Blog Archive

Understanding the Different Methods of Sperm Extraction Oct 1st, 2019

Advances in medical technology and technique continue to improve the odds for couples struggling with infertility. Board-certified urologist Eric K. Seaman, MD is a male fertility specialist who is well-known for his compassion and medical skills. Sperm extraction is one of the treatments he may recommend that can help couples...

New Medications Stop Prostate Cancer Tumors from Growing Sep 11th, 2019

September is recognized as National Prostate Cancer Awareness Month for good reason. Second only to skin cancer, prostate cancer is one of the most common cancers among men in the US. Research estimates that 1 in every 9 men is diagnosed with prostate cancer annually. However, recent achievements in medical...

When Should Prostate Cancer be Treated? Aug 1st, 2019

Prostate cancer is one of the most common types of cancer diagnosed in American men, with nearly 175,000 new cases diagnosed each year. But having a prostate cancer diagnosis doesn’t always mean that you need medical intervention.  As one of the leading experts in male reproductive health and microsurgery, Eric...

Recognizing the Symptoms of Varicoceles Jul 26th, 2019

A varicocele is an enlarged vein — similar to the varicose vein in your leg — that develops in your scrotum. Your scrotum is the loose bag of skin that holds your testicles. These oval-shaped organs make and store sperm and produce the male hormone testosterone. When you have varicoceles,...

What to Expect During a Testicular Sperm Extraction Procedure Jun 1st, 2019

If you want to start a family, but are facing an infertility issue, whether due to a vasectomy or another medical issue, there are many ways we can bypass normal channels and extract sperm closer to the source. At the Center for Vasectomy and Vasectomy Reversal, a part of New...

What are the Most Common Causes of Male Infertility? May 20th, 2019

If you and your partner are excited about building a family together, but try as you might, you’re unable to succeed, fertility problems may be to blame. And there’s a good chance that the problem may be on your end — one-third of infertility issues stem from women, one third...

4 Tips for Preventing Kidney Stones Apr 1st, 2019

Even though March is National Kidney Health Awareness month, we’re always glad to take time to observe that here at Dr. Eric Seaman’s urology practice in Millburn, New Jersey. Our attention is focused on your kidney health year-round. Kidney stones are hard mineral deposits that form inside your kidneys and...

What is the Success Rate for a Vasectomy Reversal? Feb 28th, 2019

When it comes to preventing pregnancy, a vasectomy is almost as effective as abstinence. After you’ve had a vasectomy, but you later decide that you want to father children, can you undo the procedure? The answer is probably yes. The success rate of a vasectomy reversal depends on many factors,...

5 Signs You Could be Suffering From a Testosterone Deficiency Feb 1st, 2019

Low testosterone, also called hypogonadism and low-T, affects all men as they get older because their hormone production naturally declines over the years. But that’s not the only cause of a testosterone deficiency. Hypogonadism develops for numerous reasons, from problems with your pituitary gland or testicles, to inflammatory conditions, medications,...

Vasectomy Reversal means a man can change his mind Jan 25th, 2019

Vasectomy is intended to be a permanent method of birth control. It is an office based or sometimes an outpatient minor surgical procedure.  It generally only requires fifteen to thirty minutes to accomplished and is most commonly performed on men who have decided that they no longer desire to have...

Vasectomy: A way to help take control of your future Jan 25th, 2019

Answer:  Controlling the size of your family.  And a relatively simple, minimally invasive method to accomplish this is a Vasectomy. Vasectomy is considered a permanent method of birth control.   Although  there may be several reasons why a man might consider a vasectomy, the most common setting occurs after a man...

Do Antioxidant Supplements Help in the Treatment of Male Infertility? Jan 25th, 2019

It has been stated that fifteen percent of couples have difficulty conceiving and half of them involve a male factor. Male factor infertility is generally brought to light when abnormalities are found on semen analysis, typically an abnormality in sperm density (count), motility (how well the sperm move) or morphology...

A common cause of low sperm production and decreased sperm quality Jan 25th, 2019

What is a varicocele? A varicocele occurs when veins in the spermatic cord  (the structure containing neurovascular supply to the testicle) become tortuous and dilated, similar to what happens with varicose veins in the leg.  In fact a scrotal varicocele is simply a varicose enlargement of the veins around the...

5 Male Fertility myths you should know the truth about Jan 25th, 2019

Myth 1) Smoking only affects a woman’s fertility:  Not true:  Multiple publications exist showing a detriment to sperm motility, and morphology (shape) associated with smoking.    Other more subtle effects such as sperm agglutination (sticking together) or the presence of leukocytospermia (white blood cells in the semen) have been associated with...

How Obesity Affects Male Fertility Jan 25th, 2019

Recent studies appear to show a higher prevalence of male infertility in those with morbid obesity. Obesity defined as a body mass index (BMI) greater than 40.   As the obesity epidemic continues, the US may be seeing more couples present with fertility issues. BMI is a ratio of weight over...

How Temperature affects Male Fertility Jan 25th, 2019

Not too Hot, Not too Cold, But just Right. Temperature, Heat Radiation and Clothing are all considerations when it comes to thinking about Male Fertility Health. It seems Temperature is in the news. Fears of global warming, the advantages of retiring to a warmer climate, cold hands warm heart…. When...

Azoospermia Causes and Treatment Jan 25th, 2019

Azoospermia means no sperm in the ejaculate.  The news of azoospermia can be devastating to men who have this finding.  Very often, there is no clue, no suspicion that this is the reason for failure to conceive until a semen analysis reveals the unexpected result.  In other cases, men may...

New Treatment of Male Infertility Jan 25th, 2019

Male Infertility Studies and Statistics Depending on the report or study, statistics show anywhere from twenty-five to seventy five percent of cases of male infertility cannot be adequately diagnosed or treated. Traditional evaluation including semen analysis, hormonal and or genetic testing and male genital imaging may result in an incomplete...

African Bush Mango in High doses can Harm Male Fertility Jan 25th, 2019

Just because it’s natural, doesn’t mean it’s good for you or even harmless: African Bush Mango in high doses can harm male fertility as well as liver function. Seed extracts of African Bush Mango, also know as Irvingia Gabonensis, have been used as an aid in blood sugar control and...

Chemicals in Plastics can Impact Male Fertility Jan 25th, 2019

Phthalates: An Environmental Toxin That Can Impact Male Fertility. The debate between the influence of the environment versus genetics has been used to explain what happens to us, to our health and to our fertility. Supplements are a multibillion dollar industry, fueled by our desire to optimize what we put...

Requisite Protein Discovered that Enables Fertilization of an Egg by a Sperm Jan 25th, 2019

Every day more information and knowledge is discovered with respect to the basic science of fertility. The foundation of the study of fertility begins with how a sperm fertilizes an egg. Sperm undergo a variety of changes as they make their way from the ejaculate to the egg including hyperactivation,...

Options to Preserve Fertility for Men undergoing Testosterone Replacement Therapy. Jan 25th, 2019

Hypogonadism or below normal testosterone is a well recognized entity affecting a significant number of men. Symptoms can include low desire for sex or libido as well as low energy. Of course those symptoms can be ascribed to other conditions as well including, but not limited to depression or hypothyroidism;...

A Look at Therapies For Men who cannot Produce Sperm Jan 25th, 2019

In the modern era, there are a host of avenues couples can pursue to initiate a pregnancy. New technologies enable conception even in the setting of very few sperm and or eggs.  The most severe setting for male infertility occurs when no sperm at all is present in the ejaculate,...

Vasectomies, Vasectomy Reversals and the Economy Jan 25th, 2019

Over the past decade or so, we’ve been living through a  topsy turvy economy.  2008 was witness to our second largest stock market crash and recession. Overnight, for many, a sense of security transformed into a sense of despair.    Discretionary spending is usually curtailed in times of financial crisis;...

Trying to conceive? What lubricants should be used or avoided? Jan 25th, 2019

Couples trying to conceive can face a number of challenges and pressures. They may face social pressures brought on by well intended friends and family. They can face their own internal pressures if they feel that they are not achieving their goals in a timely fashion. Problems related to intimacy...

Is Vasectomy Associated with an Increased Risk of Prostate Cancer? Answer: No Jan 25th, 2019

A recent report from the Journal of Clinical Oncology by Mucci et al states there might be a very small increase in risk over all and a larger increased risk for advanced or lethal prostate cancer.  The study from Harvard School of Public Health in Boston, MA, examined the correlation...

Does Everything increase the Risk of Prostate Cancer? Jan 25th, 2019

Summer time is here. Time for healthy activities like swimming, tennis, bicycle rides……. Or is it? A recent study from the UK published in the Journal of Men’s Health states that cycling is associated with an increased risk of prostate cancer.  Apparently the popularity of cycling is increasing in Great...

Infertility Treatment for Men who have taken Testosterone and or Anabolic Steroids Jan 25th, 2019

It seems like more and more attention is being given to testosterone therapy and testosterone replacement. It has been commonly acknowledged that men’s testosterone levels drop as they age and many men will need help. Commercials for testosterone products such as testosterone gels abound on TV. However some use of...

About Dr. Seaman: A Specialist in Vasectomy Reversal Jan 25th, 2019

Dr. Eric Seaman has focused his New Jersey Urology practice on Male Reproductive Medicine and Surgery since 1996. As part of his focus, he has received special training on vasectomy reversal and specializes in complex microsurgical procedures for male fertility. Dr. Seaman has privileges at Saint Barnabas, Newark Beth Israel,...

Should Varicocele in an Adolescent be fixed or left alone? Jan 25th, 2019

A common referral for a urologist, especially for those with a focus on infertility, is for the evaluation of a 13, 14 or 15 year old boy who is discovered by his pediatrician to have a large left varicocele, or abnormally dilated veins in the scrotum. Even if there are...

World Vasectomy Day Arrives November 7th Jan 25th, 2019

On November 7, Doctors around the world will be coordinating their efforts in a bid to support Family Planning. World Vasectomy Day is a concept initiated by Dr. Doug Stein, a urologist in Florida and by film maker Jonathan Stack, two years ago. For the second consecutive year, I will...

Is Vasectomy Better for Women? Jan 25th, 2019

A study in the journal of sexual medicine says it may very well be, at least in terms of a couple’s sexual satisfaction. Vasectomy is a commonly performed minor surgical procedure to effect a permanent means of birth control for men. In fact, on the order of one half million...

Is Physical Activity Harmful or Helpful to your Sperm? Jan 25th, 2019

Several studies have previously associated obesity and other systemic disorders as risk factors for male infertility. On the other hand, some studies have reported that physical activity can actually be harmful to sperm, in particular high intensity training among elite athletes, but what about moderate physical activity? In the recent...

Friday, November 7 World Vasectomy Day Jan 25th, 2019

One question often posed by patients before undergoing vasectomy is whether there are any long term risks. Literature from twenty years ago raised the possibility of a link between vasectomy and prostate cancer; however, several reports following the initial report refuted the link and prevailing wisdom holds there are no...

Does Fat Equal Infertile? Jan 25th, 2019

Being overweight is looked at differently in the modern era. As America’s waist line expands, focus has been redirected to the consequences of those extra pounds. Unfortunately, scores of medical problems have been associated with obesity and its effect of longevity can be profound. Obesity is commonly associated with several...

Vasectomy Reversal has an even Higher chance of Success if Performed with the same Partner Jan 25th, 2019

I have written previously that vasectomy is intended to be a permanent method of birth control. It generally only requires fifteen to thirty minutes to accomplish and is most commonly performed on men who have decided that they no longer desire to have additional children with their partner. But a...

Enclomiphene, A New Treatment for Hypogonadism Jan 25th, 2019

Fifteen percent of couples will have difficulty conceiving and a male factor is involved in half of those cases. There are a number of possible underlying causes for male fertility problems. One of them occurs when the testicles have difficulty producing a normal level of testosterone.  It is a condition...

Revisiting the Semen Analysis Jan 25th, 2019

Semen analysis also known as the “sperm count” or “semen test” remains the standard initial laboratory test in the evaluation of male fertility or infertility. It has been performed for more than half a century with refinements along the way. However, for many men (and couples) it remains limited in...

Do Bad Habits Make for Bad Sperm? Smoking and its Effects Jan 25th, 2019

Everyone seems to know smoking is bad for your health. Everyone also seems to know someone who is a chain smoker but yet had no problem conceiving children. So, are cigarettes bad for sperm? Smoking in the US is on the decline and with good reason. Substantial evidence exists that...

More on DISPROVING a link between vasectomy and prostate cancer Jan 25th, 2019

In July 2014, a research team at the Harvard School of Public Health exhumed the debate about a potential relationship between vasectomy and prostate cancer. Their research team’s results made it into newspapers around the world, including the NY Times and The Guardian. I had a vasectomy about 35 years ago. You’ll see...

Will DNA Fragmentation replace the semen Analysis? A look at the SCSA,COMET, TUNEL, and SCD Tests Jan 25th, 2019

The semen analysis is a time tested method of evaluating male fertility and has been utilized for over sixty years. However, it is limited in its ability as a consequence of what it examines. The routine semen analysis includes an assessment of the number of sperm, their shape (morphology) and...

Want to watch the NCAA Guilt Free? Get a Vasectomy. March Madness is Here! Jan 25th, 2019

The time of the annual NCAA college basketball tournament, is upon us.   Men around the nation are intent on watching the games.  But, there are other obligations: work, family, in some cases, shoveling snow.   One way to justify being able to kick back and focus on the games: get a...

Birth control for men without children: The issue of child free and vasectomy Jan 25th, 2019

Vasectomy is a readily performed procedure which accomplishes a permanent  method of birth control for men.  It typically takes about twenty to thirty minutes to accomplish and can be performed in an office setting under local anesthesia, or in a monitored setting with the patient under anesthesia.    Most commonly,...

Pesticides and Male Fertility Jan 25th, 2019

There is conflicting evidence in the literature, at least for pesticides used in the current millennia, as to whether they are associated with any health consequences at all. Certainly, in prior decades, a number of pesticides were associated with health consequences. One of the most famous may have been in the...

They’ve done it! Or have they? Jan 25th, 2019

The solution for men whose testicles simply do not produce sperm may be on the horizon   News on the male infertility front reveals that the Kallistem Laboratory in Lyons, France have accomplished the task of in vitro (outside the body) maturation of sperm. Male infertility takes on a number of...

What is the Best Way to Undergo a Permanent Method of Birth Control? Jan 25th, 2019

Vasectomy is considered to be a minimally invasive, safe and reliable method of effecting birth control.  Although vasectomy reversal surgery is feasible, vasectomy is considered to be a permanent means of eliminating sperm from the ejaculate.     The vasectomy procedue has been performed for several decades in the US...

Evaluation of the Male infertility Patient Jan 25th, 2019

When someone needs to be evaluated for problems with male fertility, they are often referred to a urologist.  What are urologists and why are they the doctor frequently recommended to see?    Who else is involved in fertility care? Urology Urology is a surgical subspecialty within medicine.  Urologists are physicians whose...

Azoospermia in the US Military Jan 25th, 2019

A male factor is known to be involved in about half of couples having fertility problems.   The most severe form of male infertility is a complete lack of sperm in the ejaculate.   This condition is known as “azoospermia”.   Azoospermia is found in about a fifth of male fertility patients. Among...

The value of sperm, the value of eggs, the value of human life Jan 25th, 2019

An article from the July 26, 2015 edition of the Wall Street Journal reports on a federal lawsuit on the subject of paying women for their eggs in the setting of in vitro fertilization (IVF).  This suit sheds light on several ethical issues regarding paying for items related to life...

Surgically retrieved sperm versus ejaculated sperm: What are the risks? Jan 25th, 2019

For men who have azoospermia or no sperm in the ejaculate, one solution to enable pregnancy is a surgical sperm retrieval.  In essence it is a minor surgical procedure whereby tissue or fluid with sperm is surgically removed from the testis or epididymis and that sperm is used to initiate...

Testosterone Replacement is Safe in Hypogonadal Men Jan 25th, 2019

Testosterone replacement therapy (TRT) is an effective means of restoring testosterone levels to normal in men who are unable to maintain serum levels on their own.   However, controversy surrounds TRT; the FDA has revisited the appropriateness of TRT and many private payers are putting up roadblocks to paying for it.  ...

Counseling and Male Infertility. Is the Suffering of Men Ignored? Jan 25th, 2019

Ten percent of couples trying to conceive will have difficulty. It is now taken for granted that a male factor is involved in about half of such couples experiencing a fertility problem. Yet for some reason, the public awareness of this fact appears limited, if not absent. Literature and the...

Penile Transplant: Will it happen in the USA? Jan 25th, 2019

Penile transplant surgery was performed successfully for the first time in South Africa at Tygerberg hospital in Bellville, Cape Town, South Africa, December, 2014 . The 21 year old recipient’s penis was previously amputated in a life saving procedure after the development of severe complications after a traditional (non medical)...

Stress on the Job? Medical Issues? Jan 25th, 2019

A report in the journal Fertility and Sterility (March, 2015) reported on 501 couples trying to conceive for a year. Thirteen percent of men who reported heavy work related activity had lower sperm counts compared to 6% of men who reported no exertion. Other work related exposures such as shift...

More Pot, Less Sperm Jan 25th, 2019

There is a recognition that poor health is associated with poor fertility.  This applies to both men and women.  People need to eat right, sleep enough and take care of their bodies not only because it supports medical health, (ie, more energy, less illness) but because it also supports their...

World Vasectomy Day: Supporting the Man’s Role in Family Planning Jan 25th, 2019

For the third year in a row, UGNJ will be supporting World Vasectomy Day, an international effort involving over 500 physicians from every continent and over thirty countries.   The goal is to raise awareness of a man’s role in family planning.    The event takes place on Friday, November 13 and...

The Changing Role of the Physician Jan 25th, 2019

Now we have become an advocate for insurance payer contracts and also agents for hospitals and large groups to improve their profiles. This blog is my first opinion piece. It is triggered by what I see as a depression that has come over many of my colleagues in medicine, a...

A New Treatment for Erectile Dysfunction: No Pills, Injections or Surgery! Jan 25th, 2019

The past two decades have been witness to almost miraculous advances in technology, from the internet, to the tablet, to communication by texting and wearable extensions of our smart phones.  Advances in our options to improve men’s ability to achieve erections have been no less profound.  The inflatable penile prosthesis...

A New Test for Male Infertility is on the Horizon: the Androvia Cap-Score™ Jan 25th, 2019

IN 1677, Antonie van Leeuwenhoek became the first man to identify sperm within semen under microscopic examination.    His discovery laid the foundation for what would become the semen analysis, typically the first step in fertility evaluation for a man.  Semen analysis, in one form or another has remained the initial test...

Vasectomy, Tubal Ligation and Marital Status in the US Jan 25th, 2019

Excerpts and commentary on: Marital Status and Female and Male Contraceptive Sterilization in the United States, Mieke C. W. Eeckhaut, Fertil Steril (103) 1509-15, 2015. The following represents excerpts from an interesting article I Fertility and Sterility and my (limited) commentary Common methods used to achieve Permanent Contraception Vasectomy and...

A ‘How to’ Guide. What a man can do to maximize his chances of successful Vasectomy Reversal Jan 25th, 2019

Vasectomy reversal is a surgical procedure which essentially allows a man with a vasectomy to change his mind.  Although vasectomy itself is readily accomplished in an office setting in about twenty minutes to a half hour,  a vasectomy reversal is far more difficult, takes more time and requires microsurgical techniques...

New Technology for Growing Sperm from Stem Cells Jan 25th, 2019

Another report of sperm actually being grown in culture has been published.   In the Journal Cell Stem Cell  (Volume 18, Issue 3, p330–340, 3 March 2016),  scientists in China report growing (mouse) sperm –like cells from (mouse) embryonic stem cells.  Those cells were then able to be injected into (mouse) eggs...

Vasectomy Reversal in Detail: How it’s done. Jan 25th, 2019

Somewhere between one and two percent of men who have a vasectomy make the decision to change their mind and undergo a vasectomy reversal.    In order to understand a reversal one needs to first understand how sperm gets into the ejaculate and then what a vasectomy accomplishes.   Sperm form in...

Shockwave Therapy to Treat Erectile Dysfunction has come to New Jersey Jan 25th, 2019

Low-intensity shock wave therapy to the penis is a new alternative for the treatment of erectile dysfunction or difficulty with erections. It has been shown to help men with erectile dysfunction (ED) that is unresponsive to conventional medications: phosphodiesterase type 5 (PDE-5) inhibitor treatments such as viagra, levitra, cialis, stendra,or staxyn. It is...

Dr. Seaman Becomes Part of New Jersey Urology, the Largest Urology Group in the State of New Jersey Jan 25th, 2019

Effective November 1, 2016,  Dr. Seaman’s current urology group, the Urology Group of New Jersey (UGNJ) along with Skylands Urology will become part of New Jersey Urology, making the  combined entity the largest urology group in the state.    Simultaneously, the office will adopt a new Electronic medical record with a...

Getting Enough Sleep: A Lifestyle Factor Correlates with Male Fertility Jan 25th, 2019

Common sense edicts:  Eat right, get some exercise in your day, and now, yes, get enough sleep, are all factors that can affect general health as well as fertility.  The need for adequate sleep has earned attention  in New research presented at the American Society for Reproductive Medicine’s annual conference held in...

A New Male Contraceptive? Not So Fast… Jan 25th, 2019

Currently, women have a multitude of available options for birth control including oral contraceptives, diaphragms, IUDs, and tubal ligation.   For men, choices are limited to condoms and vasectomy.   A group in Germany is exploring a third option:  injectable medication to that reduces sperm production. The team led by Dr. Hermann...

Another Male Fertility Test is coming to Market: The Episona SEED Test Jan 25th, 2019

Episona, an “epigenetics data” company  is a bringing a new male fertility test to market.  The test is hoped to provide additional useful information in the evaluation of the male fertility patient in addition to and beyond the information a semen analysis provides.   Epigenetics refers to heritable changes, not in...

Do Sons drive Vasectomy Decisions? Jan 25th, 2019

Man as young as 18 and as old as 70 have presented in my office asking about vasectomy. Although the most common age ranges from the mid thirties to early forties. Many factors can prompt the decision for a man to come in for consultation. Reasons include a difficult labor...

Vasalgel™: A Future New alternative to Vasectomy and Vasectomy Reversal, or is it? Jan 25th, 2019

Vasectomy is a procedure with a durable track record of being a minimally invasive and reliable method of achieving permanent male contraception.   Millions of vasectomies have been performed worldwide.  the procedure can be performed in the office under local anesthesia and is generally covered by insurance. Despite the permanence of...

Oh my G-d, I just ejaculated blood. It’s Hematospermia: Don’t panic Jan 25th, 2019

Hematospermia literally means blood in the ejaculate. For men who have experienced it, it can be a shocking situation and a cause for tremendous anxiety. The cause for it is (not universally but) most commonly, benign. Why and how does it happen? The majority fluid in the ejaculate comes from...

A Potential Disruptive Breakthrough in the Diagnosis and Treatment of Prostate Cancer: Axumin Jan 25th, 2019

This blog departs from my subject matter of fertility and infertility related topics, but the technology is so compelling, I felt compelled to share some information on the topic. Prostate cancer is the most common cancer to affect men. About one out of eleven men will be diagnosed with prostate cancer;...

The Literature shows that Vasectomy is NOT, I Repeat NOT Linked to increased risk of death from Pros Jan 25th, 2019

Vasectomy is a readily performed outpatient or in-office minor surgical procedure that offers a permanent method for male birth control.     The “newer” no scalpel technique has been available from urologists in the US for over forty years.   This option for family planning has gained increasing acceptance from all walks of...

An Affordable Home Male Fertility Test Available Right Now Jan 25th, 2019

Evaluation of the male partner in an infertile couple is often delayed until the couple has been trying for a period of time. Why? Well, about seventy-five percent of couples will conceive after six months of trying and about ninety-five percent will conceive after trying for a year, so evaluation...

Semen Analysis and Post Vasectomy Diagnostic using a Smartphone? Jan 25th, 2019

An article from March 22 2017 Science Translational Medicine authored by Manoj Kumar Kanakasabapathy1 et al reports on the development of a combination of smartphone software combined with additional, relatively inexpensive hardware, that can be used to perform a portion of a semen analysis (at home).   Standard semen analysis includes an assessment...

Male Fertility Evaluation, Your sex life and your state of mind Jan 25th, 2019

The finding of an abnormal semen analysis in the evaluation of an infertile couple can be disheartening to the male,  but sometimes for some men the news is devastating.    Feelings of inadequacy and failure can creep in and affect, not only the male himself, but the couples’ relationship. Add to...

CRISPR Gene Editing Jan 25th, 2019

Review articles on the subject have appeared in Nature magazine.   Subsequently a webinar on Perspectives on the potential for CRISPR Editing of embryos was presented (last week) to interested members of ASRM (The American Society of Reproductive Medicine) including speakers: Steven Palter, MD, Art Caplan, PhD, Paula Amato, MD, Dieter...

Even if race is more based on a social construct than a genetic basis, Can it affect your sperm coun Jan 25th, 2019

Race, race awareness,  privilege, etc.  It’s all over the news, occupying our thoughts and consuming our conversations.   But race is, in fact, more of a social construct, based in culture and attitude.    Children of parents of different race are often thought of as belonging to the race of one of...

Is there a link between Prostate Cancer and Male Infertility? Jan 25th, 2019

The reproductive organs in a male include: the testicles, epididymides, vasa, prostate, seminal vesicles, cowpers (bulbourethral) glands, urethra and penis.    Recently, there has been recognition that some men with poor sperm production may be at higher risk for testicular cancer.    Given that link, there is question as to whether male...

Is sexual satisfaction better, worse or the same after Vasectomy? Recent studies state it’s better. Jan 25th, 2019

Vasectomy is a readily accomplished method of male contraceptive.  It is often performed in an office or outpatient setting and has been ascribed virtues of being an economical form of birth control,  a low risk form of birth control and even a more “green” form of birth control.   However, one...

On Cancer and Fertility Preservation Jan 25th, 2019

One small part of the domain of fertility care pertains to preservation of fertility in the setting of malignancy.    I have treated fertility problems in men who have been treated for various cancers with chemotherapy, and or radiation therapy.    I have also diagnosed men with  diseases such as prostate cancer...

The ‘YO’ sperm home test is here and it looks good! Jan 25th, 2019

I have previously written about home sperm tests previously including this one which previously was not ready for distribution.  It was a 3D printed adaptation of one’s cell phone to make it into a substitute for a computer assisted semen analysis or CASA.    How it did work and still works: ...

Natural Cycle App: Great Idea, not so great results. Vasectomy still rules when it comes to reliabil Jan 25th, 2019

Smart phones are everywhere and their applications are ubiquitous. There’s an app for almost everything. Why not an app for birth control? Natural cycle is a smart phone application that uses algorithms based on the “rhythm method” to guide couples to have sex outside the “fertile window” of the woman’s...

Can Male Sexual Abstinence Have an Effect on the Results of In Vitro Fertilization Jan 25th, 2019

IVF with ICSI has offered a path to pregnancy for hundreds of thousands of couples around the globe.   The procedure combines standard IVF with the insertion of a single sperm into an egg.     Standard IVF involves medication to the female partner which allows maturation of multiple ovarian follicles (each of...

Does Sleep Deprivation Hurt Male Fertility? You Betcha, But too much sleep may be harmful as well. Jan 25th, 2019

Do you get enough sleep?  Does your partner?    Increasing demands of work may be shortening the duration of your sleep.  So may increasing time on the screen with facebook, instagram or other forms of social media.   An attempt to assess the affect of sleep on the ability of men to...

Essure, a Procedure for Female Birth Control, Gets New Restrictions From the FDA. Jan 25th, 2019

The following is taken without editing from the FDAsite:https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/EssurePermanentBirthControl/ucm452254.htm FDA Activities: Essure The FDA continues to monitor the safety of Essure. Women considering permanent birth control should make fully informed decisions by getting information from their health care provider about the risks and benefits of all options. The FDA continues...

Yes there are bacteria in your testicles and Yes, Those bacteria are different in the testes of Fert Jan 25th, 2019

A recent article in the Journal Nature reports on the “microbiome” in the testicle. A microbiome refers to populations of different strains of bacteria, viruses and yeast or fungi that occupy every surface of the human body. Some have estimated that the average person’s body s host to about 30...

Some things to know about Prostate Cancer Risk and Screening. Jan 25th, 2019

The United  States has been witness to a dramatic decline in mortality from prostate cancer over the past three decades.     Although there is a lot of speculation as to why this is the case, a major factor appears to be the use of PSA in prostate cancer screening.  Especially supporting...

Is Vasectomy associated with an increased risk of Prostate Cancer? Jan 25th, 2019

A 2014 report from the Journal of Clinical Oncology by Mucci et al states there might be a very small increase in risk over all and a larger increased risk for advanced or lethal prostate cancer. The study from Harvard School of Public Health in Boston, MA, examined the correlation...

Is There a Better Technique to Wash Sperm For IUI (Intra Uterine Insemination) or IVF? The Answer Ma Jan 25th, 2019

Only 5% of the volume of the “raw” ejaculate is composed of sperm. The remainder comes from secretions made by the prostate, seminal vesicles and cowpers glands. Those secretions enable sperm to survive until they can travel into the cervical crypts, then into the uterus and into the fallopian tube...

The Phosphorus Male Infertility Panel Jan 25th, 2019

The Phosphorus Male Infertility Panel:  A Newer, More Useful Genetic Assay For Evaluation Of Men With No Sperm In the Ejaculate (Azoospermia) The finding of no sperm in the ejaculate on semen analysis can be a devastating finding for men trying to conceive a pregnancy with their wives.   Urologic evaluation...

Surgical Sperm Retrieval and IVF vs. Vasectomy Reversal: Which Way to Go Jan 25th, 2019

For couples who desire a pregnancy, but the male partner has had a vasectomy, there are two options available: either reverse the vasectomy, or leave the vasectomy but surgically retrieve sperm and use those sperm in an IVF setting to initiate a pregnancy. Which is the better option? It’s tempting...