How is Male Infertility Treated?

Our urologists at Georgia Urology Center for Male Infertility understand that selecting the right fertility treatment is among the most important decisions a couple makes. The decision should be a deliberate one based on medical facts a couple’s personal preferences.

Treatment for male infertility depends on the specific problem. Many problems are treatable through microsurgery and hormonal therapy providing a couple the opportunity to try to conceive naturally.

If these techniques fail, our highly skilled urologists can offer couples variety of other advanced, assisted reproductive techniques to promote conception. For instance, unless sperm is totally absent our urologists directly extract sperm from the testes and use them for assisted reproductive techniques such as IVF/ICSI (in vitro fertilization).

Treatment Options Are Used To Overcome Fertility Problems

  1. Surgery: Minor outpatient surgery (varicocelectomy) is frequently used to repair dilated scrotal veins (varicocele). Studies have shown that repairing these dilated veins results in improved sperm movement, concentration and structure. In some cases, obstruction causing infertility can also be surgically corrected.
  2. Vasectomy Reversal: In the case of a previous vasectomy, surgery using an operating microscope has been found to be very successful in reversing the obstruction.
  3. Medication: Drugs are key in correcting retrograde ejaculation and immunologic infertility. In addition, pituitary hormone deficiency may be corrected with drugs such as clomiphene or gonadotropin.

Advanced Assisted Reproductive Techniques

  1. Intrauterine insemination (IUI): By placing sperm directly into the uterus via a catheter, IUI bypasses cervical mucus that may be hostile to the sperm and puts them close to the fallopian tubes where fertilization occurs. IUI is often successful in overcoming sperm count and movement problems, retrograde ejaculation, immunologic infertility and other causes of infertility.
  2. In vitro fertilization (IVF)
  3. Sperm retrieval with IVF/ICSI
  4. Intracytoplasmic sperm injection (ICSI)