It is estimated that up to forty percent of infertile couples are unable to conceive because the man's sperm production is less than optimal.
Our program for Male Infertility focuses on establishing the correct diagnosis and using advanced treatment techniques to make it possible for many of these couples to conceive.
Where indicated, men are thoroughly evaluated by Dr. Yefim Sheynkin, who specializes in diagnosing and treating infertile men. Dr. Sheynkin, who is also Director of Male Infertility and Microsurgery at Stony Brook University Medical Center, has recently joined Long Island IVF to enable patients to receive comprehensive male and female related infertility diagnosis and treatment in one convenient location. His initial evaluation includes a medical history, physical examination, complete semen analysis and, if appropriate, sperm function tests.
Once we determine the most appropriate and simplest treatment for each couple, alternatives may include medical or surgical treatment of the man to increase sperm counts, inseminations with superovulation therapy, testicular sperm extraction (TESE) to aspirate or retrieve sperm from the testicle, IVF with ICSI or the use of sperm from an identified or anonymous donor.??The most commonly used sperm retrieval techniques are MESA (Microsurgical Epididymal Sperm Aspiration) and TESE (Testicular Sperm Extraction). During a MESA procedure, a small incision is made in the scrotum while the patient is under anesthesia. The seminal fluid is aspirated from the epididymis with special micropipettes under direct visualization 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, many men maintain some sperm production in the hidden areas of the testis. Both procedures are usually performed around the time that the woman's eggs are retrieved. They are minimally invasive with a short recovery period.
For men with significant infertility, we use a form of assisted fertilization called intracytoplasmic sperm injection (ICSI). We inject one sperm into each egg obtained through ovarian stimulation (IVF). This way an egg can be fertilized by a single sperm that otherwise is unable to bind or penetrate the zona pellucida (the permeable barrier around the egg) or underlying egg membrane.
We offer ICSI to men whose sperm has not fertilized eggs in previous IVF cycles, whose sperm has severe abnormalities, or who have abnormalities in the steps required to achieve normal fertilization. Men with unsuccessful vasectomy reversals, congenital or acquired absence or obstructions of the ejaculatory ducts, spinal cord injuries, or pituitary deficiencies are also potential candidates.