Approximately 15% of couples experience difficulty conceiving, with male subfertility contributing to nearly half of these cases. When a couple is unable to conceive after one year of unprotected intercourse, they are typically advised to consult with a reproductive specialist for a fertility evaluation. Since the male partner’s initial examination is non-invasive and less expensive, he is usually evaluated first. Male subfertility can result from a variety of physical and lifestyle factors, making proper evaluation essential.
Common Male Fertility Conditions We Treat
Our urologists diagnose and treat a variety of conditions, including:
The evaluation of male fertility begins with:
Premature Ejaculation (PE) is a common and treatable condition that affects men of all ages. It is defined as ejaculation that occurs sooner than a man or his partner desires, often leading to frustration, anxiety, and reduced sexual satisfaction.
Premature ejaculation can be classified into two types:
The most common reversible cause of male subfertility is varicocele, which is an abnormal dilation of the veins in the scrotum, similar to varicose veins in the legs. Varicoceles can:
Treatment for Varicocele
Outcomes of Varicocele Treatment
Vasectomy is a surgical procedure that results in permanent sterilization. It is generally completed in the office in less than 30 minutes using local anesthesia and mild sedation. Through small incisions, we cut and seal the vas deferens, which prevents sperm from traveling from the testes to the ejaculatory ducts. There is no noticeable change in the patient’s sexual function – including ejaculation.
Until the absence of sperm can be confirmed, men must continue to use other methods of birth control. Sterility is checked about 2 months after the vasectomy to ensure that all sperm living beyond the surgical site have been cleared.
