Male Fertility Care on Long Island

Male Fertility Testing

The initial evaluation for male fertility includes an overview of medical history, a physical examination, a complete semen analysis, hormone panels, and sperm function tests, if necessary. Our team will also take into account the patient's lifestyle and genetic profile.

Sperm Banking

Sperm banking is a form of fertility preservation for men that involves freezing sperm and storing it for future intrauterine insemination (IUI) or in vitro fertilization (IVF) cycles. There are many reasons why men consider sperm banking, including oncofertility (preserving sperm prior to cancer treatment), preserving fertility before a vasectomy, and having a backup semen sample to be used for a fertility treatment procedure, if needed. Sperm can be safely frozen and stored for a significant amount of time.

Low Testosterone (Low T)

Known as the primary male sex hormone, testosterone plays a massive role in several aspects of male reproductive development and fertility. In some cases, low levels of testosterone can cause or contribute to male factor infertility. As part of our male fertility evaluation, we measure testosterone levels to identify whether a specific course of treatment is needed.

Electroejaculation

Electroejaculation is a procedure that is typically recommended for men who are unable to ejaculate. The process involves inserting an electrical probe into the rectum to stimulate the prostate gland and cause ejaculation.

Vasectomy Reversal

A vasectomy procedure is a surgery that prevents sperm from being mixed into the seminal fluids by severing the vas deferens, which is a tube that carries mature sperm to the penis. Although vasectomies are considered to be a permanent form of contraception, they can also be surgically reversed by reattaching the vas deferens. Vasectomy reversal procedures can be performed many years after the original vasectomy.

Varicocele Repair

Varicoceles are swollen blood vessels in the scrotum that can cause infertility and low sperm count in men. Although they often don’t require treatment, varicoceles can be repaired by surgically closing off the damaged blood vessels.

Testicular Sperm Aspiration/Extraction (MESA & TESE)

The most commonly used sperm retrieval techniques are MESA (microsurgical epididymal sperm aspiration) and TESE (testicular sperm extraction). These are minimally invasive procedures and have a short recovery period.

During a MESA procedure, a small incision is made in the scrotum while the patient is under anesthesia. Seminal fluid is retrieved with special micropipettes using an operating microscope. Microsurgical TESE requires retrieval of a small piece of testicular tissue and is usually performed in patients lacking sperm production. Even in extreme cases of azoospermia (when no viable sperm are present in the semen), many men maintain some sperm production in the hidden areas of the testes. Both procedures are usually performed around the time that the woman's eggs are retrieved in an IVF cycle.

Intracytoplasmic Sperm Injection (ICSI)

A form of assisted fertilization called intracytoplasmic sperm injection (ICSI) may also be indicated, in which one sperm is injected into each egg obtained through IVF. ICSI is typically recommended for men when sperm quality or quantity is an issue, or when there are structural issues of the reproductive organs, pituitary issues, spinal cord injuries, and more.

Erectile Dysfunction

Also known as impotence, erectile dysfunction is the inability to attain or sustain an erection. There are many factors that can cause erectile dysfunction, including medical conditions and psychological stressors. There are also many ways that erectile dysfunction can be treated, such as medications, implants, lifestyle changes, and psychological counseling.