REVERSABLE CAUSES OF MALE INFERTILITY

Here are some treatable and reversable conditions that cause fertility problems in men. In my office in Smithtown NY, I see patients with these conditions routinely.

1. Smoking: Even intermittent smoking smoking affects sperm production and function. Smokers can have normal semen analyses yet have severe defects in important sperm functions that are critical to fertilization.
2. Varicoceles: These dilated, varicoce veins are common in all men, but much more common in men with fertility problems. They can fixed.
3. Infections: prostate infections, diverticulitis, epididymitis, or bladder infections can transiently impair sperm production and function.
4. Malignancy: Cancer itself can cause infertility. Cancer treatments can also cause male infertility
5. Enironmental toxicants: Second hand smoke, soil fertilizers, dry cleaning waste, plastic bottle chemical products, publishing dyes can all lower sperm counts or impair sperm function.

These factors can all be found on a thorough clinical history and physical examination.

200 No Needle Vasectomies And Counting!

I have been doing the no scalpel vasectomy for 9 years, but about a year or so ago, I started doing a no needle no scalpel vasectomy. The results have been amazing.

I have done 200 of them now. With the no-needle device, I use a tiny amount of local anesthetic--lidocaine. Lidocaine is an acid and stings upon injection. Because the no needle device "injects" such a tiny amount of local, it does not cause any burning. Not one patient has ever complained of burning or stinging from the lidocaine.

The jet injector--which is the needless device used for no needle vasectomies--does not cause any distortion of the anatomy surrounding the vas deferens. As a result, my job, which is to cut the vas deferens, is simplified. The average procedure now takes me less than 20 minutes.

Patients have little anxiety, much less than they had when I was doing a standard vasectomy. Because they are less tense, they tolerate the vasectomy without any problem.

After the procedure, the men just stroll out of the office as if nothing has happened. When I see them back in a month, the men typically report being "100%."

All in all, this is how I'd want my own done.

This is big!

From the journal of urology:

Successful Fertility Treatment for Klinefelter's Syndrome
Ranjith Ramasamy, Joseph A. Ricci, Gianpiero D. Palermo, Lucinda Veeck Gosden, Zev Rosenwaks, Peter N. Schlegel

Microdissection testicular sperm extraction is an effective sperm retrieval technique in men with Klinefelter's syndrome. Men with hypogonadism who respond to medical therapy may have a better chance of sperm retrieval.