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…
Guide to Surviving the Holiday Season
Two patients told me that they were getting divorced this week. They came to the office and thanked me for all that I have done for them. They wished that the assisted…
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…
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,…
The Quiet After the The Storm of Cancer
I have to admit, the testis “mapping” procedure that I developed some years ago has truly been a workhorse technique for my male infertility practice. And for the practices of other male reproductive…
Once Upon a Time in Barcelona
While in Barcelona recently, meandering through the Parc Guell and Sagrada Familia, the weight of what happened earlier that day hit me. I reveled, as anyone might, in the outlandish works of Gaudi,…













