Male Infertility

Common causes of male infertility include:

• Cancer treatments
• Chronic (ongoing) health conditions, such as diabetes
• Exposure to certain environmental factors like chemicals
• Genetics
• Infections such as STDs
• Physical injuries
• Problems with the genitals or sperm

After performing a physical exam and asking about your medical history, our caring team discusses your concerns about infertility and makes suggestions to help you conceive a child. We may order additional tests for diagnosis, including:

• Blood tests
• Genetic tests
• Hormone tests
• Imaging tests, such as ultrasounds
• Semen analysis tests
• Testicular biopsy (take a sample of tissue)
• Urine tests

Infertility treatments may include:

• Electroejaculation (procedure to collect sperm using an electric probe) after a spinal cord injury
• Lifestyle changes
• Intra-abdominal robotic vasal (vessel) reconstruction for men with an injury to the vas deferens (duct that moves sperm) from prior hernia repair surgery
• Medications
• Microsurgical Epididymal Sperm Extraction or MESA (retrieving sperm through a surgical incision)
• Percutaneous Epididymal Sperm Aspiration or PESA (retrieving sperm without a surgical incision)
• Retrograde ejaculation treatment (fixing ejaculation so sperm does not enter bladder)
• Retrieving sperm in men who have no sperm in their ejaculate
• Robotic micro-TESE (Testicular Sperm Extraction)
• Robotic vasectomy reversal
• Robotic vasoepididymostomy (reversing a vasectomy)
• Robotic vasosvasostomy (reversing a vasectomy)
• Sperm cryopreservation (preserving sperm by freezing)
• Vasal reconstruction for congenital obstruction (repair blockages)
• Vibratory ejaculation (procedure to collect sperm using vibrations) after a spinal cord injury