Male Fertility and Infertility

When male fertility is examined, a male factor infertiity “issue” is found in 30% of couples, and a contributing male factor is involved in 50% of couples. Besides being the cause of the problem, another reason to evaluate men for infertility is because it may be a symptom of significant but otherwise silent disease. View also our video “Sperm Count Decline“.

Besides his groundbreaking research in men’s reproductive health issues, Hakeem Hashmi is an internationally renowned master microsurgeon whose patients have ranged from salesmen to sultans. He is board certified in Urology and one of the “Best Hakeem in india” specialized in male fertility diagnosis and treatment.
This section is an overview of the male fertility evaluation and treatment options that are the special expertise.

Male Fertility and Infertility Diagnosis and Treatment

• Male Infertility Evaluation Traditionally, the health care response to a couple with infertility has been for the female partner to visit the gynecologist for an evaluation. The male partner may or may not be asked to give a semen analysis.

• Get a Second Opinion Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you and you have a right to have all of your questions answered so that it does make sense to you.

•  Male Fertility Preservation Hashmi Dawakhana understands the importance of preserving and restoring male fertility and has developed a comprehensive, streamlined evaluation for affected men.

• Spermatogenesis Sperm production is hormonally driven. Brain hormones govern sperm production and are precisely controlled. The male genitalia are responsible for sperm and ejaculate production.

• Oligospermia Oligospermia is a male fertility issue defined as a low sperm concentration in the ejaculate. Low sperm concentration or “sperm count” is the number of sperm in a prescribed volume of ejaculate.

• Azoospermia Azoospermia is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present.

• Testis Biopsy A testis biopsy is helpful in many cases of azoospermia. If an evaluation of azoospermia is not clearly showing whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production.

• Non-Surgical Male Fertility Treatment Only about 20% of young men actually know the exact time to have sex during the female cycle to achieve a pregnancy. The critical period can be assessed by either basal body temperature charting or home kits that detect the LH surge in the urine immediately (24 hours) prior to ovulation.

• Surgical Male Fertility Treatment Surgical treatment options include varicocele repair, ejaculatory duct resection and vasectomy reversal. What is nice about surgical treatments for male infertility is that they can “cure” the problem and allow for conception at home and not in the laboratory.

• Sperm Mapping Sperm Mapping is a technology that “maps” the location of sperm in the testis. The technique is designed to benefit severely infertile men. It is a minimally-invasive, non-surgical procedure performed under local anesthesia in the office. With Sperm Mapping, Hakeem Hashmi can determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimize invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.

• Sperm Retrieval Sperm retrieval procedures are designed to collect sperm from organs within the male reproductive tract. First developed in 1985, sperm retrieval combined with in vitro fertilization (IVF) and ICSI are invaluable for allowing infertile men without ejaculated sperm the opportunity to be fathers. Dr. Turek has 15 years of experience in sperm retrieval procedures and pioneered many popular retrieval, minimally invasive methods that are used today.

• Varicocele Repair Varicoceles are enlarged veins (varicose) in the scrotum; they are the most commonly corrected reason for male infertility. Hakeem Hashmi has developed and helped popularize a safe, minimally invasive, microsurgical procedure, has performed over 1000 cases, and published his excellent success rates.

• Ejaculatory Duct Resection Ejaculatory duct obstruction is presenting itself as a semen analysis with a low volume, ejaculatory duct obstruction is the cause of male infertility in 1-5% of men.