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Male Infertility

Infertility should be suspected when a couple is unable to have children after trying for 6 months.  The problem may lie with the man, the women or the sexual interaction of the couple.

When you arrive for your appointment with Dr. Lazare, he will talk to you, examine you, and perform a sperm analysis.  The sperm analysis measures the concentration of sperm, the appearance of the sperm or morphology, and the motility of the sperm or how well they swim.  Finally, Dr. Lazare may perform an ultrasound of your scrotum or an ultrasound of your prostate.

*Introducing Dr. Lazare

The following is a list of the most important causes of male infertility.

A varicocele refers to dilate veins that drain the testicle.  This results in poor oxygen delivery to the testicle.  This condition is curable with surgery.

Undescended Testicle or Cryptorchidism. If you were born with an undescended testicle your risk of infertility is higher than average.

Hormone Abnormality. Sperm production requires a normal hormone environment.

Prior Surgery. Operations that can interfere with male fertility include hernia repair, prostate surgery, and surgery for testicular cancer.

Chromosomal Abnormalities. Chromosome disorders causing male infertility include Klinefelter’s syndrome and Cystic Fibrosis.

Testosterone Supplements. Over the counter supplements are a major cause of male infertility.

Recreational Drugs. Drug use, including cocaine, can affect sperm production.

Chemotherapy. Medicine used to treat cancer can lead to male infertility.

Sexual Problems. These include erectile dysfunction, premature ejaculation and poor timing of intercourse.

The treatment of male infertility depends upon the underlying cause.  The Microscopic Varicocelectomy procedure is appropriate for men with an abnormal semen analysis and a varicocele. The procedure involves isolating the large veins draining the testicle, with the aid of the microscope, and then tying them.  The operation is performed via a very small incision in the upper scrotum.  *The procedure takes less than 2 hours.  *It is performed as an out-patient and the patient often returns to work the next day.

*The procedure is low risk.  Damage to the arterial blood supply to the testicle is a rare complication.  *The procedure produces a significant improvement in sperm analysis parameters in the majority of cases.