Options For Men

Infertility Treatment Options for Men

About a third of all infertility cases are due to male fertility issues – these can range from low sperm count or sperm abnormalities to hormonal imbalances or problems related to the reproductive anatomy. Health and lifestyle factors such as stress, weight, and alcohol consumption can also play a role. The good news is that infertility treatment options are available.

If male infertility is determined to be the source of your fertility issues (based on different tests), there are several options to explore, including:

  • Intrauterine insemination (IUI) – process where sperm is placed into the woman’s uterus with a narrow tube – typically used in cases of low sperm count, impaired sperm mobility (movement), or retrograde ejaculation
  • Surgery – may be necessary for certain problems related to anejaculation or epididymal blockage
  • Donor sperm – usually used in cases of low or no sperm production
  • Acupuncture – an ancient Chinese treatment designed to promote mind-body balance – in which RMANJ’s certified acupuncturists are thoroughly trained in this traditional approach with a particular emphasis on fertility and reproductive wellness
  • Diet & Nutrition – a healthy and balanced diet can play an important role in male fertility
  • Counseling – our team of specialists at RMANJ provides problem-solving strategies in a supportive environment through physician recommended methods in individual and couples counseling, specialized support groups, third-party reproduction-specific counseling, and patient-to-patient support networking

Male Evaluation

Semen Analysis

A semen analysis is a test that tells your doctor the number of sperm in your semen, whether they are normal, and how well they move. There are many reasons why couples have trouble achieving pregnancy. A semen analysis is one of the tests your doctor will use to evaluate your problem. Your test results will tell your doctor the number of sperm in your semen (your sperm count), whether they are normal (morphology), and how well they swim (motility).

A low sperm count may be caused by certain medications or a medical problem such as a blocked duct, low testosterone level, or a condition in which sperm back up into the bladder. Fever can also reduce sperm count. Some men may have enough sperm, but their sperm may not swim well enough to reach the egg. Also, sperm that are not normal in shape may not be able to penetrate and fertilize the egg. Your doctor can treat many of these problems.

To make an appointment with the Andrology lab for a Semen Analysis please call 973-656-2823

Semen Collection

Your doctor will want you to provide a semen sample. The sample is collected by masturbation at your doctor’s office in a private, comfortable room. You will be asked to collect your semen in a sterile specimen cup. Another option is to collect your semen at home (during intercourse) in a special condom that you can get from your doctor. You must deliver your sample to the doctor’s office within 45 to 60 minutes after collecting it.

Speak with your doctor about instructions for transporting the sample to the office. If the results are not normal or the sample is not complete because you missed the container for sperm collection, this test may need to be repeated. Test results often vary, so you may need to do this procedure more than once.

Treatment Options

Intrauterine insemination (IUI) is a type of artificial insemination in which sperm are injected directly into your partner’s uterine cavity near the time of ovulation. Your doctor may recommend IUI to treat many causes of infertility, especially when there is a problem with the sperm such as low sperm count or low motility (the sperm do not move well). IUI bypasses the female cervix, so it is a useful treatment if there is an incompatibility between the sperm and the cervical mucus. IUI is also an option when the man is unable to ejaculate inside the woman’s vagina (because of impotence, premature ejaculation, or other medical conditions). This procedure can be performed with your sperm or with sperm from a donor.

How intrauterine insemination is performed:

You will be asked to provide a semen sample about an hour or two before the scheduled insemination. This is done by masturbating into a sterile container at the doctor’s office. The semen is then “washed” to separate the sperm from the seminal fluid. This must be done before the sperm can be injected into your partner’s uterus, because the seminal fluid contains substances that can irritate her uterus. Sperm “washing” may also improve the ability of the sperm to fertilize the egg.

The insemination takes only a few minutes. Your doctor or nurse will place a speculum inside your partner’s vagina, insert a small catheter through the cervix into your uterine cavity, and inject the sperm through the catheter into the female’s uterus. In most cases, your partner will not feel discomfort during the procedure.

For more information on male infertility treatment options in NJ, please contact us today.