It is important for a man of any couple with fertility concerns to be seen and evaluated by a specialist who has experience in treating male infertility.
Treatment of male infertility must be directed towards the underlying etiology. Endocrine abnormalities may be treated with medications to manipulate hormone production. Varicoceles can be corrected using microsurgical techniques. Certain causes of obstructive azoospermia may also be repaired using microsurgical techniques. In other cases of obstructive azoospermia men may have sperm retrieved directly form the testes or epididymides for use with in vitro fertilization with intra-cytoplasmic sperm injection (IVF/ICSI).
The most exciting new development in the field of male infertility is the ability to treat men with severe sperm production problems, and men with non-obstructive azoospermia. Because pregnancy can be achieved with only one sperm, men with non-obstructive azoospermia can undergo a micro-surgical testicular sperm extraction (micro-TESE) in hopes of finding areas of isolated sperm production. With the advent of ICSI, men found to have even a few sperm may go on to have their own genetically conceived children.
For additional learning on ICSI fertilization processes offered by Weill Cornell Medicine, please visit FertilityIQ.