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John J Bauer, MD, FACS John J. Bauer, M.D., F.A.C.S.
www.flinturology.com

Urology Services, Inc.
G-1121 West Hill Rd.
Flint, Michigan 48507
Tel: 810.232.8888
Fax: 810.232.9190
Email: jbauer@flinturology.com
[map]




Male Infertility

General Information | Diagnosis and Evaluation |
Services: In-Office Procedures | Surgical Services

After reading about this topic, please return to:
Center for Male Sexuality (main page)


General Information

Infertility is usually defined as the inability to conceive (become pregnant) after 1 year of trying. The term infertility is not the same as sterility, since many couples ultimately may achieve a pregnancy after 1 year of unprotected intercourse.

Over 4.5 million American men and women or roughly 1 out of 5 (15-20%) couples fail when attempting their first pregnancy. In these couples, about half of the men will have a significant abnormality that makes them unable to father children. Male infertility may be caused by abnormalities in the testes or other areas of the male reproductive tract, as well as immune system defects. Yet, the most common cause of male infertility is disordered sperm production. Fortunately, new diagnostic tests are available to help define some of the more obscure causes of male infertility. Specialists should perform an initial screening of the male partner whenever a couple complains of infertility.

There are many causative agents that may decrease fertility some of these are nicotine, alcohol, marijuana, opiates, anabolic steroids, prescription medications, estrogen compounds (e.g. DES), chemotherapy, toxins in the workplace, lead, DBCP (soil fumigant), radiation therapy, hyperthermia, and sexual dysfunction.

[ Back to top ]

Diagnosis and Evaluation

Initially, the patient is evaluated with a detailed medical and infertility history to determine the type of problem and for how long the problem has existed. (Links to the actual questionnaires used are provided below.)

The remaining evaluation includes the reproductive history, physical exam, lab tests (semen analysis and hormone profile) and other factors tests. Please visit the link for an in-depth description of this evaluation.

Submittable or Downloadable Questionnaires

Infertility Questionnaire [printable version]

The infertility questionnaire is an exhaustive battery of questions on reproductive, medical, surgical and environmental aspects related to infertility. The data goes into your electronic medical record as part of the consultation narrative. [printable page help]

New Male Patient Registration and History Form [printable version] [Or use these submittable online forms to replace this form: patient registration and patient history]

This form consists of registration and medical history questions required for your basic medical records. The data goes into your electronic medical record as part of the consultation narrative. This form can be submitted electronically, downloaded and printed by the patient or can be mailed to you before your appointment. [printable page help]

[ Back to top ]

Services

In-Office Procedures

The Dr. Bauer and the staff the Center for Male Sexuality also performs many procedures in the office at a reduced fee compared to the same procedure in the Hospital. For descriptions about these office procedures please go to the specific links for the procedure that you are interested in as marked below. Our practice treats a variety of urological conditions; included below are the most common procedures that we perform in the office that are involved in the diagnosis and treatment of male infertility:

[ Back to top ]

Surgical Services

Michigan Urology Associates, P.C. also performs many of its urological services in the local Hospitals or surgical facilities. The outpatient and inpatient surgeries listed below are performed at these facilities.

The procedures listed below are direct links to "Your Surgery Details" which will have everything that you would want to know about your surgical procedure from after the diagnosis until fully recovered. Please use this section to learn about your upcoming surgery or to contemplate whether you really what a surgical procedure.

Open Surgery:
Microscopic Varicoceolectomy

Endoscopic Cases:
Transurethral Resection of the Ejaculatory Ducts (TURED)

[ Back to top ]


After reading about this topic, please return to:
Center for Male Sexuality
Male Infertility

General Information | Diagnosis and Evaluation |
Services: In-Office Procedures | Surgical services

After reading about this topic, please return to:
Center for Male Sexuality (main page)


General Information

Infertility is usually defined as the inability to conceive (become pregnant) after 1 year of trying. The term infertility is not the same as sterility, since many couples ultimately may achieve a pregnancy after 1 year of unprotected intercourse.

Over 4.5 million American men and women or roughly 1 out of 5 (15-20%) couples fail when attempting their first pregnancy. In these couples, about half of the men will have a significant abnormality that makes them unable to father children. Male infertility may be caused by abnormalities in the testes or other areas of the male reproductive tract, as well as immune system defects. Yet, the most common cause of male infertility is disordered sperm production. Fortunately, new diagnostic tests are available to help define some of the more obscure causes of male infertility. Specialists should perform an initial screening of the male partner whenever a couple complains of infertility.

There are many causative agents that may decrease fertility some of these are nicotine, alcohol, marijuana, opiates, anabolic steroids, prescription medications, estrogen compounds (e.g. DES), chemotherapy, toxins in the workplace, Lead, DBCP (soil fumigant), radiation therapy, hyperthermia, and sexual dysfunction.

[ Back to top ]

Diagnosis and Evaluation

Initially, the patient is evaluated with a detailed medical and infertility history to determine the type of problem and for how long the problem has existed. (Links to the actual questionnaires used are provided below.)

The remaining evaluation includes the reproductive history, physical exam, lab tests (semen analysis and hormone profile) and other factors tests. Please visit the link for an in-depth description of this evaluation.

Submittable or Downloadable Questionnaires

Infertility Questionnaire [printable version]

The infertility questionnaire is an exhaustive battery of questions on reproductive, medical, surgical and environmental aspects related to infertility. The data goes into your electronic medical record as part of the consultation narrative. [printable page help]

New Male Patient Registration and History Form [printable version] [Or use these submittable online forms to replace this form: patient registration and patient history]

This form consists of registration and medical history questions required for your basic medical records. The data goes into your electronic medical record as part of the consultation narrative. This form can be submitted electronically, downloaded and printed by the patient or can be mailed to you before your appointment. [printable page help]

[ Back to top ]

Services

In-Office Procedures

The staff of Michigan Urology Associates, Inc. and the Center for Male Sexuality also performs many procedures in the office at a reduced fee compared to the same procedure in the Hospital. For descriptions about these office procedures please go to the specific links for the procedure that you are interested in as marked below. Our practice treats a variety of urological conditions; included below are the most common procedures that we perform in the office that are involved in the diagnosis and treatment of male infertility:

[ Back to top ]

Surgical Services

Michigan Urology Associates, P.C. also performs many of its urological services in the local Hospitals or surgical facilities. The outpatient and inpatient surgeries listed below are performed at these facilities.

The procedures listed below are direct links to "Your Surgery Details" which will have everything that you would want to know about your surgical procedure from after the diagnosis until fully recovered. Please use this section to learn about your upcoming surgery or to contemplate whether you really what a surgical procedure.

Open Surgery:
Microscopic Varicoceolectomy

Endoscopic Cases:
Transurethral Resection of the Ejaculatory Ducts (TURED)

[ Back to top ]


After reading about this topic, please return to:
Center for Male Sexuality


Refer a Friend

John J. Bauer, M.D., F.A.C.S.
www.flinturology.com
Flint, Michigan [map]

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