Male Infertility

Fifteen percent of couples trying to conceive are unsuccessful after 12 months. A male factor can be identified in 40% of these couples. Our urologists provide personalized care for male infertility.

Risk Factors for Male Infertility:

  • Obesity
  • Diabetes
  • Neurological disease
  • Pituitary disease
  • Substance abuse
  • Ductal obstruction (including vasectomy)
  • Varicocele (varicose veins around the testis)
  • Chromosome abnormalities

Male Infertility Symptoms:

  • Issues with sexual function
  • Low sperm count
  • Decreased facial or body hair

How We Diagnose Male Infertility:

Evaluation begins with:

  • A thorough history and physical examination
  • Semen analysis
  • Hormone assessment

When appropriate, additional evaluation with scrotal ultrasound and genetic testing are used. Urology Associates offers patients advanced semen analysis testing with “strict criteria” morphology through Moreland lab. Strict criteria morphology is a useful tool in predicting outcomes in advanced reproductive treatments, including in vitro fertilization.

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Treatment Options:

  • Hormone therapy
  • Medication
  • Surgery

Ideally, couples with fertility complaints should be managed simultaneously with evaluation and treatment of both partners through an obstetrician/gynecologist and reproductive urologist.

Male infertility is most often due to problems with sperm production or with sperm delivery.


Testicular Sperm Extraction (TESE)

Testicular sperm extraction is a procedure performed when the patient is under anesthesia, and involves the urologist removing a sample of tissue from the testicles in order to harvest sperm.

Microsurgical Epididymal Sperm Aspiration (MESA)

Microsurgical epididymal sperm aspiration is a procedure in which sperm is collected from an epididymal tube within the scrotum in order to make fertilization possible.

Meet Our Doctors

Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility.