Male infertility is caused by low sperm count and low sperm quality. Male infertility alone or together with other infertility problems is diagnosed in half of the couples looking for medical help to conceive
Sperm is produced by male testis. Female egg (oocyte) rejects defective sperm and that results in failed fertilization and no pregnancy
Our office performs Semen Analysis (SA) for male patients Monday- Friday. Please call our office 212-794-0080 to schedule appointment. SA report is ready in two days. Dr. Hanna, male infertility specialist, will expertly explain SA results and answer questions on male fertility
Specimen Collection for Semen Analysis
We provide sterile cup (container) for specimen collection. You may also get sterile container from other physician office or from pharmacy. Specimen is produced by masturbation and collected into sterile cup. Specimen collection can be done at home or in our office. When bringing sperm from home, you will have 1.5 hours for transportation. During transport, keep specimen in the body temperature condition
Semen Analysis for Sperm Count, Motility and Morphology
- Low sperm production (low count) and low sperm motility (swimming) respond better to treatment then sperm with defective morphology (abnormal shape and anatomy) does
- Poor morphology, the main cause for sperm failure to fertilize egg is the most often diagnosed in patients with long-standing male infertility
Why to See Male Reproductive Doctor, Dr. Hanna?
- Most effective infertility treatment decisions are based on both partners diagnosis made by specialists like Dr. Hanna, infertility doctor in Manhattan, an expert in both men and women infertility
- Urologists (male patient doctor) treat ONLY male patient with no consideration for female partner evaluation
- Older women, who’s partner was diagnosed with male factor have better chances for pregnancy with IVF/ICSI than with other treatments, including sperm improving medications and inseminations
Healthy Lifestyle, Fertility Boost Diet and Supplements
Healthy lifestyle, fertility boost diet and herbal supplements improve and maintain male fertility with higher testosterone levels and increased sperm production in young and older men
Dr. Hanna, male reproductive doctor in Manhattan, includes natural remedies into patients’ daily routine:
- Maintenance of normal BMI (Body Mass Index, tabulated weight/height ratio)
- Regular exercises
- Limited alcohol consumption
- Balanced diet with fruits, vegetables and antioxidants including vitamin C, and folates
- Herbs, “natural” medications with a moderate potential to increase fertility
Male Infertility Treatment
Natural remedies are less effective for low and very low sperm counts and medications for male infertility aim to increase sperm production in those patients; to treat hormonal imbalances, and to improve testosterone levels. Dr. Hanna has expertise in using male infertility medications alone or in combination with other treatments:
- Clomid (oral tablets) regulates hormones involved in sperm production.
- Injectable meds (HMG, HCG) stimulate testis to produce more testosterone and boost sperm production.
Varicocele, dilatation of the scrotal veins, detected by physical exam and ultrasound is associated with diminished sperm production (low count) and low motility (slow sperm swimming) :
Outcomes after varicocele surgery are unpredictable. Sperm production (sperm count) and sperm motility may increase up to 20% (the most). Therapeutic improvement after surgery takes long time and additional medications are often needed. Very low sperm counts show no improvement following varicocele repair
Intrauterine Insemination (IUI) with partner sperm is a medical procedure to introduce sperm separated from seminal fluid into women uterus (womb). IUIs are primary treatment for erectile dysfunction and for women who use Donor Sperm to get pregnant. Couple with partner having over 5 million motile sperm count in ejaculate benefit from IUIs the most when IUI is used to treated lower quality sperm
4. In- Vitro with ICSI (Intracytoplasmic Sperm Injection) IVF with ICSI (single sperm injected into women egg) is recommended for complex infertility cases, very low sperm counts (less then 5 million motile sperm in ejaculate), failed inseminations and in azoospermia (no ejaculated sperm) when sperm is surgically recovered from the testis (TESA).
ICSI procedure performed on some and /or all IVF retrieved eggs is today standard treatment for all patients undergoing IVF
TESA is surgical procedure to obtain sperm directly from testicular tissue in patients with azoospermia (no ejaculated sperm), including men after vasectomy. Donor sperm insemination is another treatment option for azoospermia
- TESA is performed with local anesthesia
- small needle is used to sample testicular tissue
- there is no bleeding and no stitches needed
Sperm is separated from testicular tissue in the laboratory under microscope. Sperm obtained from the testis is too immature and weak to be used for insemination. IVF with ICSI injection is a technique of choice to fertilize eggs with testicular sperm. TESA sperm can be cryopreserved (frozen) and stored for future use
- Patients with azoospermia, who previously had no chance to father a biological child, TESA and IVF/ICSI (sperm Injection inside the egg) offers 50% pregnancy rates
- With over 80% recovery rate, TESA is effectively used for men who earlier underwent vasectomy and with pregnancy rates superior to reversal surgery
Because we care and we understand there is no substitution for superior patient’s care and for success
- Manhattan Reproductive Medicine, P.C. is a boutique-style private clinic located in the heart of Manhattan, N.Y.C. and IVF with Dr. Hanna is helping patients become parents for over 15 years
- MRM offers a level of professional care rarely available at most large clinics and hospitals. Our hard work produces great results for our patients
- The same doctor, Hanna Jesionowska M.D., attends each patient during the full treatment process, including monitoring, retrieval and transfer. We are committed to make your treatment private, comfortable, modern, innovative and simple
