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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-212-204-6300<\/span><\/a><\/strong>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n We offer affordable appointment prices<\/a> with or without insurance. <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n Infertility refers to the inability to conceive or to get the female partner pregnant<\/strong>. Pregnancies are complex events that require the coordination of male and female reproductive systems.<\/p>\n Among couples that experience difficulty with fertility, about 40% experience these problems because of female reproductive difficulties, and about 20-30% of couples experience difficulty getting pregnant because of male reproductive difficulties<\/strong>. In many couples, both male and female reproductive systems contribute to infertility or difficulty with conceiving a child.<\/span><\/p>\n As a general rule, both male and female partners should be evaluated when a couple faces infertility.<\/u><\/span><\/strong><\/p>\n 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 who live apart, as prolonged waiting will 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.<\/strong><\/p>\n Because the inability to conceive decreases exponentially in women over age 35, if the female partner is close to 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.<\/strong> 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.<\/p>\n In couples who have a history of infertility in a previous relationship, early testing is advisable to determine if partners have infertility problems. Early diagnosis will allow the issue to be addressed if present promptly.<\/p>\n Prompt evaluation for infertility is important because infertility potential decreases exponentially in women around age 35 every year.<\/strong><\/p>\n Male partners who are older than age 45-50 may also need to have a urological evaluation,<\/strong> especially if the volume of ejaculation is low, which may suggest BPH<\/a>. 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 before attempting pregnancy.<\/p>\n The use of testosterone or testosterone analogs<\/strong> 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 start promptly.<\/p>\n Male infertility is caused by contributions from multiple factors. Sperm health depends on the microenvironment within the testicle, including scrotal temperature, blood flow, hormonal factors, good nutrition, and genetic factors.<\/p>\n 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\u00b0 lower than the rest of the body. In men whose testes are exposed to heat,<\/strong> such as cooks, workers in metallurgical factories, and men who frequent saunas, testicular maturation may be impaired.<\/span> Similarly, men with large varicoceles <\/a>may have impaired sperm quality.<\/p>\n Inflammation<\/strong> is known to decrease fertility as well, as evidenced by decreased sperm quality in men who have an infection. Febrile infections also impair fertility for 3-6 months.<\/p>\n 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.<\/p>\n Infertility evaluation<\/a> and management involve taking a detailed history<\/strong>, 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.<\/p>\n Typically, semen analysis<\/a> is performed on two different occasions a few weeks apart to get a good idea of semen quality. There is some variability with each ejaculation. For this reason, two semen analyses are desirable. For best results, it is advisable to abstain from sex and ejaculation for 2-3 days before semen analysis<\/strong> to produce an adequately large sample of semen. Semen should be evaluated within 1 hour of ejaculation by an experienced cytopathologist.<\/p>\n The most common abnormalities are low semen volume<\/a> and low sperm count.<\/p>\n While total semen volume and sperm count are important, other less commonly recognized characteristics are just as important, such as sperm motility<\/strong>, percent normal sperm<\/strong>, and the presence or absence of inflammatory cells.<\/p>\n Did you know?<\/strong><\/span> Dr. Shteynshlyuger<\/a> <\/strong>has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries,<\/strong> 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.<\/p>\n At New York Urology Specialists, we offer treatment for male-factor infertility<\/strong>. Same-day virtual video appointments<\/strong> and in-person<\/strong> appointments are available.<\/p>\n Call\/text today: 1-212-204-6300<\/span><\/a> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online. <\/span><\/span><\/strong><\/p>\n We perform penile procedures<\/a><\/strong>, varicocele<\/a> <\/strong>and hydrocele repair<\/a><\/strong>, vasectomy reversal<\/a>, and cosmetic circumcision.<\/a> <\/strong>We offer treatment for missing testis, low testosterone, low sperm count, testicular pain, premature ejaculation, and male infertility. We treat sexual and erection problems<\/a><\/strong> and offer comprehensive STD testing<\/a><\/strong> for infections. We offer confidential<\/strong> appointments.<\/p>\n Our appointment costs<\/a> are affordable with or without insurance<\/strong>. We offer free insurance verification<\/strong>.<\/p>\n We perform testicular ultrasound<\/a> examinations in our office. We offer testosterone replacement therapy<\/a>, vasectomy<\/a>, Urolift procedure<\/a><\/strong>, and water-vapor procedure<\/a><\/strong> in our office. We treat urinary<\/strong> and erection problems<\/a><\/strong>. We offer confidential<\/strong> appointments.<\/p>\n At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more<\/strong>. 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<\/strong>.<\/p>\n We accept many health insurance plans.<\/strong> We would be happy to verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan’s coverage. Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n You can find pictures of testicular problems as well as before-and-after treatment images in our image gallery<\/a><\/strong>.<\/p>\n If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-212-204-6300<\/span><\/a><\/strong>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n We offer affordable appointment prices<\/a> with or without insurance. <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n Dr. Shteynshlyuger MD <\/a><\/strong>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. <\/strong><\/p>\n ngg_shortcode_0_placeholder[patient_review_form]<\/p>\n Urologists are doctors specializing in treating men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we can 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.<\/strong><\/p>\n
\nInfertility in Men: What You Need to Know<\/strong><\/h2>\n
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In general, a couple is considered infertile if they cannot become pregnant within 1 year of trying.<\/strong> 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.<\/strong><\/p>\nSpecial Situations: Couples Living Apart \/ Distance Relationships<\/h2>\n
Special Situations: Female Partner Close or Older than 35 Years Old<\/h2>\n
Special Situations: Infertility History with a Prior Partner<\/h2>\n
Special Situation: History of Testosterone Use or Steroid Use for Bodybuilding<\/h2>\n
Causes Of Male Infertility<\/strong><\/h2>\n
Common Causes of Male Infertility:<\/strong><\/h2>\n
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Evaluation of Men for Infertility<\/h2>\n
Semen analysis: The key to Infertility Evaluation in Men.<\/h2>\n
What We Treat:<\/h2>\n
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Treatment Options for Infertility Offered at New York Urology Specialists:<\/h2>\n
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Where to Get Male Infertility Treatment in NYC?<\/h2>\n
Cost of Male Infertility Treatment without Insurance<\/h2>\n
Cost of Treatment and Insurance<\/h2>\n
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At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\nWhy Choose New York Urology Specialists for Male Infertility Evaluation and Treatment?<\/h2>\n
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What do Testicular Problems Look Like?<\/h2>\n
Scheduling Appointments for Treatment of Infertility in Men at New York Urology Specialists<\/h2>\n
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\nTreatment for Men With Fast Recovery at New York Urology Specialists<\/h2>\n
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At New York Urology Specialists, our urologists are specially trained in evaluating and treating men’s health concerns, including infertility and low sperm problems, sexual problems, and urinary problems in men. <\/strong>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.<\/strong><\/p>\nWe Treat Some of the Most Complex Men’s Health Problems Including:<\/h2>\n
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