Infertility is defined as inability to achieve a conception after one year of unprotected regular intercourse.
Primary infertility refers to a couple in which neither the man or the woman has had previous children. Secondary infertility refers to a situation where there have been previous children but now a couple is unable to conceive.
Approximately 15% of couples experience infertility.
Infertility consists of male factors, female factors, or a combination of both.
Varicocele is a common cause of male factor infertility and is the most common cause of secondary infertility in men. Varicocele refers to dilation of the spermatic vein that runs along the spermatic chord to the testicle. This can be detected on both a physical exam or ultrasound. There are many other potential causes of male factor infertility, as well as associated therapeutic options. Newer technologies including sperm aspiration and Intracytoplasmic Sperm Injection (ICSI) have opened the possibility of achieving pregnancy to couples who in the past were thought to be untreatable.
Evaluation for infertility should include at least two semen analysis samples and consultation with a qualified urologist. Female evaluation through a qualified OB/GYN should also be pursued.
Many couples overlook a male factor evaluation especially if some female factors are found. It is important that both the man and the woman are evaluated when infertility is present.
Please keep in mind that the information provided on this website is for informational purposes only and should not be used for self diagnosis. You should always consult your physician if you feel that you have a medical ailment.