Urology of Greater Atlanta

Male Infertility Specialist

Urology Of Greater Atlanta

Approximately 40-50% of couples having difficulty conceiving a child have a male factor involved, and approximately one-third of couples with infertility have difficulty due to a male factor alone. Such issues may include hormone imbalances, a low sperm count, no or poor-quality sperm, poor movement of the sperm, or blockages in the male reproductive organs. Lifestyle factors may also play a role. At Urology of Atlanta, located in Metro Atlanta, our top-rated urologists diagnose the cause of male infertility and provide personalized treatment plans. If you’ve been trying to conceive for more than a year without success, call Urology of Atlanta or book a consultation online.

What is infertility?

Physicians typically diagnose infertility after you and your partner have difficulty achieving pregnancy after 12 months of unprotected intercourse. 

While conceiving seems like the most natural thing, many factors need to come together with precise timing. Your partner needs to release a viable egg that successfully travels through the fallopian tube toward the uterus. You need to release viable sperm that can enter the uterus and join with the egg. The fertilized egg then needs to implant into the uterine lining. 

What is male infertility?

Male infertility is typically due to insufficient sperm quality or quantity. Both a low sperm count and low-quality sperm reduce the chances of a sperm cell joining with an egg and a viable pregnancy. 

Many factors can contribute to abnormal sperm production. Some people produce low volumes of sperm, and some people have sperm that do not move normally. In some cases, your sperm might be either abnormal in shape or otherwise unable to perform its function in pregnancy.

You could also have anatomy or blockages that interfere with the delivery of sperm during ejaculation. 

What are some causes of male infertility?

Many factors can contribute to male infertility, including:

  • Infections
  • Varicoceles (dilated veins near the testicles)
  • Tumors
  • Developmental problems
  • Chromosome (genetic) abnormalities
  • Hormonal problems
  • Prior surgeries

Your lifestyle can also affect your fertility. If you’re overweight, have a poor diet, consume too much alcohol, or use tobacco or other drugs, you put your fertility at risk. Additionally, prolonged exposure to chemicals, chemotherapy, radiation, and heat can interfere with your sperm production. 

How do you diagnose male infertility?

The skilled and experienced urologists at Urology of Greater Atlanta provide comprehensive evaluation including a thorough history and physical examination, blood hormone testing, semen analysis, and diagnostic imaging when indicated. Depending upon the results of the initial evaluation, further individualized testing may be recommended. 

How is male infertility treated?

Urology of Greater Atlanta offers multiple treatments to improve male fertility and your chances of fathering a child.

Lifestyle modifications

Your urologist provides customized advice to enhance your fertility. They might recommend diet and exercise adjustments to improve your overall health and help you lose weight. Your doctor can also help you give up smoking and other unhealthy habits. 

Medication Therapy

Depending upon your hormone levels, your urologist may recommend a medication to boost your natural testosterone and sperm production. Certain vitamins or supplements may also be recommended to reduce stress on the sperm.

Sperm retrieval

The team also offers sperm retrieval services for men with fertility obstacles, such as reduced sperm production, an ejaculation disorder (retrograde ejaculation), or obstructions within the ejaculatory ducts. Your physician might also recommend sperm retrieval for certain types of erectile dysfunction. 

There are several options for sperm retrieval depending upon your individual situation. This sperm can then be used for assisted reproductive technologies such as intrauterine insemination (IUI) In Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI). 

Testicular sperm aspiration (TESA)

TESA an office procedure in which your urologist provides local anesthesia and uses a needle to aspirate sperm directly from the testicle. It is often a diagnostic procedure. 

Testicular Sperm Extraction (TESE)

TESE is an office-based procedure performed with local anesthesia. Your urologist makes a small incision in the testicle and directly removes a small amount of testicular tissue where sperm are produced.

Microsurgical Epididymal Sperm Aspiration (MESA)

MESA is an effective retrieval option if you have an obstructed ejaculatory duct. Using a high-powered surgical microscope, your physician can aspirate sperm directly from the epididymis while you’re under general anesthesia. 

Microsurgical Testicular Sperm Extractions (Micro-TESE)

Micro-TESE is also performed under general anesthesia. Your urologist uses a high-powered surgical microscope to remove sperm directly from your testicular tubules where sperm are produced.

Seminal Vesicle Aspiration

This procedure may be performed in the office or with light sedation if there is obstruction of the ejaculatory ducts. It involves usage of a transrectal ultrasound probe to assess the seminal vesicles and aspirate sperm directly from the obstructed area. Seminal vesicle aspiration can be diagnostic in preparation for a procedure to relieve the obstruction, or it can retrieve sperm to be used for assisted reproductive technologies.

Transurethral Resection of the Ejaculatory Duct (TURED)

In some cases, instead of retrieving sperm, your physician might recommend a transurethral resection of the ejaculatory duct (TURED). This procedure can help if scar tissue, a cyst, a calcification, or other blockage prevents the sperm from reaching the ejaculate. Resecting (removing) the obstruction may return sperm into your ejaculate and allow for natural conception.

Varicocele Repair

A varicocele is an enlargement of the veins within the scrotum that may interfere with sperm production and/or cause pain. They are most commonly caused by defective valves within the veins. Varicoceles that do not cause symptoms or impair fertility do not require treatment, as up to 15% of men in the general population may have one. In males with infertility, 30-40% may have a varicocele.

If your fertility problems are due to a varicocele, surgery may be the best option. The physicians at Urology of Greater Atlanta offer innovative microsurgical techniques using a high-powered surgical microscope to repair varicoceles through a small incision in the groin. 

Physicians typically diagnose infertility after you and your partner have difficulty achieving pregnancy after 12 months of unprotected intercourse. While conceiving seems like the most natural thing, many factors need to come together with precise timing. Your partner needs to release a viable egg that successfully travels through the fallopian tube toward the uterus. You need to release viable sperm that can enter the uterus and join with the egg. The fertilized egg then needs to implant into the uterine lining. 

Male infertility is typically due to insufficient sperm quality or quantity. Both a low sperm count and low-quality sperm reduce the chances of a sperm cell joining with an egg and a viable pregnancy. 

 

Many factors can contribute to abnormal sperm production. Some people produce low volumes of sperm, and some people have sperm that do not move normally. In some cases, your sperm might be either abnormal in shape or otherwise unable to perform its function in pregnancy.

Many factors can contribute to male infertility, including:

  • Infections
  • Varicoceles (dilated veins near the testicles)
  • Tumors
  • Developmental problems
  • Chromosome (genetic) abnormalities
  • Hormonal problems
  • Prior surgeries

The skilled and experienced urologists at Urology of Greater Atlanta provide comprehensive evaluation including a thorough history and physical examination, blood hormone testing, semen analysis, and diagnostic imaging when indicated. Depending upon the results of the initial evaluation, further individualized testing may be recommended. 

Our offices are located throughout the Atlanta area and are open Monday thru Friday, 7:30 AM to 5:00 PM Call us: 770-474-5281 Toll-free: 888-748-3188

See other services we offer:

Stockbridge, Country Club Drive

290 Country Club Drive Suite 100, Stockbridge, GA 30281

Blue Ridge, Blue Ridge Drive

4799 Blue Ridge Drive Suite 107, Blue Ridge, GA 30513

Sandy Springs, Mt. Vernon Hwy. NE

755 Mt. Vernon Hwy. NE Suite 220, Sandy Springs, GA 30328

Griffin, West College Street

230 West College Street Bldg. C, Griffin, GA 30224

Riverdale, Upper Riverdale Road

29 Upper Riverdale Road Suite 150, Riverdale, GA 30274

Jackson, West Third Street

1502 West Third Street Suite B, Jackson, GA 30233

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