).

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