So you want to be a Daddy?Jun 10, 2019 06:11PM ● By Leslie McCarroll
Nevada Center for Reproductive Medicine | 645 Sierra Rose Drive, #205 | Reno, NV 89511 | (775) 828-1200
For years we dream of having a family…we take all the right step on the path to parenthood; get a good job, meet the right person, get married, buy a house perhaps, mentally and financially prepare for a new phase of life, have all of our ducks in a row, try, try, try (hey…at least that’s kinda fun!) but nothing happens. Or perhaps you’re in a situation where natural conception is not an option. Regardless of how you get to the point where you’re considering a fertility evaluation, it’s always tough to deal with the question of what happens next. Bliss Life (BL) met with Dr. Scott Whitten of Nevada Center for Reproductive Medicine (NCRM) to ask the hard questions so you don’t have to. We hope you find the following Q&A helpful and encourage you to reach out to our friends at Nevada Center for Reproductive Medicine for the friendly, caring, confidential support you need to make an informed decision about your next steps.
BL: When should you start fertility evaluations?
NCRM: It really depends upon the age of the couple and how long they have been trying. Typically, a general rule to follow is a woman is less than 35 years old and is having regular cycles, they can try for one year before seeking help. If however the woman is over 35 then they should try for only 6 months before an evaluation is recommended.
BL: What are some of the factors that can contribute to male factor infertility?
NCRM: In order for a man to produce a normal semen analysis, several requirements must be met. His anatomy must be normal. Good blood flow must deliver hormones to the testes. Sperm making cells must be present and he needs to possess the correct genetic sequences that code for sperm production. If there is a problem with any of these, or if there is any external toxins present, then the sperm production could be affected and infertility could be the result.
BL: Why are so many sperm required for conception to occur?
NCRM: Very few sperm actually reach their goal. For example, in a normal reproductive system, when 40 million sperm are placed into the vagina with intercourse, only about 200 sperm reach the end of the fallopian tube where the egg is.
BL: What are some of the treatments for male infertility?
NCRM: If a man has a low sperm count due to insufficient hormones, we are often able to restore his sperm production by using oral or injectable hormones. If his sperm count is low due to other reasons then we can use inseminations or in vitro fertilization to assist them achieve a pregnancy. It usually depends on how many sperm are available that dictates which treatment would be recommended.
BL: What is the success rate for male infertility treatments?
NCRM: This is a complicated answer because success rates depend on many factors such as age, female infertility factors, type of treatment used, as well as the male infertility issues.
BL: What is the best way to start an evaluation?
NCRM: The most common test used to evaluate the male partner is to perform a semen analysis. Once he produces a sample by masturbation, the andrologist will evaluate the sample under a microscope for concentration, motility, and sperm shapes called morphology. This test will often be able to detect any abnormalities with the male partner.
Established in 1999, The Nevada Center for Reproductive Medicine is the only fully accredited reproductive endocrinology and infertility clinic in Northern Nevada. Dr. Whitten and Dr. Foulk and their supportive, caring staff design individualized treatment plans to address all aspects of infertility to help you achieve your ultimate goal – having a child. Why wait? Call today (775) 828-1200