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Care and Treatment for Male Infertility

Why Choose Treatment for Male Infertility at University of Colorado Hospital?

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The Urology and Urodynamics Clinic at University of Colorado Hospital is recognized nationally for its care, and our doctors are trained in caring for a variety of urologic conditions that affect men.

Our urologists are the only group in the region with fellowship training in a number of sub-specialties, including reproductive and sexual medicine.

In addition, University of Colorado Hospital urologist Randall Meacham, M.D., is one of the leading doctors in the nation in performing vasectomy reversals.

What is Male Infertility?

Approximately 15 percent of all married couples will have difficulty getting pregnant. Male infertility is a factor 50 percent of the time. There are many causes of male infertility, including:

  • Low sperm production
  • Blocked sperm ducts
  • Hormonal abnormalities
  • Chromosomal/genetic abnormalities
  • Failure of sperm to mature properly
  • Anti-sperm antibodies
  • Testicular trauma
  • Systemic disease

Tests & Treatments

Tests for Male Infertility

Semen analysis: checks for the number of sperm and the sperm quality.


Treatments for Male Infertility

Assisted reproduction therapy. Includes ways to induce ejaculation, obtain sperm and inseminate an egg.


Medication. Used to improve sperm production, treat hormonal dysfunction, cure infections and fight sperm antibodies.


Surgery. Used to treat reproductive tract obstruction and varicocele.

Vasectomy reversal

Advances in surgery have made it highly possible to have a vasectomy reversed. A vasectomy reversal opens the ends of the tubes that were sealed during the vasectomy and reconnects them. Sperm will return in approximately 90 percent of patients who have a vasectomy reversal. Of those, between 60 and 70 percent of men are able to cause a pregnancy.

Vasectomy reversal generally is done on an outpatient basis. The procedure takes about 3 hours, and a general anesthetic is used. The incision takes up to 2 weeks to heal and is evaluated at 10 days. A semen analysis is done at 6 weeks. Monthly semen analyses are done monthly for 4 to 6 months to determine results.