Male Infertility and Family Planning

Male Infertility and Family Planning

Male Infertility Treatment and Vasectomy

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Male infertility can impact your ability to start your family, while a vasectomy allows you to control your family’s size when you are ready to take that step. No matter which stage of family planning you are in, our male health specialists can help. We identify the physical and psychological concerns that can lead to infertility in men, and recommend treatments to help you and your partner achieve a pregnancy. If your family is complete, we offer vasectomies as a form of permanent birth control.

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What Causes Male Infertility?

About one-half of a couple’s infertility problems may be caused by male infertility, an umbrella term that covers problems related to making or moving sperm. Moving sperm through and out the penis may be impacted by a blockage or an ejaculation disorder. Low sperm count or decreased sperm quality may result from a variety of concerns, including enlarged veins known as a varicocele, an infection, erectile dysfunction, hormonal imbalance, chronic diseases, genetic defects or environmental exposures.

Our Locations
Duke Health offers locations throughout the Triangle. Find one near you.

Male Infertility Treatment Options

Medications/Hormone Therapy

Depending on your needs, medication may improve your male fertility potential. Your doctor may prescribe antibiotics if an infection is present, or steroids if anti sperm antibodies have been detected. Hormonal therapy may be necessary to regulate a hormonal balance.

Varicocele Surgery

Varicoceles are enlarged, entangled veins in the testicles that can impair sperm quality and production. Duke urologic surgeons use minimally invasive techniques to reach the veins and halt the blood flow that feeds the varicocele. This procedure often “cools down” the testicles and improves sperm production. 

Obstruction or Structural Abnormality Repair

Surgery can clear a blockage in the ejaculation ducts or reconstruct reproductive structures that prevent the transport of sperm. If repair is not possible, sperm retrieval may be considered.

Sperm Retrieval

Retrieves sperm from the reproductive tract. May be an alternative to vasectomy reversal.

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A vasectomy is a form of permanent birth control that works by blocking the vas deferens, the tube through which sperm passes into the semen.

No-scalpel vasectomy

This outpatient procedure is performed with local anesthesia. The vas deferens is reached through a tiny puncture hole made in the skin of the scrotum. The tube is lifted out, cut, tied or seared, then put back in place. This procedure decreases pain and offers a quicker return to your normal activities than conventional vasectomy, which requires a larger incision and sutures to close the wound.

Duke University Hospital is nationally ranked in 10 adult specialties
Best Hospital for Urology in North Carolina
When it comes to your care, you want the very best. Duke University Hospital's nationally ranked urology program was named best in North Carolina by U.S. News & World Report for 2019–2020.

Why Choose Duke Urology

Choose Duke for your urology care because we offer:

Expertise in the Male Reproductive System
Our urology program is ranked among the nation’s best by U.S. News & World Report, and our doctors are consistently recognized for their experience and expertise,

Personalized Treatment
Duke’s board certified urologists identify the cause of your male infertility and recommend a personalized treatment plan that meets your needs.

A Large Medical System
We have access to advanced genetic testing and counseling when more uncommon causes of infertility may be the cause. We work closely with the Duke Fertility Center because evaluating and correcting male infertility at the same time as the female evaluation can expedite the process of achieving a successful pregnancy. 

Convenient Locations in Raleigh and Durham
You can make an appointment with a board-certified urologist at one of our convenient locations: Duke Urology of Raleigh, Duke Urology Men's Health Center in Raleigh, or Duke Urology in Durham. 

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