Are Sperm Counts Falling?
They asked me again. It never seems to end. CBS News interviewed me this week and wondered whether men’s sperm counts were falling over the last half century. Honestly, I am not convinced…
Why Blueberries Matter
Once in a great moon, something comes around that changes the way you think about things. Galileo’s dismissal of the earth-centered universe, the invention of electricity and the desktop computer are but a…
That Azoospermic Feeling
At the beginning of the office visit, I like to ask men with no sperm in the ejaculate who are unable to conceive a simple question: “What crossed your mind when you first…
30,000 Foot (Cloud) Thoughts
Do you find it hard to think at 30,000 feet if you are not on an airplane? “Think broadly and ambitiously and leave your pet projects at the door.” That was our charge…
Through the Looking-Glass
They called again and want to talk. Similar to a strict parent who gives you little clue as to where they stand, the National Institutes of Health (NIH) wants to have a conversation….
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…
We are the Walrus
Admittedly, he was an unusual patient. It was not only his generous size (2700 lb) but also his lack of clear speech in any discernable language that distinguished him from others I’ve treated….
The Orchid in the Arctic
Imagine taking a tiny skin biopsy from the arm of a man who, even while you are taking it (which can’t be pleasant) offers you a warm, reassuring smile. For this man, getting…













