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Male Treatment Options

Medications

The conservative treatment of male infertility may involve medical therapies such as hormonal stimulation, antibiotics, antihistamines, or a variety of surgical procedures to improve the production, quality, or motility of sperm.

Non-Surgical Sperm Aspiration (NSA)

NSA is a procedure to obtain sperm directly from the testicle using a needle.  It is used when the sperm count is exceptionally low or when there is no sperm in the semen due to vasectomy or other types of duct obstructions.  NSA also is an alternative to vasectomy reversal.

Intracytoplasmic Sperm Injection (ICSI)

ICSI, a recent revolutionary breakthrough in fertility treatments, is another means of placing sperm and eggs together in the laboratory setting.  In this procedure a single sperm is injected directly into an individual egg retrieved from the woman’s ovaries.  ICSI can result in pregnancy even in the most severe forms of male infertility as long as there are viable sperm available.

Diagnostic and Therapeutic Testicular Biopsy

A simple outpatient procedure for accurate diagnosis, or therapy, a testicular biopsy is invaluable for selected male factor infertility cases.  Our pathology and genetics researchers are on the forefront of these new technologies; they can process and analyze testicular tissue for genetic or other abnormalities in conjunction with the procedure.

Vasectomy Reversal

Patients at times decide to undergo a vasectomy as a method of birth control where the male partner has a ligation of the ducts that bring sperm as a form of contraception.  When patients want to have children again, physicians can bring these tubes together with microsurgical techniques under a microscope and allow for the sperm to reach the ejaculate for a natural conception.  The procedure is generally done on an outpatient basis, with an easy and quick recovery.

Donor Sperm

Male partners, in spite of undergoing multiple treatment attempts and surgeries, are sometimes still unable to produce sperm.  After extensive counseling and discussion with the couple, the decision is made to use a sperm donor to achieve the dream of a child.  We have extensive lists of screened sperm donors available for these cases, and couples can choose their sperm donor in the privacy of their homes.  Following the selection of a sperm donor, the female partner is then monitored to determine the optimal time for ovulation and then an intrauterine insemination (IUI) is done with donor sperm on an outpatient basis.  It only requires a few minutes for the patient to be in the office and she can resume her normal schedule thereafter.