Male Infertility

For patients with male infertility, we want to be sure that you are properly informed so that we can provide you with the highest quality of care.


Causes of Male Infertility

There are a number of causes of male infertility:

  • Varicocele (abnormal collection of veins around the testicle)
  • Vasectomy or obstruction of vas deferens
  • Testicular cancer (even before treatment)
  • Chemotherapy
  • Undescended testicles at birth
  • Hormonal/low testosterone
  • Drugs
  • Prior radiation treatment
  • Trouble with ejaculation (common in spinal cord injury)
  • Genetic causes
  • Infection
  • Testicular failure

Even after an evaluation of all of these potential causes, up to 30% of male infertility cases have unexplained causes.

 

Treatments for Male Infertility

Treatment options vary based on the couple and whether other health concerns, such as testicular cancer, are a factor.

To start, a few over the counter supplements are recommended for most men with infertility. Individuals should take 200-300mg of Co-enzyme Q10 (or Ubiquinol) and 1g of L-carnitine. Both supplements should be taken once daily. Other forms of infertility treatment include:

Varicocelectomy

A varicocele can be treated with a simple microsurgical procedure, a varicocelectomy, to decrease the backflow of blood toward the testicle.

Vasectomy Reversal

In the event that a man has undergone a vasectomy, it is possible to perform a vasectomy reversal by reconnecting the healthy ends of the vas deferens to allow for the transport of sperm again after prior blockage. Reversals are most effective if done within the first 10 years after the initial vasectomy. If the reversal is done within 3 years of the initial vasectomy, pregnancy rates are greater than 50%. If the reversal is completed within 10 years, the pregnancy rate is about 30%.

Learn more about vasectomy reversals at OhioHealth Urology Physicians.

Microsurgical sperm extraction

For men with genetic disorders, prior chemotherapy treatment, or testicular failure, sperm can still reside in the testicle and extracted with microsurgical sperm extraction. Following this, assisted reproductive techniques such as in-vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI), can still result in pregnancy.

 

To schedule an appointment with our experts in male infertility, call (614) 788-2870 to schedule with Dr. Lowe in our Columbus, Bing Cancer Center office or call (614) 544.1460 to schedule with Dr. Patel in our Columbus, West Broad Street office.