Male Infertility in Lake Mary, Florida (FL)

Treatment for male infertility depends on the underlying cause which stem from problems with sperm formation, the transport of sperm to the ejaculate, or the concentration of sperm in the semen. After diagnosing the probable causes of your infertility, your doctor can create a treatment plan that is right for you.

Your doctor may recommend some lifestyle changes to enhance your fertility. Quitting smoking, decreasing alcohol intake, reducing stress, eating healthy, losing weight and exercising regularly are all recommendations your doctor may make to improve sperm count and quality. Beyond that, about half of male infertility cases can be corrected using medical therapies or surgery. Assisted reproduction techniques (ART) can also help a couple conceive.

Medical Therapies for Infertility

Testosterone replacement therapy: Medications to correct imbalances in sperm production can correct a low sperm count or absence of sperm. Testosterone replacement therapy (TRT) is one therapy where a man is given injection of testosterone to correct a testosterone deficiency.

Steroid therapy: As a result of surgery (such as a vasectomy), some men develop antibodies that attack their sperm cells. Steroid therapy for three to six months can temporarily alleviate the condition and may enable to a man to get his partner pregnant.

Retrograde ejaculation treatment: Retrograde ejaculation is a condition whereby sperm enter the bladder instead of passing into the ejaculate. Retrograde ejaculate treatment may include medications like antihistamines and tricyclic antidepressants which help keep the bladder closed during ejaculation.

Surgical Treatments for Male Infertility

Varicolwctomy: An increase in temperature in the testicles can reduce sperm production. Your doctor may perform a varicolectomy to remove large veins in the scrotum. This procedure may improve semen quality in up to 70 percent of patients, as soon as 3 months after surgery.

Transurethral resectioning of the ejaculatory ducts: Surgery to remove blockages that affect semen flow may involve removing part of the prostate gland to allow sperm to flow into the urethra. This may be effective treatment in up to 50 percent of infertile men.

Vasectomy reversal: If you have had a vasectomy, your doctor can perform a vasectomy reversal to reconnect the vas deferens tubes which were previously severed during your vasectomy. This procedure aims to restore fertility by allowing sperm to re-enter your ejaculate once again.

Sperm retrieval: In cases where it is not possible to correct the flow of sperm or increase sperm count, sperm can be retrieved from either the testicle, vas deferens, or in the case of retrograde ejaculate, from the bladder. Sperm can then be used in various assisted reproductive techniques to help a couple conceive.

Your doctor will help you determine which male infertility treatments are right for you.


About Charles N. Witten, MD

Dr. Witten received his B.A. in Biology from the University of Pennsylvania in Philadelphia, Pennsylvania in 1980. He subsequently completed his medical education at the University of Pittsburgh School of Medicine in 1984. He returned to Philadelphia to complete his General Surgical and Urological Surgery Residencies at the Hospital of the University of Pennsylvania from 1984 - 1990. The University of Pennsylvania's Urological Surgery Residency is considered on of the top training programs in the country. He served as chief resident his final year. Dr. Witten joined Central Florida Urology Associates after completing his residency in 1990. He has been board-certified by The American Board of Urology since 1992.

Dr. Witten has served on numerous hospital committees including chairmanships of surgical peer review and credentials committees. He has served on the Education Committee for the Seminole County Medical Society. From 2002-2005, he served as Chairman of the Department of Urology at Florida. During his tenure, the hospital procured the DaVinci Robot to perform robotic assisted laparoscopic surgery. Dr. Witten's particular areas of interest include prostate, bladder and renal cancers; urinary incontinence; erectile dysfunction with emphasis on penile implant surgery; male infertility; microscopic surgery including vasectomy reversal; DaVinci robotic radical prostatectomy; laparoscopic urological surgery, and management of Benign Prostatic Hyperplasia with minimally invasive techniques including microwave thermotherapy and green light laser Photo-vaporization (PVP) of the prostate.

Dr. Witten is an active member of The American Urological Society, The American Association of Clinical Urologist, The American Fertility Society, The Florida Urological Society and The Seminole County Medical Society. He is married with four children and resides in Lake Mary, Florida.

Featured Specialist for Male Infertility in Lake Mary, FL

Charles N. Witten, MD

Call Now: (407) 287-5443
210 Rinehart Road
Suite 1000
Lake Mary, FL 32746

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