The Ins and Outs of Male Fertility Kits
A man’s sperm count. One of the most misunderstood tests in all of medicine. Like naming stars in the sky to help order the universe, we assign “normal” ranges to the features…
Fertility from Sterility
Do you think it is possible to have your own children with absolutely no sperm in the ejaculate? Why yes. It happens on a daily basis in my practice. Honestly, the word “sterility” has…
Insider’s Guide to Vasectomy Reversal
Something like 25,000 American men a year want more children after having a vasectomy. The more popular of two options for fatherhood after vasectomy is a vasectomy reversal; the other choice is…
The A through Z of Male Fertility in One Hour
As promised, I offer for your perusal the review lecture that I gave on male infertility at the annual American Urological Association Review Course this past weekend. For those of you who are…
Am I a Disruptor?
I did well in high school and I did well in college. I loved medical school and tolerated my surgical residency, as it occurred well before the 80 hour medical workweek was established. …
The Secret Life of a Microsurgeon
A recent study on hungover surgeons suggests that they are slower and sloppier after a night on the town. Get them toasted, let them sleep it off and they can’t perform surgery on…
The Skinny on Holiday Cards
“I want the holiday card with three of you on it” is what I tell my infertile patients at our first meeting in the office. Even if that visit occurs in February. In…
The Low Down on Being Knocked Up
What drives pregnancy rates after vasectomy reversal? Lots of things. The judgment and skill of the surgeon are critical as not all surgeons are the same. Two operations are possible during reversal surgery…
The Condom Cha Cha
It is hilarious and it happened again recently. I had just finished his quick and painless no scalpel vasectomy and was about to hand him his signed “diploma” (really) for “meritorious performance and…
Men as Fathers
Honestly, I have a lot to be thankful for in November. A wedding anniversary, the birthdays of both daughters, and a restful holiday all in one month. Seeing the chocolate covered smiles on…














