The first step to diagnosing a male fertility problem 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.
Our urologists are 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 room microscope has been found to be very successful in reversing the obstruction in certain patients. In addition, other types of obstruction causing infertility can also be surgically corrected.
In many cases, cases a mix of medications, surgical approaches and assisted reproductive techniques are able to overcome fertility problems.
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