Tackling Male Infertility
Infertility, the inability to get pregnant after 6-12 months of unprotected intercourse, is troubling, but not untreatable.
Male infertility is an issue for approximately one-half of couples seeking treatment, and most affected patients are asymptomatic. For this reason, Dr. Summer James and Dr. Erika Munch with Texas Fertility Center-San Antonio evaluate the male partner of every couple who comes to our practice.
Just as we do with our female patients, the first step in the male evaluation involves a thorough health history. This may reveal obvious barriers to getting pregnant: such as inherited conditions like cystic fibrosis, anatomic problems like a varicocoele, sexual function issues, obesity, or signs of hormonal deficiencies. Following this history, our doctors typically recommend a semen analysis. If indicated, they will also order a hormone panel to rule out potential causes of male infertility that can be easily treated with medication, and/or genetic testing to identify inherited causes of infertility.
When indicated, Drs. James and Munch may refer the male to one of San Antonio’s leading fertility urologists for a more extensive evaluation.
Causes of Male Infertility
|Low sperm count (fewer than 20 million per ml of semen)||IUI or IVF – possibly with intracytoplasmic sperm injection (ICSI) as well|
|Blocked tubes that carry sperm from the testicles to the urethra for ejaculation||IVF (with or without ICSI)|
|Varicocele||Urologist consultation; possible surgical repair|
|Complications from sexually transmitted disease (STD)||Antibiotic treatment, then reassess. Ultimately intercourse, IUI, or IVF depending on results|
|Physical obstruction, ejaculation issues, or retrograde ejaculation||Urologist consultation; intercourse, IUI, or IVF with or without ICSI|
|Hormonal deficiencies||Clomid or other fertility medications, with or without IUI or IVF|
|Genetic problems||Preimplantation Genetic Diagnosis (PGD) or Preimplantation Genetic Screening (PGS) with IVF|
|Environmental or lifestyle issues||Change in exposures or habits|
What to Expect During a Male Infertility Evaluation
Texas Fertility Center-San Antonio has an on-site andrology laboratory staffed by world class embryologists and andrologists to ensure accurate semen analysis results.
A semen analysis involves collecting a semen sample, either at home or in the San Antonio IVF office, to assess sperm concentration, morphology (shape), and motility (ability to swim).
Your physician will review your semen analysis findings, and make recommendations for appropriate fertility treatment at Texas Fertility Center, or refer the male partner to a specialist for further examination and/or treatment when necessary.
State of the art reproductive medicine can mitigate or reverse the causes of male infertility.
Texas Fertility Center is located in San Antonio’s Stone Oak section on the northwest side of town. From our modern facilities, we help couples throughout San Antonio and South Texas, including Laredo, Corpus Christi, and the Valley, as well as patients who come see us from Mexico, Central, and South America.
Contact us to arrange for a new patient consultation with Dr. James or Dr. Munch. If you have been trying to get pregnant, and suspect the cause may be male infertility, Our doctors have the experience and the skill to help most men successfully overcome a diagnosis of male infertility, so they can go on to have healthy children.