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Heather922 posted:
After an SA showed low sperm count, my husband's doctor referred him to a urologist. The appointment with urologist was not very helpful. He pretty much told us that because the problem was not vericoles the next step was IUI or IVF. He could not answer our questions about supplements or any others things to try to increase sperm count. He seemed incapable or unwilling to talk through our questions. My question is, is a urologist really the right doctor for fertility problems or was he just not knowledgable? Is it worth finding a different urologist or is there a different type of specialist that could help more?

Thanks so much for any advice you all might have!
amyaalc responded:
Not all urologist have training in male factor infertility. You need to find one that has that training and able to guide you and treat your husband to see if his fertility can be improved. Call around to other urology office in your area, you might have to drive to a neighboring city, to see if any of the other urologist have that training and has a practice that works with men with low fertility.

Clomid treatment could possibly boost his production and sperm quality enough to bring his numbers back in range for natural conception.

You husband should have a full hormone workup, physical exam, medical review and lifestyle review to see what is the cause to his low sperm production.

If you can't find anyone in your area let me know your city and state and I'll find someone for you by asking our head urologist for a referral for male factor infertility.

Let your primary know that his referral was not helpful and he should look for another urologist to send men with fertility concerns.

Supplements - Start you husband on FertilAid for Men and test another semen analysis in 2 months to see if numbers improve. One semen analysis is not a true picture of his fertility. Stress of collecting into a cup for a lab test can lower results. Check my post on Sperm Healthy Lifestyle for other pointers.

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
Heather922 replied to amyaalc's response:
Amy, thank you so much for your response. These suggestions are the most helpful info we've received. His testosterone level came back normal but no other horomones were checked, so I think that would be a good thing to find out. I think we will try other urology offices in the ares and hopefully someone will be able to help us a little more.

Thank you again for taking the time to provide so much info, I really appreciate it!

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