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 M41
Lake Success, NY 11040

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