Male Infertility in Miami, Florida (FL)
Treatment for male infertility depends on the underlying cause which
stem from problems with sperm formation, the transport of sperm to the
ejaculate, or the concentration of sperm in the semen. After diagnosing
the probable causes of your infertility, your doctor can create a
treatment plan that is right for you.
Your doctor may recommend
some lifestyle changes to enhance your fertility. Quitting smoking,
decreasing alcohol intake, reducing stress, eating healthy, losing
weight and exercising regularly are all recommendations your doctor may
make to improve sperm count and quality. Beyond that, about half of male
infertility cases can be corrected using medical therapies or surgery.
Assisted reproduction techniques (ART) can also help a couple conceive.
Medical Therapies for InfertilityTestosterone replacement therapy:
Medications to correct imbalances in sperm production can correct a low
sperm count or absence of sperm. Testosterone replacement therapy (TRT)
is one therapy where a man is given injection of testosterone to
correct a testosterone deficiency.
As a result of surgery (such as a vasectomy), some men develop
antibodies that attack their sperm cells. Steroid therapy for three to
six months can temporarily alleviate the condition and may enable to a
man to get his partner pregnant.
Retrograde ejaculation treatment:
Retrograde ejaculation is a condition whereby sperm enter the bladder
instead of passing into the ejaculate. Retrograde ejaculate treatment
may include medications like antihistamines and tricyclic
antidepressants which help keep the bladder closed during ejaculation.
Surgical Treatments for Male InfertilityVaricolwctomy: An increase in temperature in the testicles can reduce sperm production. Your doctor may perform a varicolectomy
to remove large veins in the scrotum. This procedure may improve semen
quality in up to 70 percent of patients, as soon as 3 months after
Transurethral resectioning of the ejaculatory ducts:
Surgery to remove blockages that affect semen flow may involve removing
part of the prostate gland to allow sperm to flow into the urethra.
This may be effective treatment in up to 50 percent of infertile men.
If you have had a vasectomy, your doctor can perform a vasectomy
reversal to reconnect the vas deferens tubes which were previously
severed during your vasectomy. This procedure aims to restore fertility
by allowing sperm to re-enter your ejaculate once again.
In cases where it is not possible to correct the flow of sperm or
increase sperm count, sperm can be retrieved from either the testicle,
vas deferens, or in the case of retrograde ejaculate, from the bladder. Sperm can then be used in various assisted reproductive techniques to
help a couple conceive.
Your doctor will help you determine which male infertility treatments are right for you.
About Ranjith Ramasamy M.D.
Thank you for your interest in the University of Miami, Department of Urology. Our multidisciplinary approach to treatments and procedures, as well as the innovative medical technologies make our department, a world-class urologic destination. We treat urologic problems with compassion, attentiveness, and expertise. Our excellence in health care is broadly supported by our high-caliber professional staff of physicians, scientists, technicians, and nurses. With an ample range of subspecialties, cutting-edge procedures, and non-invasive treatments, our department of Urology offers expertise in every urologic area.