• UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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Male Infertility Treatment at UPNT: Causes, Diagnosis, and Advanced Solutions

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Male Infertility Treatment at UPNT: Innovative Care for Complex Cases

At Urology Partners of North Texas (UPNT), we offer comprehensive care for male infertility, helping men overcome fertility challenges with advanced procedures and personalized treatment plans.

Our experienced urologists collaborate closely with reproductive endocrinologists, performing specialized procedures like:

  • TESE (Microscopic Testicular Sperm Extraction) – For retrieving sperm directly from the testicles in men with no sperm in their semen (non-obstructive azoospermia).
  • Vasectomy Reversal – A highly effective microsurgical procedure to restore fertility after a vasectomy.

If you’ve been trying to conceive without success, we’re here to help. Read on to explore the most common causes of male infertility and the advanced solutions available at UPNT.

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What is Male Infertility?

Male infertility refers to a man’s inability to contribute to conception after a year of regular, unprotected intercourse. Unlike temporary fertility struggles, infertility is diagnosed when consistent issues like low sperm count, poor motility, or abnormal sperm shape (morphology) prevent pregnancy.

The good news: Many causes of male infertility are treatable, and procedures like TESE, PESA, hormone therapy, or assisted reproductive technologies (ART) can significantly improve your chances of conception.

Causes of Male Infertility

Male infertility can be caused by medical conditions, genetic disorders, or lifestyle and environmental factors. Understanding these causes is essential for effective treatment.

Medical and Genetic Causes

  • Hormonal Imbalances – Low testosterone and disruptions in FSH or LH production can reduce sperm production.
  • Varicocele – Enlarged veins in the scrotum that increase testicular temperature, lowering sperm quality.
  • Genetic Disorders – Klinefelter syndrome, Y chromosome deletions, and other genetic conditions may affect fertility.
  • Infections – Conditions like mumps orchitis or sexually transmitted infections can damage the reproductive tract.

Lifestyle and Environmental Factors

  • Obesity and Poor Diet – Excess body fat leads to hormonal imbalances that can reduce sperm quality.
  • Toxin Exposure – Prolonged contact with pesticides, heavy metals, and other chemicals can impair sperm production.
  • Smoking, Alcohol, and Drugs – These habits lower sperm count, affect motility, and reduce fertility potential.
  • Heat Exposure – Frequent use of saunas, hot tubs, or prolonged sitting may temporarily lower sperm count.
Even age matters. Sperm quality declines after age 40, increasing the risk of genetic mutations in sperm.

How Male Infertility is Diagnosed at UPNT

At UPNT, we use advanced diagnostic tools to evaluate male infertility and create personalized treatment plans. Our evaluation process includes:
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STEp 1

Medical History and Physical Exam

We take a detailed history to identify previous health conditions, surgeries, and lifestyle factors affecting fertility. A physical exam checks for varicocele, hormonal imbalances, and anatomical abnormalities.

step 2

Semen Analysis

This essential test evaluates:
  • Sperm Count
  • Motility (movement ability)
  • Morphology (shape and structure)

Step 3

Hormonal and Genetic Testing

Blood tests measure key hormone levels, such as testosterone, FSH, and LH, while genetic tests help detect inherited conditions like cystic fibrosis or Y chromosome deletions.

step 4

Imaging Studies

Scrotal ultrasounds and testicular biopsies help identify structural problems or blockages.
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Advanced Treatment Options at UPNT

We offer a full range of personalized treatments, from lifestyle interventions to advanced surgical procedures.

1. Surgical Procedures

Our urologists specialize in surgical solutions for male infertility, including:
  • TESE (Testicular Sperm Extraction) – For men with non-obstructive azoospermia, mTESE retrieves sperm directly from the testicles for use in IVF or ICSI.
  • Vasectomy Reversal – Microsurgical techniques reconnect the vas deferens, restoring fertility for men who previously had a vasectomy.

2. Lifestyle and Medical Treatments

In some cases, simple lifestyle changes can significantly boost fertility:
  • Maintain a healthy weight
  • Adopt a balanced diet rich in antioxidants
  • Quit smoking and reduce alcohol intake
  • Limit exposure to toxins and heat
We also offer hormone therapy and medications to treat conditions that interfere with sperm production.

3. Assisted Reproductive Technologies (ART)

For more complex cases, ART offers a pathway to conception:
  • Intrauterine Insemination (IUI) – Sperm is inserted directly into the uterus.
  • In Vitro Fertilization (IVF) – Eggs are fertilized in a lab, then implanted into the uterus.
  • Intracytoplasmic Sperm Injection (ICSI) – A single sperm is injected into an egg, especially useful for men with low sperm count or poor motility.
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Collaboration with Reproductive Endocrinologists

At UPNT, our specialists collaborate with leading reproductive endocrinologists to ensure the best outcomes. Procedures like TESE and PESA are often combined with IVF or ICSI, providing hope for couples facing even the most challenging fertility cases.

FAQs on Male Infertility Treatment at UPNT

What is the most common cause of male infertility?
Varicocele is the most common treatable cause of male infertility.
Through semen analysis, hormonal testing, genetic screening, and imaging studies.
TESE retrieves sperm directly from the testicles, while PESA extracts sperm from the epididymis. Both are used in men with no sperm in their semen (azoospermia).
Yes! Regular exercise, a healthy diet, and reducing exposure to toxins can significantly improve fertility.
Not always. Many cases are treatable with medications, surgery, or assisted reproductive technologies.

Why Choose UPNT for Male Infertility Treatment?

At UPNT, we combine medical expertise, advanced technology, and personalized care to help you achieve your family goals. Our specialists are committed to finding the best solution for you, no matter how complex your case may be.

Contact us today to schedule your consultation. Early diagnosis and treatment can make all the difference.
Dr. Matthew Schwenke will no longer be practicing interventional radiology at IR Centers at Urology Partners of North Texas. To ensure that your medical care continues seamlessly, your ongoing care will be transitioned to another physician within our practice. You may schedule appointments directly by contacting our office at 682-888-0886 or via the link on the website. Your medical records will remain securely within the practice, so there is no additional step required on your part unless you wish to request a transfer elsewhere.
Dr. Matthew Schwenke will no longer be practicing interventional radiology at IR Centers at Urology Partners of North Texas.
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