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 Infertility

Testosterone 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.

Steroid therapy: 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 Infertility

Varicolwctomy: 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 surgery.

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.

Vasectomy reversal: 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.

Sperm retrieval: 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. 

Featured Specialist for Male Infertility in Miami, FL

Ranjith Ramasamy M.D.


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1150 NW 14th St
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Miami, FL 33136

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