Reversing Vasectomy Reversal Thinking
You had your wings clipped and now you want more children. What’s a guy to do? Well that depends on who you ask. Your choices include vasectomy reversal or sperm retrieval and assisted reproduction…
Assisted Reproduction: A Two-Edged Sword
Almost 2 decades ago, just about the time when my fellowship ended and I was starting on the faculty of UCSF, along came ICSI. Short for intracytoplasmic sperm injection, ICSI involves using a single sperm…
A Year Without Answers
This is a guest post from a patient who lives in Europe. He recently recontacted me about his experience with male infertility and how it affected him. Moved by his story and by…
Rise of the Instant Family
Using sex to conceive, the chance of having twins or higher multiple births is about 1-2%. With assisted reproduction, including intrauterine insemination (IUI) in the office and in vitro fertilization (IVF) in the…
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…
Mice Sperm in a Dish
It’s not the mother load of discoveries in our field, but it’s pretty close. It tells us that the mother load is definitely out there…and within reach. Yup, the good news is that…
Busy as Birds and Bees
I paused and peered over the microphone at the audience. My first words were “I thought you’d never ask.” And I mean’t it. My lecture at Stanford Universitywas not conceivable two decades ago….
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…
Babies…Naturally
In my daily fertility practice, while trying to help couples to conceive, I’ve noticed a trend lately. Patients are less interested in using high levels of “assisted reproduction” to have children. In particular,…
Keeping the Family Jewels Shining
As a living, breathing being on this good earth, we tend to take things for granted. The ability to have offspring can be one of them. That is, until the day that a…














