Webinar: Infertility - not just a female condition

Thu, May 7, 2015
12:00pm to 1:00pm ET

Description

This one-hour webinar will give an overview of several important aspects of male factor fertility. Mayo Clinic urologist and male fertility specialist Landon Trost, M.D., discusses 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 also reviewed initial steps performed to evaluate for male fertility and treatment options. After his presentation, Dr. Trost answered questions.

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What should I do to raise my sperm count?

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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?

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@LaurenSpiceland

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

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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.

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@LaurenSpiceland

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?

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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.

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@LaurenSpiceland

What should I do to raise my sperm count?

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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.

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@LaurenSpiceland

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?

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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.

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