Infertility is a relatively common condition that affects up to 15 percent of couples in the U.S., according to the Mayo Clinic. The team at Affiliated Urologists provides the following treatment options for men battling infertility.
If varicocele (enlarged scrotal veins) are causing infertility, surgical intervention may be necessary to correct the problem. This is also true if the vas deferens become obstructed. For varicocele, our urology experts can perform a minimally invasive procedure known as a microscopic varicocelectomy. During this procedure, a small incision is made in order to repair the veins and preserve surrounding vessels using microscopic assistance. In order to repair obstructed vas deferens, our physicians may perform a vasectomy reversal surgery if scar tissue from the original vasectomy creates a blockage. A vasoepididymostomy may also reverse a vasectomy and treat a blockage. All three surgical male infertility treatments are considered very safe procedures, offering less overall pain and a quicker recovery time compared to open procedures.
An infection in the reproductive tract may impair sperm function and production, blocking the passage of sperm altogether. Infections often go unnoticed and may cause damage. However, if caught early, a course of oral antibiotics can be prescribed to treat the infection and ultimately treat a patient's infertility. If the infection has caused scarring or blockages, additional treatment may be necessary following a course of antibiotics.
Medication and Counseling
When male infertility is caused by an underlying condition such as erectile dysfunction or premature ejaculation, An Affiliated Urologists physician may prescribe either an oral medication or a topical agent. Medications may include antidepressants, analgesics, and more in order to control ejaculation and sustain an erection. Some medications may be combined or prescribed alone. Results should not be immediate and the patient may not notice a change until a few weeks after their medication regimen. Topical medications may be used to numb the penis and delay ejaculation. In addition, counseling may help partners overcome struggles of erectile dysfunction and premature ejaculation to regain intimacy.
Hormone Replacement Therapy
Male infertility may be the result of low levels of the hormone testosterone, which in turn leads to low sperm counts. A physician may prescribe medications like Clomid of Arimidex in order to restore hormonal balance to treat infertility. However, these oral medication hormone therapies are not an immediate fix. Men may need to take the medication for several weeks before sperm counts begin to increase. Alternative hormone replacement therapy treatments may include injections, patches, and more.
Other Treatment Options
Many additional treatment options are available at Affiliated Urologists to treat male infertility. Our physicians understand that infertility is a difficult and emotional time for any family, and we want to provide a continuum of care to patients. In addition to the above treatments, we can offer counseling for patients seeking assisted reproductive technology (ART), in vitro fertilization, intracytoplasmic sperm injections, and more. We would be glad to help patients through the process in any way we can and would be happy to answer any questions.