Today I want to talk to you about male infertility and what treatments offer US clinics to cure this problem.
Infertility as a whole is extremely common. It is estimated that one in eight couples in the United States suffers from infertility. Forty percent of the cases it is due to a male factor. The initial evaluation for male factor infertility would comprise of a semen analysis as well as a thorough history of one’s own health and family history. It is really important to do those early on in the process. What we try to do here is from the onset treat the couple as a couple and assess the male component and the female component. So we have information to make our decisions. The more information you have, the better the decisions can be. The history for male infertility compasses:
- a history of undescended testicles or a hernia repair;
- surgeries to the inguinal or scrotal region;
- history of toxic exposures whether it is chemotherapy, smoking or environmental toxins;
- use of prescription drugs that can affect male fertility: calcium, channel blockers;
- family, medical, and fertility history.
Based on the initial evaluation, we can then determine what else needs to be done. For example, blood tests looking at genetic causes of infertility, hormonal imbalances, ultrasonography sometimes indicated to look out or to diagnose dilated veins, which are called varicocele or looking for testicular lesions, including ruling out the presence of cancer. These are all crucial parts of the workup that would be initiated, when the preliminary evaluation suggest a problem.
Also part of the evaluation is to look and assess the male’s health. Just because one has a low sperm count and we offer the state-of-the-art technologies to overcome that, but it does not mean that we shouldn’t make sure that the male is healthy. A low sperm count can be an indicator of conditions such as hypogonadism, which means a low testosterone. Men need testosterone for maintaining libido, sexual performance, but it is also crucial for muscle mass and bone health.
I work closely with the world’s leaders in female infertility. So that the care is coordinated, we interact daily patients, really get input from both the male and female experts in the field. So that the plan is individualized and not delayed because of the level of communication that we have. Everything is done on site. So that retrievals are done without transferring samples from one facility to the other. And we really believe and are committed that this type of coordination delivers the best fertility care anywhere. We offer state-of-the-art therapies including:
- hormonal and medical therapies;
- microsurgical reconstruction including vasectomy, varicocele repair;
- ICSI – intracytoplasmic sperm injection;
- Microscopic testicular sperm extraction;
- for spinal cord patients we offer electroejaculation.
We offer treatment for male factor infertility. With the hope that the least invasive technologies can be utilized to achieve a pregnancy in an expeditious fashion.