Male Infertility

Male Infertility Specialist
Many couples may be surprised to hear that male infertility is almost as likely as female infertility to be involved in a couple’s inability to achieve pregnancy. Dr. Mick Abaé and his team of fertility specialists at Fertility & Genetics in Plantation, Florida, can diagnose what’s causing the issue and develop a treatment plan to help you realize your dream of building a family. They serve the communities of Broward County, as well as South Florida and the surrounding areas of Miami, Ft. Lauderdale, and Palm Beach. Contact the clinic to schedule your consultation today.

Male Infertility Q & A

Fertility and Genetics

What Causes Male Infertility?

Male infertility is caused by a number of conditions or factors and may include:

  • Varicocele
  • Azoospermia, or complete absence of sperm
  • Problems with the vas deferens or epididymis
  • Hormonal problems
  • Genetic factors
  • Certain illnesses  
  • Environmental factors and lifestyle
  • Injury

What is Male Infertility Testing?

A semen analysis is generally the first male infertility test performed during a couple’s fertility assessment at Fertility & Genetics. Semen is the fluid released during male ejaculation. This fluid contains and carries the sperm cells required for reproduction. It’s best to have a semen analysis done twice, a few weeks apart for the most accurate results because the same man can have different results at different times.

A semen analysis can identify several issues, including:

  • Complete absence of sperm (azoospermia)
  • Low sperm count (oligospermia)
  • Abnormal sperm shape (teratozoospermia)
  • Problems with sperm movement or motility (asthenozoospermia)
  • Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead

Hormones also control sperm production. Your fertility specialist may recommend a simple infertility hormonal testing procedure. This involves measuring the levels of testosterone, FSH, and LH in your blood. High or low levels of any of these hormones can have significant effects on sperm production and a man’s ability to have sex.

What is the Most Common Cause of Male Infertility?

The most common identifiable cause of infertility in men is varicocele. This is a condition in which enlarged veins in the scrotum interfere with proper temperature and hormonal regulation of the testicular tissue. These veins normally circulate blood away from the testicles, thus performing a cooling function. When there is a partial vein blockage, blood circulation decreases and the temperature of the testicular tissue increases.

What are the Treatments for Male Infertility?

Treatment varies depending on the condition causing infertility. A varicocele, for instance, can be treated surgically by a urologist. Varicocele repair has been reported to improve spermatogenesis in 50-80% of patients, and as many as 30-40% initiate a pregnancy after the procedure.

Other treatments may include testicular sperm aspiration (TESA) or microscopic epididymal sperm aspiration (MESA). During these procedures, healthy sperm are collected and introduced to the donor egg through various forms of artificial insemination.

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