Infertility Treatments
Male infertility can be caused by multiple factors including abnormal sperm production, motility, blockage of delivery of sperm, or low sperm production, About 15% of couples have trouble conceiving and 40-50% of the time it is because of a male infertility issue.
This is an emotionally complex and difficult journey for both partners. Some may feel a gambit of emasculating emotions like guilt, anger, insecurity, and inferiority. If you think you may have male factor infertility or are having trouble conceiving schedule a consult. We will help you get to the root cause of your issue so we can help you create the family you want.
The workup generally starts with a semen analysis. You will need to abstain from sex for a few days before the test. The reason for the this is because sperm is continuously being made by your body, but daily ejaculation results in decreased amounts of sperm in each. This could result in less than optimal results even though you may be making enough sperm. You generally don’t want to wait longer than 5-6 days though because just as sperm are constantly being made, they also die. A semen analysis looks at the amount of living, motile and dead sperm and you don’t want to artificially skew the results.
We will also check different labs, including hormones, to make sure they are in normal range. Once we have all the pieces of the puzzle we will make sure you are on the proper medications or referred to the proper infertility specialists.
Vasectomy Reversal
For those men with a history of vasectomy Jersey Urology offers vasectomy reversals. During this procedure we will reconnect each vas deferens that was initially cut to prevent pregnancy. After a successful vasectomy reversal sperm will again be present in your sperm and you may be able to get someone pregnant again. This, however, is not a guarantee. Pregnancy rates after a reversal range from 30-90%.
Many factors affect whether a vasectomy reversal will be successful including time since vasectomy, partner age, and whether you had infertility issues prior to your vasectomy. The more time has past after your initial vasectomy the less likely a reversal will be successful.
Varicocelectomy repair
A varicocele is a swollen vein in the scrotum. These occur when blood doesn’t flow efficiently out of the scrotum. They usually form during puberty and develop over time. They may cause some discomfort, but are often asymptomatic. They can, however, be a cause of male factor infertility.
A varicocelectomy can be done to remove the varicoceles by cutting the veins and tying the ends. By restoring normal blood flow to and from the testicle sperm parameters may improve and increase your chances of conceiving.