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…
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…















