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Fertility
Treatments
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Male
Infertility Evaluation
This
evaluation starts with
a thorough history
and physical examination.
Blood tests, specifically
identifying any underlying
hormonal abnormalities,
are often performed
along with a semen
analysis. The semen
analysis allows the
physician to assess
sperm characteristics
that can help or hinder
fertility.
Specialized testing
may reveal blockages
of the tubes or ejaculation
abnormalities that
prevent the sperm from
functioning properly.
Testing may also include
ultrasound studies
to look for varicose
veins in the scrotum
(“varicocele”),
cysts or blockages.
We also perform genetic
tests when there is
a concern that this
may be the source of
the fertility problem.
Many possible causes
of male infertility
are possible. At Men’s
Health Boston we specialize
in diagnosing the cause
of the fertility problem
and in treating the
cause. We work closely
with top female infertility
specialists in the
area in order to provide
the best possible care
for the couple.
Our fertility work
has been published
in the most respected
medical journals, including “Fertility
and Sterility” and “Human
Reproduction.”
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| Microsurgical
Varicocele Repair
Varicoceles
are enlarged varicose
veins that occur in
the scrotum. They are
quite common, affecting
15% of men overall
and about 40% of men
with known infertility.
The most effective
treatment technique
with the lowest
complication rate is the
microsurgical varicocele
repair offered by Men’s
Health Boston physicians.
This technique preserves
the artery to the testicles
and ensures that all affected
veins are tied off.
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Sperm
Aspiration
In
cases where there are
no sperm in the semen,
or after a vasectomy,
it may be possible
to harvest sperm from
the testicle or from
the surrounding tubes.
Over the last ten years
the technology to perform
this procedure has
advanced to where we
can find sperm in many
cases that were previously
considered hopeless.
Even small numbers
of sperm can now be
used to successfully
create a pregnancy.
Depending on the situation,
these procedures can
be performed in the
office or as a brief
procedure in an outpatient
operating room.
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Vasectomy
Vasectomy is the most
reliable form of birth
control available today.
At Men's Health Boston
we offer the no-scalpel
technique for vasectomies.
It is a painless
procedure that
takes
less than 30
minutes to perform in our
office. There is no effect
on erections, sex drive,
or feeling in the penis.
Most men will also notice
no change in ejaculation
or orgasm, since the amount
of fluid that comes out
is reduced by only 5-10%.
Many men and their partners
find sex more enjoyable
once they can stop using
condoms, birth control
pills, or other forms of
contraception, without
the fear of an unexpected
pregnancy.
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Vasectomy Reversal
Physicians
at Men’s
Health Boston have a wealth
of experience in microsurgical
vasectomy reversal. Advances
in the technical aspects
of this procedure combined
with our expertise result
in success for a majority
of men and their partners,
even when it has been longer
than 10 years since the
vasectomy. We also specialize
in the treatment of men
after a failed vasectomy
reversal done elsewhere.
This is an outpatient
procedure, with little
postoperative discomfort.
If desired, sperm can also
be collected and frozen,
particularly if the couple
wishes to proceed immediately
with additional treatments,
such as in-vitro fertilization.
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