Male Infertility Evaluation and Treatment

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.


Infertility in Men: What You Need to Know

Infertility refers to the inability to conceive or to get the female partner pregnant.  Pregnancies are complex events that require the coordination of male and female reproductive systems.

Among couples that experience difficulty with fertility, about 40% experience these problems because of female reproductive difficulties, about 20-30% of couples experienced difficulty getting pregnant because of male reproductive difficulties.  In many couples, a contribution of both male and female reproductive systems leads to infertility or difficulty with conceiving a child.

shutterstock_142809292In general, a couple is considered to be infertile if they are unable to become pregnant within 1 year of trying.  In this situation, we consider that a couple is trying to conceive if they have unprotected vaginal intercourse with fair regularity over the course of 1 year.  More than 90% of couples will conceive spontaneously within 1 year of trying.  In fact, many couples will conceive within the first 3 months.  Any couple who cannot achieve pregnancy after one year of trying should have a thorough infertility evaluation.

As a general rule, when a couple faces infertility, both male and female partners should be evaluated.

Special Situations: Couples Living Apart / Distance Relationships

The situation becomes a bit more complex in couples who do not live together for one reason or another (work/family issues/military service, visa or immigration problems, etc.) and, as a result, have sexual intercourse only infrequently.  While many couples separated by distance do not achieve pregnancy because of infrequent sex, it is still advisable to evaluate couples that live apart as prolonged waiting will only make the situation worse if one of the partners has suboptimal fertility.  As time goes on and you get older, pregnancy becomes increasingly difficult. Therefore, it is prudent to get evaluated for possible infertility early on, especially if you live afar, which precludes frequent sexual activity.

Special Situations: Female Partner Close or Older than 35 Years Old

Because the inability to conceive decreases exponentially in women over age 35, if the female partner is close or over age 35, infertility evaluation is recommended as soon as the couple decides to have children or after unprotected sex for 3-6 months with no pregnancy.  In couples with a female partner close to age 35 or older, evaluation is reasonable after 3-6 months of trying to achieve spontaneous pregnancy through sexual intercourse.

Special Situations: Infertility History with a Prior Partner

In couples who have a history of infertility in a previous relationship, early testing is advisable to determine if you have infertility problems so that they can be addressed if present.

Prompt evaluation for infertility is important because infertility potential decreases exponentially in women around age 35 every year.

Male partners who are older than age 45-50 may also need to have a urological evaluation, especially if the volume of ejaculate is low, which may suggest BPH.  Men who are taking medications for enlarged prostate, hair loss, or testosterone supplements require evaluation. These medications can affect fertility and may need to be stopped prior to attempting pregnancy.

Special Situation: History of Testosterone Use or Steroid Use for Bodybuilding

The use of testosterone or testosterone analogs used for bodybuilding can lead to severe infertility.  Men with a history of steroid use are advised to get evaluated for fertility as soon as possible so that treatment can be started promptly.

Causes Of Male Infertility

Male infertility is caused by contributions from multiple factors.  Sperm health is dependent on the microenvironment within the testicle, including scrotal temperature, blood flow, hormonal factors, good nutrition as well as genetic factors.

In general, testicular maturation and development are impaired when the testes are exposed to higher than normal temperatures.  Normally, the temperature within the testis is about 2° lower than the rest of the body.  In men whose testis are exposed to heat, such as cooks, workers in metallurgic factories, and men who frequent sauna, testicular maturation may be impaired.  Similarly, men with large varicoceles may have impaired sperm quality.

Inflammation is known to decrease fertility as well, as evidenced by decreased sperm quality in men who had an infection.  Febrile infections also impair fertility for 3-6 months.

Adequate nutrition and intake of proper nutrients also affect sperm quality. In fact, studies have shown that sperm quality can be improved by supplemental nutrients and vitamins.

Common Causes of Male Infertility:

  • Exposure to Heat
  • Varicoceles
  • Hormonal problems
  • Prior surgery (hernia, varicocele repair, hydrocelectomy, epididymectomy, orchiectomy, prostatectomy, TURP, Greenlight laser of the prostate)
  • Neurological problems
  • Obstructive azoospermia
  • Non-obstructive azoospermia
  • Y chromosome microdeletion
  • Ejaculatory problems
  • Retrograde ejaculation
  • Unejaculation
  • BPH
  • Smoking, tobacco, marijuana use

Evaluation of Men for Infertility

Infertility evaluation and management involve taking a detailed history, checking vital signs including blood pressure, a physical exam to look for vas deferens, testicular volume, and any prostate abnormalities.  Blood tests typically performed as part of the initial evaluation include testosterone levels, thyroid levels, kidney function tests, and blood counts.  Semen analysis is performed.

Semen analysis: The key to Infertility Evaluation in Men.

Typically semen analysis is performed on 2 different occasions a few weeks apart to get a good idea of semen quality.  There is some variability with each ejaculation.  For this reason, 2 semen analyses are desirable.  For best results, it is advisable to abstain from sex and ejaculation for 2-3 days before semen analysis to produce an adequately large sample of semen. Semen should be evaluated within 1 hour of ejaculation by an experienced cytopathologist.

The most common abnormalities are low semen volume and low sperm count.

While total semen volume and sperm count are important, other less commonly recognized characteristics are just as important such as sperm motility, percent normal sperm, and the presence or absence of inflammatory cells.

What We Treat:

Treatment Options for Infertility Offered at New York Urology Specialists:

Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature.  He performs 150-200 penile surgeries a year.

Where to Get Male Infertility Treatment / Testicular Implants / Hydrocelectomy / Varicocelectomy / Testosterone Replacement Therapy / Scrotal Cyst Removal / Scrotal treatment /TESE Treatment / Testicular Sperm Extraction in NYC?

At New York Urology Specialists, we offer treatment for male-factor infertility.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-212-204-6300 or make an appointment online.  

We perform penile procedures, varicocele and hydrocele repair, vasectomy reversal, and cosmetic circumcision.  We offer treatment for missing testis, low testosterone, low sperm count, testicular pain, premature ejaculation, and male infertility. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

We perform testicular ultrasound examinations in our office.  We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office.   We treat urinary and erection problems. We offer confidential appointments.

Cost of Male Infertility Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer flat-fee ‘all-cost-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more.  The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

Cost of Treatment and Insurances

Inexpensive Urologist Visit Cost At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Why Choose New York Urology Specialists for Male Infertility Evaluation and Treatment?

  • All treatment is performed by a board-certified urologist experienced in treating men with male infertility, low sperm count, and idiopathic male infertility.  We treat symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, testicular pain, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.  
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
  • Experience – we see and treat many infertile men and couples. You are treated by board-certified urologists who are up-to-date on the latest advances in the field.
  • Freedom to Choose Reproductive Endocrinologists – As an independent practice, you’re not forced to use a reproductive endocrinologist for the female partner that works with us.  You are free to choose a reproductive endocrinologist of your choosing.
  • We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office.  Office procedures avoid the risks, costs, and recovery from general anesthesia.  
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What do Testicular Problems Look Like?

You can find pictures of testicular problems as well as before and after treatment images in our image gallery.

Scheduling Appointments for Treatment of Infertility in Men at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men.   He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.  


Patients Reviews

Overall Rating:

4

Total Ratings

4

Total Reviews

14

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Outstanding
by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

Review
by on Jan 28, 2019

Absolutely amazing!

First class Surgeon & staff
by on Sep 24, 2018

From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.

Satisfied Patient
by on Sep 15, 2018

I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Surgical Procedure
by on Sep 01, 2018

Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

Review
by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

Genius
by on Jun 04, 2017

" He found my source of testicular pain that was missed by a Urologist from my insurance provider. Although I paid to go out of network- any price is less than testicular pain. He is generous with his time and will not short change anyone for care." via Vitals.com Posted on June 4th, 2017

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

Treatment for Men With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including infertility and low sperm problems, sexual problems, and urinary problems in men.  We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem.  We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.

Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis.  We offer medical and surgical treatment for men’s sexual problems.

We Treat Some of the Most Complex Men’s Health Problems Including:

dr alex about banner large Copy 300x176 - Male Infertility Treatment - Top Specialists in New York CitySchedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-212-204-6300 or make an appointment online

Dr. Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of infertility problems in men, as well as sexual, urinary, and erection problems in men.  He uses modern, effective, and proven treatment methods.  We offer microscopic varicocelectomy, testicular sperm aspiration (TESA), vasectomy reversal, circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He has successfully treated hundreds of men with male-factor infertility, testicular problems, low testosterone, premature ejaculation, and erection problems. 

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.