Male Factor Infertility

Treatment of male infertility depends on the cause of infertility and should only be determined after a complete evaluation by a urologist. Treatment options may include simple lifestyle changes, medications, and/or surgery. Most surgeries for male infertility are optimally performed with the use of an operating microscope, which requires specialized training for the surgeon for best results. Treatment options include:

  • Intracytoplasmic Sperm Injection (ICSI) is the treatment of men with non-obstructive azoospermia, or poor sperm production. While just over 20 years ago, the only chance for paternity for men with poor sperm production included the use of donor sperm or adoption, the development of intracytoplasmic sperm injection (ICSI) has revolutionized the field of male infertility. With the ICSI technique, it is possible to use very few sperm to fertilize an oocyte. Even in men with exceedingly low levels of sperm production, ICSI enables us to offer these men a chance at paternity.
  • Micro-dissection Testicular Sperm Extraction is a surgery in which the entire testis is examined under an operating microscope at 25 times magnification while the patient is under general anesthesia. Tubules that are larger are more likely to harbor sperm production and thus these tubules are specifically targeted for biopsy in order to use the sperm with intracytoplasmic sperm injection. Using microdissection testicular sperm extraction, up to 60% of men with non-obstructive azoospermia will have sperm found at the time of surgery and, therefore, have a chance at biological paternity.
Men's Health Appointment