Male Infertility Specialists

Male factor infertility contributes to approximately half of all infertility cases. Urologists specializing in male reproductive medicine diagnose and treat structural, hormonal, and lifestyle causes of male infertility.

About Male Infertility

Male infertility is defined as the inability to conceive after 12 months of unprotected intercourse. It most often results from problems with sperm production, transport, or function. Many causes are treatable, and even men with severe sperm abnormalities may father children with assisted reproductive techniques.

Signs & Symptoms

  • Inability to conceive after 12 months of trying
  • Low sperm count (oligospermia)
  • No sperm in ejaculate (azoospermia)
  • Abnormal sperm movement or shape
  • Hormonal imbalance symptoms
  • History of varicocele, undescended testicle, or genital surgery

Treatment Options

  • Varicocele repair (varicocelectomy)
  • Vasectomy reversal
  • Hormonal therapy (gonadotropins, clomiphene)
  • Sperm retrieval for IVF/ICSI (TESA, TESE, micro-TESE)
  • Treatment of ejaculatory dysfunction
  • Antioxidant supplementation

Frequently Asked Questions

How is male infertility evaluated?

Evaluation starts with a semen analysis measuring sperm count, motility, and morphology. If abnormal, a urologist performs a physical exam, hormone panel, and sometimes genetic testing or testicular biopsy to identify the cause.

Can a varicocele cause infertility?

Yes. A varicocele is an enlargement of the veins within the scrotum that raises testicular temperature and impairs sperm production. Varicoceles are found in 40% of infertile men. Surgical repair improves sperm parameters in most cases.

What is azoospermia, and is it treatable?

Azoospermia is the complete absence of sperm in the ejaculate. Obstructive azoospermia is often correctable surgically. Non-obstructive azoospermia may still allow sperm retrieval for IVF/ICSI through micro-TESE.

Urologists Who Treat Male Infertility

Disclaimer

The material on this page is intended to be an educational resource only and is not meant to be a warranty or to replace a conversation between a patient and their physician or member of their health care team. Please consult a physician for a complete list of indications, contraindications, precautions, warnings, clinical results and other important medical information that pertains to this procedure. The decision to receive medical treatment is individualized to the patient and the patient's symptoms. The information presented on this site may not apply to your condition, treatment or its outcome, as surgical techniques vary and complications can occur. It is important to discuss the viability of any surgical procedure with a physician to decide the right treatment option. Provider data sourced from the NPPES NPI Registry (CMS).