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What is Infertility?

Infertility is defined as the inability to conceive a child after one year of unprotected intercourse.  For women who are older than 35, this time period drops to six months.

Male Factor Infertility

Approximately 15 percent of all couples are infertile.  Up to 50 percent of these infertile couples will have a male factor component and 30 percent of couples will not be able to conceive solely because of a male factor. For this reason, if a couple is having trouble conceiving, it’s important to have both the woman and the man evaluated.

Evaluating for Male Factor Infertility

Chesapeake Urology male sexual and reproductive health specialists recommend a complete evaluation for male patients, including a semen analysis, to identify the cause of a couples’ infertility.  The evaluation is a critical component of solving the cause of the infertility and needs to be performed and managed by experienced physicians and a competent reproductive laboratory. Additionally, male hormone levels may influence sperm counts and should be evaluated by a male fertility specialist.

Every man who is having problems conceiving with his partner requires an evaluation, which includes:

  • A complete history and physical examination
  • Reproductive history of both male and female partners
  • Screening semen analysis
  • Blood work
  • Exam to identify varicoceles, which are similar to varicose veins in the leg and are also a known cause of male infertility
  • Possible advanced testing with ultrasound

If there are any abnormalities found on preliminary screening, your physician will discuss one of the many options that may be available to you and your partner.


Melissa Mendez, M.D.

Melissa Mendez


Andrology, Artificial Urinary Sphincter, Benign Prostatic Hyperplasia/BPH, Complex Penile Surgeries, Erectile Dysfunction, Male and Female Sexual Dysfunction, Male and Female Stress Urinary Incontinence, Male Pelvic Pain, Medical and Surgical Management of Male Infertility, Medical and Surgical Management of Peyronie's Disease More...

Devang Sharma, M.D.

Devang Sharma


Andrology, Artificial Urinary Sphincter, Benign Prostatic Hyperplasia/BPH, Ejaculatory Dysfunction, Erectile Dysfunction, General Urology, Low Testosterone, Male Infertility, Microscopic Spermatic Cord Denervation, No-Scalpel Vasectomy More...

Conceiving a Child...Naturally

A vasectomy CAN be reversed. Did you know that the chance of a successful vasectomy reversal, regardless of the number of years since the vasectomy, is high? Thanks to the specialized skills of our microsurgeons, couples wishing to conceive naturally now have the option. Learn more about the Vasectomy Reversal Center of America.

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Appointments & Information

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