Procedures for Men

Infertility Treatment
Invitro Fertilization

Infertility can be treated with medicine, surgery, artificial insemination or assisted reproductive technology. Often these treatments are combined. About two-thirds of couples who are treated for infertility are able to have a baby.

Doctors recommend specific treatments for infertility based on: test results, how long the couple has been trying to get pregnant, age of both the man and woman, the overall health of the partners, preference of the partners

Doctors often treat infertility in men in the following ways:

Sexual problems: If the man is impotent or has problems with premature ejaculation. Behavioral therapy and/or medicines can be used in these cases.

Too few sperm: If the man produces too few sperm, sometimes surgery can correct this problem. In other cases, doctors can surgically remove sperm from the male reproductive tract. Antibiotics can also be used to clear up infections affecting sperm count.

You may already have a surgeon or you might be looking at financing options first… either way, can help you understand your options.


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At a Glance


In/Out Patient:  
Out Patient


Timing is everything when it comes to IUI. Once an egg has been released from your ovaries, it only has 24 in which it can be fertilized. This means that insemination must coincide with a woman’s ovulation. Women dong a natural cycle of IUI will likely use home ovulation predictor kits to detect the LH surge that occurs shortly before ovulation. However, these tests can only tell you that ovulation is imminent, not precisely when it will happen. In other instances, ovulation can be more certainly assumed if fertility drugs are being used, as these medications require more detailed monitoring of the ovaries and hormones.

Another reason why timing is so important in IUI is because sperm used in this procedure is washed. Normally, unprepared sperm can live for as long as five days in fertile cervical mucus. However, washed sperm is thought to live for no more than 24 hours, with six to 12 hours being the average. Because washed sperm has such a short life span, performing IUI as close as possible to the time of ovulation will help increase the chances of success with this procedure.

Since the exact timing of ovulation can often be somewhat difficult to pinpoint, your fertility specialist may suggest performing a second IUI anywhere from 12 to 48 hours after the first insemination. This can improve your chances of success by ensuring that sperm is placed in your uterus close to the time of ovulation. Some fertility doctors may even recommend you further boost your chances by having intercourse at home in between inseminations.

The amount of active, healthy sperm in a man’s semen sample is often one of the biggest influences on IUI success. Not surprisingly, the higher the sperm count, the more likely it is that the procedure will be successful. However, there does not seem to be much difference in success rates between men with good-average sperm counts and men who have high sperm counts. In general, IUI done with a good-average to high sperm count carries a success rate between 15% and 20% per cycle.