Male Fertility
Did you know that, according to recent WHO statistics, more than 1 in 6 couples experiences infertility? And that the causes can be found in both men and women? From fertility testing to treatment, benefit from Dr. Petrella’s expertise.
As a specialist in sexual health and male fertility, Dr. Francis Petrella, urologist, is available to provide you with a complete and personalized evaluation, ensuring an accurate diagnosis that will guide you toward the most appropriate treatment options.
What to Know About Male Infertility
- Infertility is defined as the inability to conceive naturally through unprotected sexual intercourse.
- In recent decades, an increase in fertility-related issues has been observed, making this a common reality—one for which it is important to break the stigma.
- Fortunately, solutions do exist. Since every case is unique, a medical evaluation is necessary to determine the best approach for your situation.

Understanding the Causes of Male Infertility
To offer the most appropriate treatment for your situation, it is essential first to understand the associated causes. By identifying the factors involved, it becomes easier to have a realistic overview and to propose an approach tailored to your couple.
Fertility Issues: A Reality for Both Men and Women
Although it can be difficult for a couple to decide to investigate whether the causes lie with the man or the woman, this step is necessary. These tests are designed to assess and identify, as accurately as possible, whether a medical condition is responsible, in order to recommend the most effective treatment.
Meet Dr. Petrella
As a urologist specializing in male fertility, Dr. Francis Petrella is recognized for his compassionate and professional approach. Schedule an appointment at the clinic and benefit from his expertise and know-how!
Causes of infertility:
Fertility Issues: Answers to Your Questions
When facing challenges related to infertility, it is perfectly natural to have many questions. To guide you, here are some of the most frequently asked questions. Looking for more answers? Don’t hesitate to schedule an appointment with a urologist for personalized care of your male health!
Cause of infertility?
During a medical evaluation, several male fertility tests may be performed to identify the underlying factors. Here are some of the main elements assessed during these analyses:
- Abnormal sperm count or motility
- Absence of sperm
- Varicocele
- Previous chemotherapy and radiation therapy
- Lifestyle habits, nutrition, heat and chemical exposure
- Previous infections
What investigations can I expect?
By definition, male fertility refers to a man’s ability to father a child, based on a series of factors. Among the most important are sperm quality, count, and motility. For a proper evaluation and to determine the best treatment options, it is essential to consult a physician specialized in this field.
What Do Male Fertility Tests Involve?
The evaluation of male fertility usually begins with a semen analysis, a medical test that examines sperm volume, concentration, and vitality to detect potential reproductive issues. Here is an overview of additional complementary tests that may be recommended:
- Questionnaire and physical exam to better understand your fertility history (length of time trying to conceive, past surgeries, supplements, medications, etc.).
- Semen analysis under the microscope to check the quantity and characteristics of the sperm. It is recommended to abstain for 2 to 5 days before the test.
- Blood tests to determine whether the brain is sending the proper signals to the testicles for the production of testosterone and sperm.
- Genetic testing, when deemed necessary.
Treatment options?
Based on the findings and results of the different tests, your urologist specialized in male fertility will be able to recommend the treatment options that are most appropriate for you:
- Hormonal and lifestyle optimization
- Microscopic varicocele correction
- Microdissection testicular sperm extraction (mTESE)
Micro-TESE is an advanced surgical technique for retrieving sperm in non-obstructive azoospermia. A skilled urologist uses a microscope to identify and extract viable sperm from tiny tubules in the testicles. This method maximizes the chances of success for assisted reproductive technologies, offering hope to those struggling with infertility. - Microsurgical epididymal sperm aspiration (MESA)
MESA is a precise procedure to retrieve sperm from the epididymis. It’s used when the vas deferens is blocked or damaged, hindering sperm release. MESA helps couples with male infertility pursue IVF or ICSI, offering hope for starting a family.
Advantages of MESA compared to PESA include retrieving larger quantities of sperm (which can be frozen), causing less damage to the epididymis, and posing a lower risk of inadvertent bleeding.
Is There a Link Between Diet and Male Infertility?
Yes, some studies do suggest a likely link between diet and male fertility. Essential nutrients, such as antioxidants and omega-3 fatty acids, may help improve sperm quality, while a diet high in processed foods or saturated fats is considered a negative factor for reproductive health.
At a glance: Lifestyle, diet, age, genetics—many everyday factors can affect fertility issues in both men and women. That said, a complete medical evaluation of your health will allow for more precise recommendations and help identify solutions to maximize your chances.
Service
Vasectomy reversal
Vasectomy reversal is a technically demanding microsurgical procedure designed to reestablish the flow of sperm through the vas deferens, the tubes that transport sperm from the testicles out through the penis in order to achieve natural conception.

