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Infertility: not just a female condition

Thu. May 7, 2015 at 12:00 pm CST

This one-hour, interactive webinar will give an overview of several important aspects of male factor fertility. Mayo Clinic urologist and male fertility specialist Landon Trost, M.D., will discuss how often a male factor is present, what it means for overall male health, health of a future child, and the impact of aging. Dr. Trost will also review initial steps performed to evaluate for male fertility and treatment options. After his presentation, Dr. Trost will answer questions. Sign up to ask questions and to receive email reminders.

Speaker: - Landon Trost, M.D.

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Anonymous wrote:

I had a vasectomy but have remarried, and we now want children together. Would you recommend vasectomy reversal or IVF using extracted sperm? Or is there another option that would increase our odds of getting pregnant?

Posted Fri, May 8 at 9:37am CST

LaurenSpiceland

Lauren Spiceland replied:

This would depend on several factors. Typically if your partner’s age is over 37-40 we start to lean a bit more towards assisted reproductive techniques such as IVF. On the other hand, if your partner is under age 37 it is much more cost-effective to undergo a vasectomy reversal. Also if you're considering having multiple children it is often much more cost-effective to do the reversal. Some couples have very tight time schedule for pregnancy. In these cases assisted techniques (like IVF) are more predictable at achieving a pregnancy.

Posted Fri, May 8 at 9:40am CST

Anonymous wrote:

What should I do to raise my sperm count?

Posted Fri, May 8 at 8:53am CST

LaurenSpiceland

Lauren Spiceland replied:

This would depend on many factors. We typically would need to perform an initial evaluation including a physical examination as well as obtain testing such as a semen analysis and blood work. We would also evaluate various lifestyle factors that you're experiencing including various substances, obesity, as well as work exposures and habits. From this we can usually give you several recommendations which can improve your sperm count. Also depending on the results of your testing you may require additional tests and may or may not benefit from surgeries or medications.

Posted Fri, May 8 at 9:40am CST

Anonymous wrote:

Does smoking marijuana cause low sperm count? Is it something that I’d have to quit completely or could I just give it up for a while?

Posted Fri, May 8 at 8:22am CST

LaurenSpiceland

Lauren Spiceland replied:

Yes, Marijuana results in reduced sperm counts and often can cause hormonal abnormalities as well. Usually, stopping Marijuana for a few months will improve sperm quality. I do not believe there are any studies which have demonstrated permanent impairments in sperm production with Marijuana use.

Posted Fri, May 8 at 9:39am CST

Anonymous wrote:

My husband and I really want biological children, but he has sertoli-cell only syndrome. Are there any treatments?

Posted Fri, May 8 at 8:14am CST

LaurenSpiceland

Lauren Spiceland replied:

Men with Sertoli only syndrome may still have pockets of normal sperm production. In approximately 33-50% of cases we are able to find some sperm in men with Sertoli only syndrome (sufficient for IVF or ICSI). Typically in cases like this though I almost universally recommend going on a medicine such as Clomid for at least three months followed by a microscopic testicular sperm extraction. Because this has to be done under anesthesia and can take several hours the costs of the procedure typically range from $3,000-$12,000.

Posted Fri, May 8 at 9:38am CST

Anonymous wrote:

Is male infertility hereditary? My son was conceived through IVF several years ago. We were not able to determine the cause of my husband’s infertility then. I’m worried that whatever caused the infertility may have been passed to my son. [...] View full text  

Posted Thu, May 7 at 4:40pm CST

LaurenSpiceland

Lauren Spiceland replied:

From Dr. Trost: Some forms of male infertility have clearly been linked to genetic causes. One test that can identify some known causes is looking for Y-chromosome micro deletions. This test is often not covered by insurance and can range from a few hundred dollars to several thousand dollars. I would say, however, that the far majority of causes of male infertility have not been associated with specific genes. Genetics in general is very challenging because there are so many potential genes which may contribute to infertility, and very few of these have actually been fully identified.

Posted Fri, May 8 at 8:18am CST

Anonymous wrote:

We were recently told that my husband has Klinefelter's Syndrome and has zero sperm count in the analyses he's had done. We've been told that there is a 50% chance sperm can be found through a testicular biopsy. Is that [...] View full text  

Posted Thu, May 7 at 2:39pm CST

LaurenSpiceland

Lauren Spiceland replied:

From Dr. Trost: That is correct. There are some estimates that in up to 66% of patients with Klinefelter Syndrome we are able to retrieve sperm. In these cases I usually recommend that the patient be started on a medicine, such as clomiphene citrate, for several months and then consider undergoing a microscopic testicular sperm extraction. This gives you the optimal chance to find sperm. As long as you can find sperm you should be able to achieve a viable pregnancy. This assumes of course that the female partner is able to achieve a pregnancy (younger and BMI < 30 = better success). Typically in cases like this IVF is not possible and ICSI (intracytoplasmic sperm injection) is preferred. That is because typically we only find a small number of sperm and IVF requires a much larger number.

Posted Fri, May 8 at 8:17am CST

Anonymous wrote:

Are some sexual positions more conducive to getting pregnant than others?

Posted Thu, May 7 at 2:26pm CST

LaurenSpiceland

Lauren Spiceland replied:

From Dr. Trost: I'm not sure if there is a definitive answer to this question. I did a quick literature search to see if anything had ever been published on this, and I was not able to find anything specific. It would seem to make empiric sense to me that the optimal position for the female would be laying on her back as this would increase the amount of time that sperm are present in the correct location near the cervix. It is interesting, however, that sperm are able to travel to the location of the egg within a few minutes of ejaculation. This would argue that the actual position maybe less important than one would think.

Posted Fri, May 8 at 8:15am CST

Anonymous wrote:

If a male patient has a high DFI (DNA Fragmentation Index) does that increase the risk of miscarriage or genetic problems in the offspring?

Posted Thu, May 7 at 12:45pm CST

Anonymous wrote:

If my partner gets pregnant after a vasectomy reversal, are there added risks involved? Is the sperm just as healthy as it was before my original vasectomy surgery?

Posted Thu, May 7 at 12:33pm CST

Anonymous wrote:

Should I have a semen analysis even though the doctor identified a problem in my wife?

Posted Thu, May 7 at 12:32pm CST

Anonymous wrote:

When should our family consider coming to Mayo vs. seeing another physician/location?

Posted Thu, May 7 at 12:26pm CST

Sorry for the delay, we were experiencing technical difficulties. We are streaming now.

Posted Thu, May 7 at 12:04pm CST

if you are having trouble viewing the webinar, please refresh your browser. thanks

Posted Thu, May 7 at 12:04pm CST

Ask a question here on male infertility

Posted Wed, Apr 1 at 4:48pm CST