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Male Fertility & Male Infertility Treatment

Male infertility is a common contributor to difficulty conceiving and accounts for roughly 40 to 50 percent of infertility cases among couples. Problems with sperm production, sperm quality, hormone levels, or reproductive anatomy can affect a man’s fertility. At Kofinas Fertility Group, our physicians work closely with experienced male fertility doctors and male infertility specialists…

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Male infertility is a common contributor to difficulty conceiving and accounts for roughly 40 to 50 percent of infertility cases among couples. Problems with sperm production, sperm quality, hormone levels, or reproductive anatomy can affect a man’s fertility.

At Kofinas Fertility Group, our physicians work closely with experienced male fertility doctors and male infertility specialists to evaluate and treat conditions that impact reproductive health. Our team offers full diagnostic testing and personalized treatment plans designed to support your chances of conception. If you are searching for a male fertility clinic or men’s fertility clinic near you in NYC, Brooklyn, Long Island or Staten Island, our specialists provide evaluation and fertility treatments tailored to each patient’s needs.

What Is Male Infertility?

Male infertility refers to any condition that reduces a man’s ability to contribute to pregnancy. The most common causes involve problems with sperm production, sperm function, or the delivery of sperm.

A healthy sperm sample must contain:

  • An adequate number of sperm (sperm count)
  • Sperm that move effectively (motility)
  • Sperm with normal shape and structure (morphology)

When one or more of these factors are impaired, fertilization can become more difficult. A consultation with a male fertility doctor can help determine the cause of infertility and identify appropriate treatment options.

Common Causes of Male Infertility

Male infertility can result from a variety of medical, environmental, or lifestyle factors. Some of the most common causes include:

Low Sperm Count (Oligospermia)

A reduced number of sperm can lower the chances of fertilization. Lower-than-typical sperm count is among the most common findings on a semen analysis or sperm test. This finding does not necessarily mean pregnancy is not possible, but it may point toward specific treatment options. Learn more in our article on increasing sperm count.

Poor Sperm Motility

Sperm may have difficulty swimming effectively toward the egg. Reduced motility is often identified on an initial sperm analysis and may influence whether IUI or IVF with ICSI is recommended.

Abnormal Sperm Morphology

Irregular sperm shape can affect the sperm’s ability to fertilize an egg.

Varicocele

A varicocele is an enlargement of the veins within the scrotum, similar to a varicose vein, and it is a common finding in men being evaluated for infertility. Enlarged veins may impair sperm production and quality.

Diagnosis typically involves a physical examination by a male infertility specialist and often a scrotal ultrasound. Not every varicocele needs treatment, and your provider will help you understand whether yours is a factor worth addressing based on your semen analysis results and overall fertility goals. Learn more about how a varicocele can affect male fertility.

Azoospermia

Azoospermia means no sperm is found in the semen sample, confirmed through at least two separate semen analyses. It is an important finding, and one that is treatable in many cases. Further testing can help determine whether the cause relates to sperm production or to a blockage preventing sperm from reaching the semen. A male fertility doctor will typically recommend hormone testing and, in some cases, genetic testing to identify which applies.

Hormonal Imbalances

Hormones regulate sperm production. Disruptions in hormone levels may reduce fertility.

Genetic Conditions

Certain genetic abnormalities can affect sperm production or function.

Reproductive Tract Blockages

Blockages in the vas deferens or other reproductive structures may prevent sperm from reaching the semen.

Lifestyle and Environmental Factors

Certain lifestyle and environmental factors may negatively affect fertility, including:

  • Smoking
  • Excess alcohol use
  • Exposure to toxins
  • Obesity
  • Certain medications

A thorough evaluation by a male infertility specialist can help identify the underlying cause and determine an appropriate treatment approach.

Male Fertility Evaluation

At our male fertility clinic, we use a full diagnostic approach to evaluate reproductive health. Patients come to us for male fertility evaluation at our locations across NYC, Brooklyn, Long Island and Staten Island, whether they are beginning a work-up or seeking a second opinion on a prior result.

Your evaluation may include the following:

Semen Analysis (Sperm Testing)

A semen analysis, also called a sperm test or sperm analysis, is one of the most important tests used to assess male fertility. It evaluates:

  • Sperm count
  • Sperm motility
  • Sperm morphology
  • Semen volume

This test helps determine whether sperm production and function are within typical ranges. Your provider will explain how to collect and deliver the sample, since timing and handling can affect accuracy. If your first result is abnormal, a repeat sperm test is often recommended, since results can vary from sample to sample. Read more about what a sperm analysis tests for and what happens next.

Hormone Testing

Blood tests measure hormones involved in sperm production, including testosterone, FSH, and LH.

Physical Examination

A male infertility specialist may evaluate the reproductive organs to identify structural issues such as varicocele or obstruction. A scrotal ultrasound is often used alongside the physical examination.

Genetic Testing

Certain cases of infertility may be linked to genetic conditions that affect sperm production.

Additional Diagnostic Testing

Depending on your individual situation, further testing may be recommended to evaluate sperm production or reproductive tract health.

Treatment Options for Male Infertility

Treatment depends on the underlying cause of infertility and the couple’s reproductive goals. Our male fertility doctors may recommend one or more of the following approaches.

Lifestyle Modifications

Improving overall health can sometimes improve sperm quality. Recommendations may include:

  • Maintaining a healthy weight
  • Reducing alcohol consumption
  • Quitting smoking
  • Managing stress
  • Improving diet and exercise habits

Medication and Hormone Therapy

Certain medications may help correct hormonal imbalances or treat infections affecting fertility.

Surgical Treatment

Some structural conditions, such as varicocele or reproductive tract blockages, may be treated with surgery to improve sperm production or sperm delivery.

Sperm Retrieval Procedures

For men with very low sperm counts or obstructive infertility, sperm may be retrieved directly from the testicle for use in fertility treatments.

Assisted Reproductive Technology

If natural conception is not possible, assisted reproductive treatments may help achieve pregnancy. These treatments may include:

  • Intrauterine Insemination (IUI)
  • In Vitro Fertilization (IVF)
  • Intracytoplasmic Sperm Injection (ICSI), where a single sperm is injected directly into an egg

These technologies allow fertility specialists to work with even small numbers of sperm to achieve fertilization.

Sperm Freezing

For men who wish to preserve fertility ahead of a future need, including before certain medical treatments, sperm freezing is also available.

When Should You See a Male Fertility Specialist?

You may benefit from seeing a male infertility specialist near you if:

  • You and your partner have been trying to conceive for 12 months without success
  • A semen analysis or sperm test has shown abnormal results
  • You have a history of testicular injury or surgery
  • You have experienced erectile or ejaculatory dysfunction
  • You have a known hormonal condition
  • Your partner’s fertility evaluation is normal but pregnancy has not occurred

Early evaluation at a men’s fertility clinic can help identify potential problems and guide appropriate treatment.

Schedule a Consultation With a Male Fertility Doctor

If you are searching for a male fertility clinic near you or want to speak with an experienced male infertility specialist, our team is here to help. Our male fertility doctors see patients at locations across NYC, Brooklyn, Long Island and Staten Island.

At Kofinas Fertility Group, we provide full fertility evaluations and treatment options designed to help couples build their families. You can view all of our locations to find the office most convenient for you.

Contact our office today to schedule a consultation and learn more about your fertility options.

About This Page

Meet George D. Kofinas, MD, FACOG

As the compassionate leader of Kofinas Fertility Group and a distinguished authority on fertility medicine, Dr. Kofinas has used his depth of knowledge and sharp intuition to help thousands of couples start families of their own. Dr. Kofinas has written and spoken about the full...

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Frequently Asked Questions

A male fertility doctor evaluates and treats conditions that affect a man's ability to conceive. This may include diagnosing low sperm count, hormonal imbalances, structural problems, or other factors that impact sperm production or delivery.

Men should consider seeing a male infertility specialist if they have been trying to conceive for one year without success, have abnormal semen analysis results, or have a medical history that may affect fertility.

Common tests include semen analysis, hormone testing, physical examination, and genetic testing. These tests help determine whether sperm production and reproductive function are within typical ranges.

Many causes of male infertility can be addressed with lifestyle changes, medications, surgery, or assisted reproductive technologies such as IVF or ICSI.

Male infertility is relatively common and contributes to about half of infertility cases among couples trying to conceive.

Yes. Factors such as smoking, excess alcohol use, exposure to toxins, obesity, and certain medications may affect sperm production and quality.

A semen analysis measures semen volume, sperm count, sperm movement (motility), and sperm shape (morphology). It is usually the first test used to evaluate male fertility.

A varicocele is an enlargement of the veins in the scrotum. Not every varicocele requires treatment, and your provider will help determine whether yours is affecting your fertility based on your semen analysis and evaluation.

Azoospermia means no sperm was found in a semen sample, confirmed by at least two separate tests. It does not necessarily mean biological parenthood is not possible, since further evaluation can identify treatable causes in many cases.

Yes, a repeat sperm test is commonly recommended after an abnormal result, since sperm parameters can vary from sample to sample and even a few months apart.

ICSI, or intracytoplasmic sperm injection, is a technique used during IVF where a single sperm is injected directly into an egg. It is often recommended when sperm count, motility, or shape are outside typical ranges, or when sperm is retrieved surgically.

Yes, sperm freezing is available for men who want to preserve their fertility ahead of a future need, including before certain medical treatments. Visit our sperm freezing page to learn more.

Your provider will give you specific instructions, which typically include a short period of abstinence beforehand and guidance on how to collect and transport the sample so results are accurate.

Kofinas Fertility Group offers semen analysis and sperm testing at our male fertility clinic locations across NYC, Brooklyn, Long Island and Staten Island. Our male fertility doctors review results and next steps as part of a full male fertility work-up. You can view all of our locations to find the office most convenient for you.