Male Infertility

Male infertility is caused by a variety of factors that include structural abnormalities, hormonal disturbances, genetic defects and medical conditions that can be life threatening. Lifestyle choices and environmental exposures can also be contributors.

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Male infertility is rarely spoken about, but it accounts for nearly 50% of infertility and affects about 7% of the male population. It's paramount that a urologist that is specifically trained to treat men with fertility problems evaluate and treat the male. At the Philadelphia Center for Sexual Medicine, we have an extensive protocol for helping men overcome infertility.

Our Goals for Evaluation

Dr. Paul Gittens has several goals for the initial evaluation of male infertility:
1. To establish and to correct reversible causes of impaired male fertility
2. To identify significant medical conditions that may cause impaired male fertility
3. To identify possible genetic causes that may be passed on to the unborn child
4. To identify irreversible causes of impaired male fertility, which should be managed by IVF, IUI or adoption

Semen Analysis

The semen analysis is one of the most important indicators of fertility; it provides information on whether there is an obstruction of the flow of sperm; and it gives Dr. Gittens the ability to evaluate the quality of sperm and your body’s ability to make sufficient amounts of sperm. Factors that are considered in the semen analysis are volume, concentration, motility, direction of movement, morphology and pH.

Hormonal Evaluation

An intact connection between the brain and the testicles is vital for proper fertility. Other factors such as thyroid disease, excess cortisol, and elevated prolactin levels can have an affect on male fertility. Dr. Gittens may evaluate these hormones and others to thoroughly determine your reproductive potential.

Genetic Testing

Genetic abnormalities can account for small difficulties with male fertility. These abnormalities are more common when the semen analysis exhibits low or no sperm counts, or when Dr. Gittens identifies atypical findings on your physical exam. In these incidences, genetic testing may be warranted.

Other Testing

Depending on what we discover during your evaluation, we may order additional testing such as an ultrasound, a CT scan, MRI, or further specialized testing of sperm.

Female Partner’s Involvement in Male Infertility Treatment

Dr. Gittens always welcomes his patient’s partner to accompany them during office consultations. The evaluation of the male includes a thorough history and physical exam. Dr. Gittens will look through any lab information or semen analysis which has already been done. During the evaluation, you will be asked in-depth questions that relate to your infertility and questions about your general health. Dr. Gittens will also perform a physical exam, which may identify structural abnormalities. Because women can contribute to infertility, we will ask for a reproductive history from the female partner.

Are you having trouble conceiving? Request your consultation today.

Visiting the Center

Dr. Gittens heads the leading center for treatment of male and female sexual medical conditions. We pride ourselves on taking the time to treat each patient individually, with compassion and discretion.

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Meet Dr. Gittens

Dr. Gittens is a leading expert in sexual medicine. As a board certified urologist — fellowship trained in sexual medicine and microsurgery — he is uniquely qualified to treat both men and women.

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Many find it difficult to visit a doctor for sexual medicine. We created PCSM & NYCSM to be private and discreet; and our staff is composed of compassionate people that only want the best for our patients.

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Gittens Sexual Health Blog

Stay up-to-date with Dr. Gittens Sexual Health Blog for all that's going on at the Center for Sexual Medicine and in the fields of fertility, hormone therapy and sexual medicine at large.

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