• Vasectomy Reversal Myths

    As you contemplate whether a vasectomy reversal is right for you, you may stumble upon common myths about this surgical procedure. Dispel any misunderstandings before you meet with a microsurgeon about reversing your vasectomy.

    Myth: A vasectomy reversal is as straightforward as a vasectomy.

    Almost any doctor can perform a vasectomy, a short and relatively simple surgery that requires minimal training. However, a correctly performed vasectomy reversal is an advanced, technically challenging microsurgery lasting two to three hours. You should only trust an expert microsurgeon with years of successful reversals to increase the chance of success and lower the risk of complications.

    Myth: All vasectomy reversals have the same chance of success.

    Talk to your surgeon about what could affect the success of your surgery before deciding to have a vasectomy reversal. Factors may include:

    • Sperm count and mobility
    • Any development of anti-sperm antibodies
    • Scar tissue following surgery
    • Fertility of your female partner
    • Length of time since your vasectomy

    Myth: A vasectomy reversal must be performed within 10 years to have any chance of success.

    If you had your vasectomy less than five years ago, there is a greater than 95 percent chance of sperm in the ejaculate. Surgeries performed five to 10 years ago have about a 90 percent chance, and if 10 or more years have elapsed, there’s an 80 to 90 percent chance. Experienced surgeons can perform successful reversals over 20 years after a vasectomy. (Note: pregnancy rates are lower than the percentages given here and depend on numerous factors.)

    Myth: Pursuing IVF is better than having a vasectomy reversal.

    While in vitro fertilization is a viable infertility treatment, it should not be your first choice. IVF costs three to five times more than vasectomy reversal surgery, and it comes with serious risks to the mother and baby—all with no guarantee of a successful pregnancy. With the costs, risks, and success rates in mind, a reversal with natural conception makes more sense for most couples.

    Myth: Some vasectomy methods are not reversible.

    It is extremely rare for a vasectomy to be performed in such a way that a microsurgeon cannot reverse it. The only time this can happen is if the original surgeon removes too much of the vas deferens, the tube that transports sperm from the testes to the urethra. In this case, there is nothing to reattach, and the reversal cannot be done. Again, this is very uncommon and can be ruled out prior to surgery via a physical exam.

    Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in microscopic infertility procedures. If you have decided to pursue parenthood, we can help. Dr. Green has completed hundreds of vasectomy reversal surgeries and takes great pride in his remarkable success rates. We’ll discuss your surgical options, costs, and the chance of success based on your specific situation. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.

  • Symptoms of Male Infertility

    Fertility difficulties affect nearly one in seven couples who are trying to have a baby. “Infertility” is defined as the inability to conceive despite having frequent, unprotected intercourse for a year or longer. In up to half of all cases, male infertility is at least partially to blame. Consider what male infertility looks like and how you can combat it.

    Causes of Male Infertility

    Low fertility in men is a complex subject. In short, semen must contain enough healthy, functional sperm to produce a pregnancy. There are many possible reasons why this may not be the case, including:

    • Varicocele (swelling of the veins that drain the testicle)
    • Infections, including epididymitis, orchitis, gonorrhea, or HIV
    • Retrograde ejaculation
    • Dysfunctional immune cells that attack sperm
    • Cancer and nonmalignant tumors
    • Undescended testicles
    • Hormone imbalances
    • Tubule defects or blockages
    • Chromosome defects
    • Erectile dysfunction or premature ejaculation
    • Celiac disease
    • Certain medications
    • Vasectomy or other surgeries on the testicles, scrotum, or prostate
    • Exposure to industrial chemicals, heavy metals, or radiation
    • Overheated testicles
    • Drug, tobacco, and alcohol use
    • Obesity

    Symptoms of Male Infertility

    Apart from being unable to conceive a child, there may be no other indications that you are infertile. However, depending on the underlying cause, these additional symptoms may be present:

    • Sexual dysfunction, such as difficulty maintaining an erection, limited ejaculation, or low sex drive
    • Pain, swelling, or lump in the testicle area
    • Abnormal breast growth (gynecomastia)
    • Decreased facial or body hair

    Treatments for Male Infertility

    If you are struggling to get your partner pregnant, consider that simple lifestyle changes can make a difference. Here’s what to try first:

    • Quit smoking, limit your alcohol use, and avoid illicit drugs.
    • Maintain a healthy weight.
    • Reduce your stress level.
    • Steer clear of chemicals and other environmental hazards.
    • Avoid tightly fitting underwear and jeans.
    • Don’t take steroids for bodybuilding or sporting purposes.

    More formal treatments for male infertility include:

    • Surgery to correct obstructed tubules or reverse a prior vasectomy
    • Antibiotic treatment for underlying infections
    • Medication or counseling for erectile dysfunction or premature ejaculation
    • Hormone treatments and medications

    One in eight male infertility cases are treatable, allowing couples to get pregnant naturally after receiving the proper care. If male infertility treatment doesn’t work, you may still be a candidate for assisted reproductive technology (ART). This involves collecting sperm to be inserted into the female reproductive system or used with in vitro fertilization or intracytoplasmic sperm injection. Your doctor might also suggest considering a sperm donor or adopting a child.

    Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men overcome infertility problems. All infertility procedures, including vasectomy reversal, are performed with state-of-the-art equipment, including a high-powered operating microscope. Patients can expect concierge-level care and friendly staff interactions every step of the way. To learn more, please call 941-894-6428 or schedule a free consultation online.

  • Things That Affect Male Fertility

    The journey to parenthood is straightforward for many, but up to 15 percent of couples fail to conceive after a year of trying to get pregnant. Male infertility plays a role in over one-third of these cases. Consider the factors that affect male fertility and what you can do to improve your chances of conceiving a child with your partner.

    Causes of Male Infertility

    You could have trouble getting your partner pregnant if you have any of the following:

    • Low sperm count
    • Abnormal sperm function
    • Blockages that prevent the delivery of sperm
    • Low testosterone levels

    What Affects Male Fertility?

    The following factors play a role in your sperm count, function, delivery, and testosterone levels:

    • Varicocele: Having enlarged veins within the scrotum is the most common reversible cause of male infertility.
    • Infection: Some infections interfere with sperm health or production, including several STDs, such as gonorrhea, Chlamydia, and HIV.
    • Substance use: Drugs, alcohol, and tobacco can lower testosterone levels and sperm count.
    • Overall health: Being overweight or having high blood pressure may reduce fertility. Other medical causes include undescended testicles, tumors, hormone imbalances, chromosome defects, and untreated celiac disease.
    • Ejaculation issues: Various conditions may prevent proper ejaculation, including diabetes, spinal cord injuries, medications, and surgery of the bladder, urethra, or prostate.
    • Environmental factors: Overexposure to heat, radiation, heavy metals, and industrial chemicals may reduce sperm count or function. Even prolonged biking, horseback riding, or physically demanding work can affect fertility.
    • Emotional factors: High stress may interfere with hormones needed to produce sperm. Depression can also cause sexual dysfunction that can cause male fertility issues.

    How to Improve Male Fertility

    Being unable to conceive a child can be frustrating and stressful. Fortunately, there are a few things you can do to improve your fertility:

    • Receive treatment for underlying medical conditions.
    • Talk to your doctor about switching medications if infertility is a side effect of anything you’re currently taking.
    • Consider the changes you can make to reduce physical strain at work and in your daily life.
    • Wear boxers, not briefs, to avoid elevated temperatures and tightness that could affect sperm count.
    • Adopt stress management techniques, such as meditation, aromatherapy, yoga, and breathing exercises.
    • Examine your lifestyle. If you use substances or are overweight, improving your health may increase your fertility.
    • Schedule a doctor visit to check your fertility, especially if you experience sexual dysfunction, pain or swelling in the testicle area, abnormal breast growth, or hormonal irregularities along with fertility issues.

    Did you previously have a vasectomy, but now you’re ready to start or grow your family? Dr. Joshua Green at the Center for Vasectomy Reversal can make your dream of fatherhood a reality. We provide state-of-the-art treatment for men looking to reverse a vasectomy or address other fertility concerns. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation through our website.

  • Things That Can Harm Male Fertility

    For nearly 15 percent of American couples, infertility is a real struggle. Many factors have an impact on fertility, and both partners’ health plays a key role. Male infertility is about half the reason that couples fail to conceive, but do you know what factors into male fertility? Knowing the things that can harm male fertility can help you safeguard yours.

    Low sperm production, abnormal sperm function, and blockages that prevent sperm delivery are the primary causes of male infertility. These issues may be the result of an underlying health problem, sometimes one over which you have no control. However, lifestyle factors can also have a major impact.

    A recent study linked manual labor with low sperm counts. In a study of 456 men around the age of 32, researchers discovered that 13 percent of the men with physically demanding jobs had low sperm count, as opposed to only 6 percent of men without strenuous work. Other things that had a negative impact on fertility included:

    • High blood pressure
    • Smoking or using tobacco
    • Using alcohol and marijuana excessively
    • Taking certain illicit drugs including anabolic steroids and cocaine.
    • Being overweight
    • Suffering emotional stress
    • Overheated testicles from frequent use of saunas or hot tubs, prolonged sitting, wearing tight clothing, or working on a laptop for extended periods
    • Exposure to toxins like benzenes, pesticides, herbicides, etc. which can lower sperm count
    • Current or past STIs including chlamydia and gonorrhea
    • Certain prolonged activities like biking or horseback riding, especially on a hard seat or poorly adjusted bicycle

    Other medical causes include hormonal imbalances, sperm duct defects, undescended testicles, tumors, and varicocele. A varicocele is a swelling of the veins that drain the testicles, and this swelling can prevent normal cooling. This is the most common cause of male infertility, but it’s also, fortunately, reversible. Varicoceles are often asymptomatic at first, but can enlarge, becoming noticeable or causing pain.

    Unless you’re trying to conceive and having difficulty, you may not be aware that you have fertility issues. However, in some cases, there are signs and symptoms. If you experience problems with sexual function, pain, swelling or a lump in the testicle area, frequent respiratory infections, or decreased facial or body hair, schedule a visit with your doctor to check on your fertility.

    If you’re struggling with infertility or considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other concerns about their fertility. We accept major credit cards as well as cash and checks, and offer a payment plan for those who are unable to pay the entire fee at the time of surgery. Whether you’re ready to schedule a procedure or just want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.

     

  • New Research about Infertility is Promising

    One in eight couples has trouble conceiving. Do you know how many of the cases are caused by unexplained male infertility? Nearly a quarter. For years, scientists have known that infertility can be linked to sperm that fail to throw out histones from DNA during development, but the reasons for this failure and how it happens is unclear. Now, however, that lack of clarity may be changing.

    Promising new research out of Penn Medicine is showing the precise location of the retained histones and the key gene that regulates them. Researchers have also created a mouse model with a mutated version of the gene. This allows investigators to track the defects in sperm, starting with the early stages of sperm development and going through fertilization. This research could lead us to a better understanding of infertility in men, and how epigenetic mutations are passed to future generations.

    What does it mean, when sperm fail to evict histones?  Histones are the main proteins in chromatin. Their function is to package DNA and turn genes on and off. Healthy sperm lose about 90-95 percent of these proteins, replacing them with protamines, smaller proteins able to pack DNA into tiny sperm. When a man has unexplained infertility, the problem is often with retained histones. The sperm count can be normal, the sperm have normal motility, and yet because the histones are in the wrong location, the couple has trouble conceiving.

    Until now, research has produced conflicting results about where these histones are located. Because of the confusion of discrepant data, the burden of assisted-reproductive technologies has continued to fall on women. Even if the male has the issue, the female partner goes through hormone injections and procedures to promote a higher fertility rate.

    Imagine, then, if scientists were able to use epigenetic therapies to change the levels of histones and protamines in men. With this new research, scientists are better able to closely study the mechanisms behind a mutated sperm’s trajectory, which opens the door to potential therapeutic treatments. Epigenetic drugs are already being used to treat cancer and other diseases. With a clearer understanding of how a man’s epigenome affects conception and embryonic development, we have the potential to alter sperm, so these new studies may lead to a breakthrough infertility treatment.

    If you’re struggling with infertility or considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other concerns about their fertility. We accept major credit cards as well as cash and checks, and offer a payment plan for those who are unable to pay the entire fee at the time of surgery. Whether you’re ready to schedule a procedure or just want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.

  • ICSI: Your Step-By-Step Overview

    While vasectomy reversal is the most common procedure to restore fertility for men who have undergone a vasectomy, there are circumstances where it makes sense to consider other surgical alternatives, such as sperm aspiration. With sperm aspiration, sperm is directly obtained from the epididymis through a needle guided by an operating microscope. This is actually the first step in ICSI, or intracytoplasmic sperm injection, which is paired with IVF, or in-vitro fertilization. This video shows you a complete look at the ICSI procedure, which may play a role in your family planning if your partner is also experiencing fertility issues.

    If you want to weigh the pros and cons of vasectomy reversal and ICSI, Dr. Green at the Center for Vasectomy Reversal can help you make your decision. You can schedule a vasectomy reversal consultation with us in Sarasota by calling (941) 894-6428, or visit our website to learn more.

  • Coping with the Stress of Male Infertility

    Male infertility is more common than you might think. In fact, it’s just about as common as female infertility, although men are often less willing to discuss the topic than women are. Despite their reticence, many men experience strong, negative emotions that can be difficult to cope with. Acknowledging these feelings and developing a plan of action can help.

    Understanding Common Reactions

    Although men may be more reluctant to discuss their experiences with male infertility, this doesn’t mean they won’t act on their feelings. Some men may feel as though their masculinity is threatened, and they may withdraw from sexual intimacy or seek affection outside the marriage as a result. Others may go out of their way to work on improving the relationship . Many couples find that they tend to argue more frequently, even over small matters.

    Coping as a Couple

    It’s important to remember that male infertility is no one’s fault. Supporting each other is the only way to move forward. Coping successfully as a couple may require talking about the issue openly, sharing emotions, and venting frustrations. Just as importantly, couples need some time that is free of “baby talk.” Couples might agree to discuss the issue for a certain length of time on certain days, but then to avoid discussing the issue at other times. This allows both partners the emotional relief of focusing on other tasks at hand.

    Getting on the Same Page

    One of the many reasons why male infertility is so difficult to cope with is that it brings an element of uncertainty into the relationship. Couples need to decide what they plan to do and what their limits are. For instance, a couple might decide to have a vasectomy reversal and to consider IVF later on if the reversal by itself isn’t sufficient.

    If you’re exploring infertility procedures available in Sarasota, we invite you to come in for a consult at the Center for Vasectomy Reversal. Dr. Joshua Green is a widely respected vasectomy reversal surgeon who has made it his life’s work to help couples achieve their dreams of parenthood. Call us today at (941) 894-6428 to schedule your confidential discussion.

  • Examining Causes of Male Infertility

    Male infertility is more common than you might think. There are many possible reasons for three of the main causes of male infertility, which are low sperm count, abnormal sperm shape, and abnormal sperm movement. When you watch this featured video, you’ll learn that one of the most prevalent medical causes of male infertility is the presence of a varicocele. This is an enlarged vein in the scrotum that can inhibit sperm production and compromise sperm quality.

    In other cases, male infertility may be a hormonal issue, such as having too much estrogen and not enough testosterone. A history of prior surgeries or injuries in the area, infections, and past cancer treatments can also contribute to fertility problems.

    Dr. Joshua Green at the Center for Vasectomy Reversal can help you achieve your dream of becoming a father . Call (941) 894-6428 to request a confidential consult with Dr. Green in Sarasota.

  • Common Risk Factors of Male Infertility

    Male infertility is a common problem, particularly among men who are of an older age. Sometimes, male infertility is caused by a medical issue, such as prior trauma to the testicles, undescended testes, or surgery of the abdominal or pelvic regions. Some chronic illnesses will also increase a man’s risk of infertility, including sickle cell disease and cancer. Radiation therapy directed at the testes can result in infertility.

    Other risk factors of infertility pertain to lifestyle choices. Men may be more likely to have infertility if they smoke, consume alcohol, are overweight, or use certain recreational substances. Exposure to environmental toxins can contribute to this common problem, as can excessively high temperatures in the region of the testicles.

    If you’ve had a vasectomy reversal that has failed, you may still have options available to you. The Center for Vasectomy Reversal provides safe and effective infertility procedures in Sarasota. For more information, call Dr. Joshua Green at (941) 894-6428.

  • What are Some Common Causes of Male Infertility?

    In the United States, approximately one in five couples seek infertility care. Although infertility evaluations and treatments are traditionally focused on women, male infertility accounts for about half of all infertility cases in this country. The good news is that there are infertility clinics in Sarasota that specifically address male fertility problems. Before you schedule a consultation to discuss sperm retrieval procedures, read this short blog to learn more about some of the more common causes of male infertility.

    • Smoking – Tobacco use significantly decreases both sperm count and sperm cell motility. Smoking can increase a male’s chance of infertility by up to 30 percent, and even smoking as few as five cigarettes per day can significantly lower fertility rates.
    • Environmental Hazards – Men who regularly exposed to environmental hazards such as pesticides, lead, radiation/radioactive substances, and heavy metals typically have a much higher rate of experiencing fertility issues.
    • Intense Exercise – Although regular exercise is important for good overall health, prolonged overly-intense exercise can produce high levels of adrenal steroid hormones which can result in infertility. Check with your doctor to find out if your exercise routine is responsible for your fertility issues.
    • Hormonal Problems – A small percentage of male infertility cases is causes by hormonal disorders such as hyperprolactinemia, hypothyroidism, congenital adrenal hyperplasia, and hypogonadotropic hypopituitarism. A fertility doctor can diagnose these disorders and recommend treatment.

    If you have been trying unsuccessfully to have children, schedule a consultation with Dr. Joshua Green at the Center for Vasectomy Reversal and Male Infertility . In addition to vasectomy reversal surgeries, Dr. Green performs sperm retrieval and in-vitro fertilization to help couples realize their dream of having a family. Call the Center for Vasectomy Reversal and Male Infertility in Sarasota at (941) 961-4581 to schedule an infertility consultation today.