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Male Infertility - Treatment

Overview | Causes | Diagnosis | Treatment | FAQ

Infertility treatment depends on the cause, how long you've been infertile, the age of the partners as well as personal preferences. Some infertility causes may not be correctable, but many can. Medical or surgical therapies as well as behavioral modification approaches are used to care for these problems. These fertility care methods are commonly used to treat male fertility issues.

Increase frequency of intercourse. Men may experience improved fertility by having intercourse two to three times a week. An egg can be fertilized for up to 24 hours after ovulation, and sperm live in the female reproductive tract for up to 72 hours.

Common sexual problems. Helping couples have regular intercourse by treating impotence can lead to improved fertility.

Medical therapy is often used to treat imbalances that can cause infertility. Sometimes antibiotics are prescribed when infection in the genital tract is found. Certain medications such as Clomiphene citrate or HCG are used to reverse the negative effects of testosterone treatment on sperm production.

Surgical therapies can improve sperm production as well. Microsurgical varicocele ligation can help improve sperm production in many men with a varicocele (a common cause of low sperm count). Other surgical techniques are used to relieve obstruction as a cause of infertility.

Microsurgical vasectomy reversal or sperm retrieval techniques can help men father children after having had a vasectomy. Talking to your urologist can help determine what is your best option for fatherhood after a vasectomy.

Testis Biopsy, Testicular Sperm Extraction (TESE) or microsurgical TESE are surgical procedures often used to diagnose men with no sperm at all (Azoospermia) and can even help these men become fathers.

Intracytoplasmic sperm injection. In cases where sperm production is extremely low or even when there is no sperm in the semen, intracytoplasmic sperm injection (ICSI) may be an option. If necessary, sperm is taken directly from the testicles using TESE or micro-TESE and injected into an egg in the laboratory setting. This is done in careful coordination with the female partner’s fertility specialist.

Intrauterine insemination. An office procedure in which semen undergoes a "cleansing" process, after, the sperm are then placed into the uterus using a small plastic catheter inserted through the cervix. This method is typically used when couples possess only slightly abnormal semen analyses.

Urologists at Urology Clinics of North Texas are trained to treat men with infertility and look forward to helping these men start a family. Click here to request more details or an appointment with a board-certified urologist.