Options For Men

Infertility Treatment Options for Men

Male infertility might feel isolating, but you’re far from alone – men and woman experience infertility equally, and sperm issues are relatively common. Something else relatively common? Overcoming male infertility and becoming a father. From the simple – changes in diet and lifestyle – to the more involved – treatment by a doctor – effective solutions exist to help you beat this.

Here are a few ways…

  • Intrauterine insemination (IUI) – Placing the sperm into the woman’s uterus with a narrow tube, typically used in cases of low sperm count, impaired sperm mobility (movement), or retrograde ejaculation.


  • Surgery – Possible option for issues related to anejaculation or epididymal blockage.



  • Diet and Nutrition – A healthy and balanced diet can play an important role in male fertility.


  • Counseling – Reproductive Medicine Associates of Northern California specialists provide problem-solving strategies in a supportive environment through physician recommended methods including individual and couples counseling, specialized support groups, third-party reproduction-specific counseling, and patient-to-patient support networking.

Male Evaluation

Semen Analysis

This test tells a doctor the number of sperm in a patient’s semen, whether they are normal, and how well they move. A semen analysis is one of the tests a doctor can use to evaluate problems in achieving pregnancy.

A low sperm count may be caused by certain medications or a medical problem such as a blocked duct, low testosterone levels, or a condition in which sperm back up into the bladder. Some men may have enough sperm, but their sperm may not swim well enough to reach the egg. Also, abnormally-shaped sperm may not be able to penetrate and fertilize the egg.

To make an appointment with the Andrology lab for a Semen Analysis, please call 415-603-6999.

Semen Collection

A patient will be asked to collect their semen in a sterile specimen cup. Another option is to collect the semen at home (during intercourse) in a special condom that you can get from your doctor. The patient must deliver the sample to the doctor’s office within 45 to 60 minutes after collecting it.

Speak with the doctor about instructions for transporting the sample to the office. If the results are not normal, or the sample is not complete because the patient missed the container for sperm collection, the test may need to be repeated. Test results often vary, so the patient may need to do this procedure more than once.

Treatment Options

A type of artificial insemination in which sperm get injected directly into a woman’s uterine cavity near the time of ovulation. A doctor may recommend IUI to treat many causes of infertility, especially when there is a problem with the sperm such as low sperm count or low motility.

IUI bypasses the female cervix, so it is a useful treatment if there is an incompatibility between the sperm and the cervical mucus. IUI is also an option with complications involving impotence, premature ejaculation, or other medical conditions, and can be performed with your sperm or with sperm from a donor.

How intrauterine insemination is performed:

The patient will be asked to provide a semen sample about an hour or two before the scheduled insemination. The semen is then “washed” to separate the sperm from the seminal fluid, which must be done before the sperm can be injected into the woman’s uterus.

The doctor or nurse will place a speculum inside the woman’s vagina, insert a small catheter through the cervix into the uterine cavity, and inject the sperm through the catheter into the female’s uterus. In most cases, the woman will not feel discomfort during the procedure.

For more information on male infertility treatment options in San Francisco, please contact us today.