Male Infertility in Lake Success, New York (NY)
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 Bruce R. Gilbert, M.D., Ph.D.
Dr. Bruce R. Gilbert is a Urologist who has been in Private Practice
in Great Neck, Long Island, New York for the past 22 years. He
specializes in complex microsurgical procedures for male fertility and
male prosthetic surgery. He also treats both men and women with sexual
function concerns.
Aiming to shape the minds of future physicians, Dr. Gilbert is Professor of Urology at the Hofstra North Shore LIJ
Medical School and the Director of Reproductive and Sexual Medicine at
the Smith Institute for Urology of the North Shore LIJ Health System.
Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic
Ultrasound. He is passionate about Urologic education and has organized
training programs in microsurgery and urologic ultrasound. In addition, he
lectures locally, nationally and internationally on various urological topics. He is the Chairman of
the AUA’s National Urologic Ultrasound Faculty and a member of the AUA’s
Urologic Diagnostic and Therapeutic Imaging Committee.
Dr. Gilbert completed his medical degree in 1983 at Cornell
University Medical College and Urology Residency at the New York
Hospital Cornell Medical Center. Prior to that he completed a Doctorate
(Ph.D.) at the New York Medical College followed by postdoctoral work
in Renal Physiology supported by the New York Heart Association in the
Department of Physiology at Cornell University Medical College.
Dr. Gilbert’s private practice for the past 20 years has specialized
in male reproductive and sexual medicine and surgery including male
prosthetic surgery. He is a highly experienced microsurgeon, having performed
over 1000 microsurgical procedures including vasectomy reversals,
microsurgical varicocele ligation and microsurgical testicular sperm
retrieval. In addition, quite notably, he was also one of the first Urologists in the region to
perform the no-needle, no-scalpel vasectomy.
Dr. Gilbert also serves as the
Medical and Laboratory Director of New York Cryo, one of the few long
term reproductive tissue banks for sperm, oocytes and embryos in the
region. Dr. Gilbert gained national prominence for his use of
Holistic approaches for the treatment of chronic Urologic problems. A fellow of both the American College of Surgeons and the American Academy of Medical Acupuncture, Dr. Gilbert is certified by the American Board of Urology and the
American Board of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive
Medicine and Complementary Medicine Journals. At the top of his game, he has been selected as
one of “America’s Top Physicians” and is listed in the “Guide to
America’s Top Physicians” published by the Consumers’ Research Council
of America, Washington, DC.
Featured Specialist for Male Infertility in Lake Success, NY
Bruce R. Gilbert, M.D., Ph.D.
Call Now: (516) 342-7229
450 Lakeville Road Suite M41Lake Success, NY 11040
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