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Overview

Male infertility is present in up to half of all infertile couples. Prior to any female treatment, it’s important for the male partner to be evaluated. Male infertility may have several causes. The skilled andrologists at Northwell Health Fertility have extensive experience identifying signs of male infertility. The purpose of the office visit is to diagnose the reason for male infertility and also assess the patient’s overall health. 


What to expect

A detailed history will be taken, including medication and surgical history, environmental exposure, and any erectile or ejaculatory dysfunction. The cornerstone of the evaluation is the semen analysis. A specimen is collected at home or at the laboratory. An abnormal semen analysis should always be repeated. If it remains abnormal, an evaluation by a male infertility specialist is advised. 

We can also provide retrograde analysis if needed. Retrograde ejaculation is a disorder that causes the semen to be released backward into the bladder during ejaculation. Urine is collected and studied to determine if there is retrograde ejaculation present.


Treatment

Based on the diagnosis, our experts can determine the best treatment approach for the man and/or couple. This may include:

  • Medications (such as an antibiotic for a prostate infection or a pill to increase testosterone levels)
  • Surgery (such as the surgical repair of a varicocele or an operation to bypass a blockage)
  • Anti-sperm antibodies
  • Sperm washing
  • Sperm processing for intrauterine insemination (IUI)
  • Cryopreservation (sperm freezing) and thaw
  • Artificial insemination (IUI)
  • In vitro fertilization (IVF)
  • Microepididymal sperm aspiration (MESA): Urologist obtains sperm from part of the male reproductive tract. The collected sperm are then frozen until the eggs are ready to be fertilized.
  • Testicular excisional sperm extraction (TESE): A small portion of testicle tissue is removed and explored for immature sperm.
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