Male Infertility

Why Yale Urology?

The Yale Urology Male Fertility program is run by Dr. Stanton Honig,  a fellowship trained specialist in Male Infertility and Microsurgery.

He has over 20 years experience in treating male infertility including medical and surgical therapy. He lectures nationally and internationally. He provides specialized and personalized care in a caring and compassionate manner.

Why is it important to be evaluated for male factor infertility?

Infertility is defined as the inability to achieve a pregnancy after 12 months of unprotected intercourse. Over 50% of the time, this is related to a male factor problem. The initial evaluation should include a semen analysis and if abnormal, a referral to a reproductive urologist is recommended.

The first step in evaluation involves a history and physical examination. This is important because a small number of patients will present with a life-threatening condition such as a testis cancer, brain tumor, or significant medical condition such as diabetes, genetic abnormalities, etc. This concept was first identified by Dr Honig and others in a paper dating back to 1994.

Are there treatable or reversible causes of Male Factor Infertility?

Absolutely.  A thorough history and physical examination may identify factors that can affect fertility potential. These include smoking, alcohol, testosterone use and marijuana. In addition, physical examination may identify enlarged veins called varicoceles that can be treated to improve semen quality. Blood tests may be recommended to identify hormone imbalances or genetic abnormalities.

How can I better understand my semen analysis results?

Dr. Honig, Yale's Urologic infertility expert, will review your semen analysis results in detail. All parameters of a semen analysis are important. This includes semen volume, sperm concentration, motility, and sperm morphology (or sperm shape).
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