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Male Infertility and Family Planning

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Male Infertility and Family Planning

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Male infertility affects about a third of couples who experience infertility. Infertility can be caused by injuries, hormone disorders, varicoceles (enlarged veins in the testicles), and other conditions. When your urologist determines the cause of your infertility, you and your doctor can determine the best treatment to help you and your partner conceive.

If you’re worried about future fertility, your urologist can also help with family planning. Our doctors can help store your sperm for future children, or can perform a vasectomy if you choose to not have children in the future.

At University of Miami Health System, our experienced urologists offer comprehensive care to treat infertility and help you plan for your future.

Why Choose UHealth?

Innovative, expert urology care. Our team of urology experts delivers advanced care for all urologic conditions. We use the latest research and the least invasive approaches to help you feel better and recover more quickly. Our experienced urologists design a personalized treatment plan to give you the best possible results.

Leaders in robotic surgery treatment. We have some of the world’s most experienced robotic surgeons for urologic procedures. In fact, doctors come from all over the world to learn at our Urology Robotic Program — the #1 ranked program in South Florida. The University of Miami Health System was the first academic medical center in the world to get the da Vinci Xi robotic surgery system and has completed more than 5,000 robotic surgeries — procedures that offer less pain and scarring and a faster recovery.

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Treatments

  • Hormone Therapy

    Men with hormone disorders may benefit from hormone therapy. Adjusting hormone levels can help with infertility.

  • Fertility Preservation (Sperm Banking)

    If you have concerns about future fertility, you can use sperm banking to save your sperm to use later. You can have your sperm collected and frozen in a lab until you’re ready to start a family.

  • No-Scalpel Vasectomy

    If choose not to have children, you may have a no-scalpel vasectomy to close off the vas deferens (the tube that allows sperm to travel from the testicles to the ureter). This nonsurgical vasectomy uses two small punctures (no incisions) to close off the vas deferens and prevent sperm from leaving the body.

  • Vasectomy Reversal

    In some instances, men who’ve previously had a vasectomy can have the procedure reversed. During a vasectomy reversal, your urologist reconnects the vas deferens with microsurgery, a technique that uses tiny instruments and a microscope to restore normal function.

  • Surgery

    Many urological surgeries can help improve the flow of sperm by removing blockages or varicoceles (enlarged veins in the testicles).

  • Intrauterine Injection (IUI)

    Your doctor can take a sample of your sperm and inject it directly into your partner’s uterus. This procedure can help when sperm have low motility (limited movement) or you have a low sperm count.

  • In-vitro Fertilization (IVF)

    This procedure combines sperm and an egg in a lab to create an embryo, which is placed in a woman’s uterus.

  • Intracytoplasmic Sperm Injection (ICSI)

    During this type of in-vitro fertilization, a healthy sperm is injected directly into an egg to create an embryo for uterine placement.

  • Microdissection Testicular Sperm Extraction

    During this procedure, you are under general anesthesia. Your urologist will take sperm directly from your testicles to use in an IVF procedure.

  • Microsurgical Epididymal Sperm Aspiration

    For this procedure, your urologist removes sperm from your body using a needle. The collected sperm can be used in IVF procedures.

Tests

  • Hormone Tests

    Your doctor may check your hormone levels with a blood test. Low hormone levels may affect your ability to create sperm.

  • Ultrasound

    An ultrasound uses sound waves to create images of the inside of your body. Your doctor may use an ultrasound to look for physical problems with your reproductive organs that can affect fertility.

  • Diagnostic Semen Analysis

    A semen analysis helps your doctor determine the quality of your semen. It tests your sperm count, motility (sperm’s ability to move), morphology (sperm shape), and more to assess your ability to reproduce.

  • Testing for Retrograde Ejaculation

    If you have low semen volume, your doctor may test for retrograde ejaculation (when semen goes into the bladder instead of the urethra). For this test, your doctor collects a urine sample following ejaculation to check for sperm.

  • Sperm DNA Fragmentation Testing

    This test checks for fragmented DNA in your sperm sample, which may mean your sperm has a low chance of fertilizing an egg.

  • Sperm Aneuploidy Testing

    This lab analysis checks your sperm’s DNA for the number of chromosomes. If a large number of your sperm have too many or too few chromosomes, it may make it difficult for you and your partner to conceive.

  • Testicular Biopsy

    A testicular biopsy takes a small sample of your testicle tissue to help your doctor determine the cause of infertility.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • Doctor's Healthcare Plan
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Community Care (FCC)
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care