Male Fertility Evaluation
Struggling to conceive can be an emotional and confusing journey. If you’re looking for answers about male fertility, understanding your options and taking the right tests is the first step toward finding a solution.
At Maiden Lane Medical in Manhattan, NY, we specialize in comprehensive male fertility evaluations. Contact us today to schedule a consultation.
Understanding Male Infertility
Male infertility affects millions of couples trying to conceive. Roughly 40–50% of all infertility cases involve male factor infertility, making it just as important to evaluate the male partner when pregnancy does not occur after 6 to 12 months of trying.
Infertility in men may be due to a variety of reasons—from medical conditions to lifestyle factors. A proper diagnosis is essential in determining the best course of action.
Common Causes of Male Infertility
There are many potential causes of male infertility. Some are related to physical problems or medical conditions, while others are linked to environmental or behavioral issues. Common causes include:
- Low sperm count or no sperm at all (azoospermia)
- Poor sperm motility (the ability of sperm to swim)
- Issues with sperm production or shape
- Hormonal imbalances
- Retrograde ejaculation
- Premature ejaculation
- Erectile dysfunction
- Varicoceles (enlarged veins in the scrotum)
- Genetic disorders
- Prior surgeries or infections
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Key Steps in a Male Fertility Evaluation
At Maiden Lane Medical, we offer a thorough, structured approach to assessing male fertility. Dr. Kaufman, one of the nation’s leading urologists, performs a fertility-specific medical history and physical examination as the first step.
Patients undergo a detailed assessment of lifestyle factors such as smoking, alcohol use, drug exposure, and other habits that may impact sperm health. This step helps identify potential changes that can improve fertility outcomes.
Fertility Tests for Men
One of the most critical components of a male fertility evaluation is the male fertility test, also known as a semen analysis. At Maiden Lane Medical, we operate one of the few facilities in NYC equipped to perform comprehensive semen analyses in-house, using WHO guidelines—with results available within 24 hours.
The semen analysis measures:
- Sperm count: The number of sperm in a given sample
- Sperm motility: How well the sperm move
- Sperm morphology: The shape and structure of the sperm
- Volume and consistency of semen
If no sperm are found in the semen sample (azoospermia), additional diagnostic procedures may be necessary. In some cases, Dr. Kaufman may perform TESA (Testicular Sperm Aspiration) under local anesthesia, an outpatient procedure taking less than 10 minutes, to determine if sperm are being produced in the testicles.
Other tests that may be included in your evaluation:
- Fertility hormone testing: Measures levels of testosterone, FSH, LH, and prolactin
- Genetic testing: Detects chromosomal abnormalities that may cause infertility
- Ultrasound imaging: Assesses the structure of the reproductive organs
These tests help identify the root cause of infertility and provide a roadmap for potential treatment.
Erectile Dysfunction
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After the Evaluation: Your Next Steps
Once your evaluation is complete, our team will review your test results and discuss next steps. Depending on the findings, treatment may involve:
- Lifestyle modifications to improve sperm health
- Hormone therapy
- Surgical interventions such as varicocele repair
- Assisted reproductive techniques (IUI, IVF, or ICSI)
- Sperm retrieval procedures like TESA for IVF purposes
For patients with no sperm seen on semen analysis or those post-vasectomy, Dr. Kaufman collaborates with NYC’s leading embryology labs to perform TESA for sperm retrieval. This procedure is also ideal for patients planning to undergo IVF/ICSI treatments. Please note that TESA is typically not covered by insurance and is considered an out-of-pocket service.
Maiden Lane Medical maintains close partnerships with top Reproductive Endocrinology and IVF programs in New York City. This ensures you receive seamless, coordinated care throughout your fertility journey.
Men’s Health
Why Choose Maiden Lane Medical for Male Fertility Testing?
Our practice stands out for several reasons:
- One of the few centers in NYC offering full male fertility evaluations in-house
- Rapid 24-hour turnaround for hormone testing and semen analysis
- Expert evaluation by a leading urologist with specialized experience in male infertility
- Convenient access to advanced procedures like TESA
- Compassionate, confidential care tailored to your needs
If you’re an infertile male or part of a couple facing challenges with conception, it’s important not to delay testing. Early evaluation and intervention can significantly increase your chances of achieving pregnancy.
Get the Help You Need at Maiden Lane Medical
Understanding your fertility is the first step toward expanding your family. At Maiden Lane Medical in Manhattan, NY, we provide fast, accurate, and compassionate care to men concerned about fertility.
Whether you need a semen analysis, a full male fertility evaluation, or advanced procedures like TESA, our expert team is here to guide you every step of the way. Contact Maiden Lane Medical today to schedule your male fertility test and take control of your reproductive health.
Men's Health Specialists
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