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Home >> Men's Health >> Male Infertility
 Male Infertility - Treatment
Overview | Diagnosis | Treatment | FAQ
Treatment
Infertility treatment depends on the cause, how long you've been infertile, the age of the partners as well as personal preferences. Some infertility causes may not be corrected. Medical or behavioral approaches are used to care for these problems. These fertility care methods are commonly used to ease male issues.
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Increase frequency of intercourse. Men may experience improved fertility by having intercourse two to three times a week. Conversely, too-frequent ejaculation can lower sperm quality. An egg can be fertilized for up to 24 hours after ovulation, and sperm live in the female reproductive tract for up to 72 hours.
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Common sexual problems. Dealing with impotence or premature ejaculation can lead to improved fertility.
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Low sperm count. Typical management of low sperm count can be through surgery or hormones to correct the problem or use of assisted reproductive technology.
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Intracytoplasmic sperm injection. In cases where irregular semen analysis can be attributed to infertility, intracytoplasmic sperm injection (ICSI) may be an option. Sperm is taken directly from the testicles or recovered from the bladder and injected into an egg in the laboratory setting.
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Intrauterine insemination. An office procedure in which semen undergoes a "cleansing" process, after, the sperm are then placed into the uterus using a small plastic catheter inserted through the cervix. This method typically used when couples possess slightly abnormal semen analyses. In instances where the male partner has no sperm at all, or the numbers are extremely low, the process can also be performed using anonymous donor sperm.
Complementary Therapies:
Dietary and lifestyle changes plus selected vitamins and nutritional supplements can improve sperm quality, sperm motility, sperm count, sperm morphology, and decrease sperm DNA damage.
Click here to download a lecture about Holistic Therapies for Infertility that Dr. McClure presented to the Society for the Study of Male Reproduction in Chicago, Illinois, new window will open.
For further information about male infertility testing, click on the following link to Carolina Conceptions.
Varicocele Repair
Surgical repair of the varicocele is performed as an outpatient either under general anesthesia or IV sedation. After adequate anesthesia has been established, a long acting local anesthetic is first used to temporarily deaden the nerves that supply sensation to incision and underlying tissue. This serves two purposes: By first blocking the pain fibers, less general anesthesia is required. This is desirable since it allows for a quicker recovery from the effects of general anesthesia. A second benefit is that the local anesthesia continues to work for 4 to 6 hours after the general anesthesia has worn off.
A small incision is made in the inguinal canal (see diagram). The dilated spermatic veins are then identified and tied off. The skin is closed beneath the surface using a suture that will gradually dissolve. A sterile gauze pad is placed over the incision and is held in place by a plastic dressing. The procedure takes about 45 minutes. The time between check-in and check-out will be considerably longer.
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