Specialist in Male Infertility Joins Reproductive Medicine

Terlecki Ryan
Ryan Terlecki, M.D., a specialist in male infertility, is part of the Center for Reproductive Medicine team. He is an assistant professor in the Department of Urology.

Having Dr. Terlecki available for consultation enables the center to offer comprehensive evaluations of both partners in a single visit. About one-third of infertility cases can be attributed to male factors, which include sperm disorders, obstruction of the sperm passage, dilated scrotal veins, and retrograde ejaculation, which is when semen travels backwards into the bladder instead of out the penis.

Dr. Terlecki is experienced with the full range of treatments – from medications for hormonal disorders to corrective surgical procedures. For example, a minimally invasive, outpatient procedure is used to repair dilated scrotal veins, a condition known as varicocele, which may impair sperm development by preventing proper drainage of blood.

In the case of a previous vasectomy, surgery using an operating microscope has been found to be very successful in reversing the obstruction in appropriately selected patients. In addition, other types of obstruction causing infertility can also be surgically corrected.

The first step is a thorough evaluation, which includes a physical exam and semen analysis. Additional testing can include a hormone analysis, imaging studies to check for obstructions in the sperm passage and a testicular biopsy (performed in an outpatient setting) to determine the cause of infertility.

In many cases, medical management, surgical approaches and
intra-cytoplasmic sperm injection are able to overcome fertility problems.

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Last Updated: 10-21-2014
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