Consider the following scenario. Imagine a couple who has been together for some time now. They’ve just recently married, are both well employed with promising upward mobility in their respective jobs, and are currently in the process of finding a home. In the midst of house hunting, the question arises regarding how many bedrooms they want. This leads to the logical follow up question. Are we ready to raise a child? They think it over for a time, and finally come to the conclusion that they have all of the necessary resources and are ready to take on this next gigantic life step in stride.
They buy a house and begin to work toward making the woman pregnant. A few weeks pass. Nothing. Weeks turn to months. All of a sudden, it’s been a year and the woman still shows no sign of pregnancy. They decide it’s time for the woman to see a gynecologist to search for a better understanding of the issue and whether there are any options on how to resolve it. After a series of tests, the doctors tell the woman that she is healthy and very much fertile. Perhaps this doctor missed something. So they go to another doctor. The second one delivers the same news as the first. So what on earth could possibly be the problem?
If this story sounds all too familiar, it’s time for you, the man, to recognize the fact that you, quite possibly are the infertile one. That men cannot be infertile is a misconception all too common in our society. The fact of the matter is that the source of infertility, for nearly a third of couples at an appropriate age looking to conceive, are in fact men.
Reasons for male infertility include the following:
Lack of sperm production:
Sometimes men just simply do not produce sufficient amount of sperm, making the probability substantially lower of one of their sperm binding with an egg.
Lack of sperm in semen:
Some men do in fact have a sufficient amount of sperm, but it is not entering the semen, which is what the man ejaculates into the woman in order for her to conceive. In fact, this is precisely how a vasectomy works. A urologist will cut the vas deferens, which is what transfers the sperm to the semen. In some cases, this happens naturally.
There have been cases in which men’s sperm are either too small or have a shape that is not compatible with eggs. This, unfortunately, is not a reversible condition.
This is among the most common causes of male infertility. It’s also visibly detectable. A varicocele is when an excess of blood creates an enlargement in the veins in the scrotum. This can disrupt men’s production of testosterone, which in turn can adversely affect his fertility. It also just so happens that one of the most commons sources of male infertility is fixable with a procedure known as a microsurgical varicocelectomy.
To learn more about male infertility, vasectomy, vasectomy reversal and microsurgical varicocelectomy, contact New York City urology doctor Harry Fisch. Dr. Fisch has appeared on 20/20, 60 Minutes, CNN, and Today to discuss his practice. To reach him, give his office a call at 212-879-0800.