Infertility in Men: The Forgotten Male

Caperton Fertility Institute • March 18, 2019

Men may feel like the forgotten one in the process of fertility treatment, and they are almost always the last one to be considered when we think about the strain and emotional stress that couples go through on the “fertility train”.

Dr. Lee Caperton, our reproductive endocrinologist and fertility specialist, personally understands what men encounter when faced with fertility issues. “I remember sitting across from my wife, Dr. Kelly, when we were having trouble getting pregnant with our last child and wondering, ‘What has happened to me that we’re not conceiving? Is it my lifestyle, too much stress, too little sleep, too few vacations? Something in the water, something in the air, something in my diet  or lifestyle ? Should I work out more, work out less, stop drinking out of plastic bottles, stay out of the hot tub, not ride the bicycle with my son???’”

At the Caperton Fertility Institute, we truly understand what couples experience when the process of getting pregnant just isn’t happening as you hope. In addition to our co-founders’ personal experience, many of our staff have also experienced issues in fertility. We believe that gives our patients a greater degree of compassion in our clinic; we understand the anxiety and struggle, as well as how difficult it is for you to discuss such intimate details with us. We will do our very best to help you feel comfortable, to protect your privacy, and to answer all your questions (in language that helps you understand, whether you prefer the scientific explanation or layman’s terms).

Whatever the cause, whether you’ve had a previous vasectomy and are interested in vasectomy reversal or its options, testicular sperm extraction (TESE), microsurgical epididymal sperm aspiration (MESA), or intracytoplasmic sperm injection (ICSI), we will help you explore the best solution for male factor infertility.

Call our Albuquerque or El Paso fertility clinic to schedule an appointment or complete the contact form. We look forward to helping on your journey to parenthood.

A person is looking through a microscope at a petri dish.
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Embarking on the embryo transfer phase of your IVF journey is a big step, and understandably, patients often ask what they can expect during this important stage. At Caperton Fertility Institute, we take great care in preparing your body to create the most welcoming environment possible for a developing embryo. Here’s an overview of how we prepare you for a frozen embryo transfer, including the medications we use and why they matter. 1. Estrogen Patches to Build the Uterine Lining The first step in the preparation process involves thickening the endometrial lining of your uterus so it can support an embryo. We use estrogen patches for this purpose. These patches deliver a consistent dose of estrogen through your skin, and you’ll typically wear several patches on your abdomen at a time, changed every other day as instructed. Estrogen helps your uterine lining grow to the ideal thickness for implantation. We monitor this closely with ultrasound to ensure optimal conditions. 2. Adding Intramuscular Progesterone Once your lining has reached the right thickness, we introduce intramuscular progesterone injections. Progesterone transforms the uterine lining into a receptive state, mimicking what happens naturally after ovulation. These injections are given daily and are an essential part of making the uterus ready to accept an embryo. While the thought of intramuscular shots can be intimidating, our team will guide you through every step and offer tips to make the process more comfortable. 3. Timing the Transfer The timing of your embryo transfer is carefully coordinated based on your hormone levels and the day your embryo was frozen. For example, if you're transferring a blastocyst (an embryo that developed for five days), we schedule your transfer five days after starting progesterone. Precision is key, and we tailor the timing to closely replicate the conditions of a natural cycle. 4. Day of the Transfer The transfer itself is a quick, gentle procedure that doesn’t require anesthesia. We use ultrasound guidance to place the embryo in the uterus, and many patients describe it as similar to a Pap smear. Afterward, you’ll rest briefly before going home. Supporting You Through Every Phase Every part of the embryo transfer preparation is designed with care and intention. We want to give you the best possible chance for success, and we’re here to support you emotionally and physically throughout the process. If you have any questions about preparing for your embryo transfer or the medications involved, don’t hesitate to reach out. We’re with you every step of the way.
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