Treating Male Infertility

Did you know that 50 percent of all infertility cases involve male factors?
To determine the cause of male infertility, Dr. Hudson employs a three-tiered approach. First, they will review and discuss your medical history, and then order a semen analysis and possibly blood work. If a physical exam is warranted, Dr. Hudson will refer you to a fertility urologist.

Talking with a fertility specialist

The following are the most common causes of male infertility that Dr. Hudson investigates through a medical history review. They will ask if you have now or experienced in the past:

  • Inherited genetic disease, including cystic fibrosis, Klinefelter syndrome, Kallmann syndrome, Young’s syndrome and Kartagener syndrome
  • Diabetes
  • Celiac disease
  • Surgeries involving the spine or male reproductive system
  • Cancer treatment
  • Erectile dysfunction
  • Premature ejaculation
  • Retrograde ejaculation
  • Varicocele
  • Sexually transmitted disease
  • Mumps
  • Undescended testicles
  • Testicular damage
  • Vasectomy reversal

Lifestyle factors that may cause male infertility

In addition to the male infertility causes listed above, Dr. Hudson will explain the correlation between certain lifestyle factors and difficulty conceiving. For example, if your work environment exposes you to high heat or dangerous chemicals (pesticides, painting materials, etc.), heavy metals or toxins such as radiation or X-rays, you might need to amend your job responsibilities while trying to get pregnant. In addition, overheating the testicles damages sperm and can occur as a result of prolonged use of laptop computers, saunas or hot tubs.

Dr. Hudson will make recommendations for optimizing your fertility by eliminating or moderating the following habits:

  • Cigarette smoking
  • Excessive alcohol intake
  • Extreme cycling
  • Drug use, including anabolic steroids/testosterone

What to expect with semen analysis

The main causes of male infertility involve low sperm production and poor sperm quality. Semen analysis tests can pinpoint microscopic irregularities with sperm shape -morphology- and movement -motility-, and whether the number of sperm present in the ejaculate falls within the “normal” range of 15 million or above. Further, bacteria present in semen can indicate infection or STD that is causing male infertility.

Expect to schedule one or more appointments to provide a semen sample through masturbation. An in-depth report should be available within 2 days, which will be discussed at a follow-up visit with Dr. Hudson.

The sperm count level and ability to ejaculate determines whether you are a candidate for intrauterine insemination -IUI- or if in vitro fertilization -IVF- is a better fertility treatment option. Sometimes oral fertility medication, clomiphene, may be prescribed to increase sperm counts.

Blood work to identify causes of male infertility

A small percentage of cases result from hormonal imbalances, so blood work can provide helpful information about disruptions in the hypothalamus-pituitary endocrine system that lead to male infertility.

Some causes of male infertility fall into the ‘unexplained’ category, even after exhaustive testing. Dr. Hudson offers comprehensive semen analysis and may refer cases to a urologist for further testing. The good news is, couples that seek treatment with an experienced fertility specialist will very likely get pregnant.

Find out more today – call Fertility Institute of Texas to schedule your personal consultation with Dr. Hudson.


New Braunfels 830.608.8004