Posts Tagged ‘male infertility’

The Importance of Men Staying Healthy

Thursday, October 18th, 2012

How many of us have a friend who postpones his required chores so often that if he was asked to join the Procrastinator’s Club, he would reply with something like “not now, but I will look into it sometime in the future.”

This humorous anecdote can also be applied to how many of us men approach our own health. All of us need to make good choices regarding a balanced diet, moderate use of alcohol, regular exercise, and consistent weight management.

Just like “the procrastinator” above, some men are extremely stubborn and short-sighted when it comes to maintaining consistent health, nutritional and lifestyle habits.

Many of us simply think that our lifestyle will never lead to illness or misfortune. We continue the type of lifestyle that puts our health in jeopardy. Once our body breaks down, it may be too late to reverse the negative effects on our bodies.

The result of failing to take a proactive approach to one’s health can be the onset of a disease or even death of a man in his 40’s or 50’s due to a sudden heart attack or massive stroke. This is far too early in a man’s life to suffer such misfortune, and a considerable shock to those who know and love him.

Dr. Jeffrey P. Buch, of Legacy Male Health Institute in Frisco, Texas, wants to stress that men who fail to live healthy lifestyles can impair their sexual function and possibly impact their fertility.

The unfortunate pattern of ignoring one’s health often begins during a man’s teenage years when macho tendencies can lead to promiscuous lifestyles, poor eating and drinking habits, and the lack of proper rest.  Some males simply think they are indestructible.

Many such men continue to have little regard for what they are subjecting their bodies to. For example, many years of excessive alcohol use can raise a man’s estrogen level, which in turn can interfere with his hormones and sperm count.  Excessive drinking can also lead to atrophy in the testicles, impotence, liver damage and a decrease in sexual interest.

According to Men’s Health Magazine, our brains depend on a variety of nutrients to stay balanced. Men should, therefore, give their bodies the same attention as they do their boats, motorcycles, and cars. A good diet and healthy lifestyle will significantly lower the chances of heart disease.

If you have any questions about the conditions that can cause male sexual dysfunction or infertility and proper treatment treatment, please call Dr. Buch at (972) 612-7131 or visit him on the web at

Baby Mice from Mouse Skin Cells

Saturday, October 6th, 2012
Japanese scientists continue efforts to create baby mice from mouse skin cells.  This won’t get to humans any time soon, so don’t be scared, but let us know what you think.  Dr. Buch

Wonderful News!

Thursday, August 30th, 2012

Legacy Male Health Institute is proud to announce another success story. Alayna Grace Bird was born June 15, 2011.

We are so happy for this family and wish them a happy joyous life and future love together.

Congratulations from all of us here at Legacy Male Health Institute and Dr. Buch.

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Low Testosterone Treatment Creates Male Infertility Epidemic

Wednesday, August 15th, 2012

Increasingly many doctors have been using testosterone cream, injections, and subcutaneous pellets, to treat low testosterone in men who still need to preserve their fertility. This has resulted in a near epidemic of cases of male infertility presenting to specialists in this field. Apparently, many primary care doctors, many urologists, and cash pay clinics specializing in the treatment of low testosterone are unaware that treating a man with low testosterone can result in that man’s sperm count going down to zero, and in some cases this is irreversible!

"Male Infertility"

Low testosterone treatment creates Male Infertility

In most cases, men treated for low testosterone with testosterone replacement therapy develop the absence of sperm, a condition called Azoospermia.   In some of these cases, even with proper recognition and treatment, male infertility specialists are unable to return these men to their original levels of fertility.   Many new cases of men with testosterone treatment related azoospermia are presenting to my Male Infertility practice due to therapy prescribed by physicians who are unaware of the fertility consequences of testosterone treatment.

In cases of low testosterone, treatment with any form of testosterone suppresses pituitary gland at the base of the brain, since the pituitary detects sufficient testosterone levels in the blood from the replacement therapy. Therefore, the pituitary gland will not send out the chemical signals needed to stimulate the testicles to make their own testosterone and to make sperm.   In order to treat low testosterone in a “sperm friendly” way, the doctor needs to prescribe the pills clomiphene, tamoxifen or letrozole, any of which will stimulate the pituitary gland to produce the gonadotropins, FSH and LH which then stimulate the testicles.   On the contrary, testosterone replacement therapy, inhibits the pituitary gland from producing FSH and LH causing the testicles to shrink and both testicular sperm production and testosterone production decline to zero.   Alternately, should the patient failed to respond to clomiphene, tamoxifen or letrozole, then treatment should proceed with injections of human chorionic gonadotropin (HCG) which is the most successful but also the most costly treatment.   All of these alternative treatments for low testosterone will result in testicular production of testosterone and similarly, sperm production will be maintained or slightly increased.

All doctors treating men for low testosterone must advise their patients that testosterone replacement therapy of any kind can result in Male Infertility that may never recover.  In this way, the doctor prescribing testosterone replacement therapy does not merely assume that current and future fertility are of no concern to the patient.  I am further amazed, that a few cases have presented to my care in which the patient openly stated to the prescribing doctor that he was trying to get his wife pregnant, and the doctor reassured the patient that his fertility would not be affected and might even improve.

It is imperative that doctors who treat men with low testosterone always caution them that testosterone replacement therapy will hurt their fertility.  It is also imperative that all manufacturers of testosterone replacement therapy indicate that their products can permanently and irreversibly hurt a man’s fertility.   When fertility is to be preserved, low testosterone should only be treated by specialists in the field of male infertility.  This will avoid great cost, emotional trauma, and cases of inability to restore former fertility.   For further information, or to refer clients for treatment please see or call our office at 972-612-7131.

Baby Samuel has Arrived

Monday, July 30th, 2012

At Legacy Male Health Institute, we have prided ourselves in providing couples with new opportunities to have the families they have longed for.  We are very excited to announce the arrival of baby Samuel and the joy he has brought to his parents and family. Will came to our office in January 2011 to reverse a vasectomy performed in 1998. The surgery was a success and the result was a beautiful baby boy “Samuel” on May 10, 2012. [read more]

We are so happy for this family and wish them a happy joyous life and future love together.

Congratulations from all of us here at Legacy Male Health Institute and Dr. Buch.

Read More

Newest Success Story

Our newest Success Story

Best Way to Restore Male Fertility

Friday, July 13th, 2012

Vasectomy reversal is a procedure that was once considered permanent. There are an increasing number of men these days that are undergoing vasectomy reversal to re-establish their fatherhood.

Vasectomy Reversal is the best way to restore fertility after vasectomy. The procedure involves the reconnection of the male reproductive tracts which have been interrupted by a vasectomy. When considering a vasectomy reversal, it is always important to choose an experienced Male Infertility Specialist and Vasectomy Reversal Microsurgeon to perform the procedure. This would allow you to achieve a 98%-99% success rate (based on findings at time of surgery).

What Causes Male Infertility?

Wednesday, April 11th, 2012

Infertility, surprisingly, is just as common among men as women. The reason that Male Infertility is not well known is due to the fact that most men are not willing to discuss the issue.  Male fertility requires the production of mature sperm, with good mobility that can fertilize the egg.  At first glance, female fertility may seem more complicated. Male fertility has several conditional requirements, which include: the ability to have and sustain an erection, having enough sperm, having enough semen fluid to carry the sperm to the egg, and having sperm of the right shape (morphology) that move in the right way.  Any issue with meeting any of these conditions contributes to infertility.

There are several factors that contribute to male infertility: physical, hormonal, or environmental. From a medical perspective, low sperm count, misshapen sperm, or sperm that is immobile, can cause infertility. Factors that affect fertility include, but are not limited to:

  • Age
  • Exposing the testes to high temperatures, which  can affect the ability of the sperm to move and to fertilize an egg.  For instance:
    • Cryptorchism is a condition where the testes do not descend into the scrotum.  Although it does not usually affect the ability to have and sustain an erection, cryptorchism means that the testes are still inside the body cavity, which has a higher temperature than the external scrotum.
    • Excessive use of sauna or hot tub, i.e., more than 15 minutes daily.
  • Excessive smoking, drugs, and alcohol
  • Some prescription
  • Environmental toxins, although occupational cause is rare
  • Genetic conditions, such as Klinefelter syndrome
  • Other health problems

The treatments for male infertility may include:  hormonal treatments, surgery, and Assisted Reproductive Technology.  In spite of these treatments, there are some men who unfortunately will not be able to conceive children.  If you feel that you are suffering from male infertility, contact a Fellowship-trained Male Infertility Specialist for further evaluation.

The Benefits of Vasectomy Reversal

Thursday, March 8th, 2012

The sole purpose of vasectomy reversals are to undo a vasectomy or as some like to refer to it as reversing male birth control.  If the procedure is successful there is a strong possibility that the male will be able to once again conceive a child.

“The success rate varies depending on the type of reconnection (vasovasostomy or epididymovasostomy) that is required. This can only be determined at the time of surgery. However, where a straight forward vasectomy reversal (VV) can be performed on both sides, regardless of the number of years since the vasectomy, sperm return in 98% of our cases, with a corresponding 65% pregnancy rate. (Please note that of all couples trying to conceive, only 85% will achieve a natural conception at the end of one year).”  (Legacy Male) It enables men to accomplish their goal of parenthood.  Vasectomy reversals re-connect the tubes that carry sperm from the testicles into the semen.  It is an outpatient surgery that usually takes 3 to 4 hours.  The recovery period can range from 5 days to 2 weeks.  Vasectomy reversals are one of the best ways to deal with male infertility.  Now the success rate of vasectomy reversals vary from state to state; also the experience and skill of the micro-surgeon are important factors as well.

Also, check the FAQs.

Male Fertility Tests Hitting the Drug Store Counters in April

Wednesday, February 8th, 2012

Men, the time is fast approaching. According to Bloomberg and several other news sources, Walgreens and CVS are, reportedly, moving to begin carrying male fertility tests. The article states,

In April, Walgreen’s 7,800 U.S. stores plan to start selling a fertility test that determines if a man is producing enough sperm to get a woman pregnant. Walgreen and CVS have already started selling SpermCheck Fertility online. The blue-and-gold box, which features a smiling couple holding a newborn, will join more than two dozen varieties of female fertility tests in Walgreen stores. SpermCheck’s owner and distributor, closely held ContraVac Inc., is banking on women dropping an extra $40 for the test when they buy ovulation and pregnancy kits for themselves. “In our society, the woman carries the burden of trying to determine the issues surrounding infertility,” said Ray Lopez, ContraVac’s chief executive officer. “Men don’t say, ‘Let me go to the urologist and give a semen sample.’” That reluctance has created a $440 million-a-year market for male fertilitytests in the U.S., Lopez says.  Every year, about 7.3 million women in the U.S. have trouble with pregnancies, according to the Atlanta-based Centers for Disease Control. Many women, assuming they are to blame, visit gynecologists. They are “poked and prodded” and sent home while few husbands want to consider that they’re possibly at fault, according to Barbara Collura, executive director of Resolve: the National Infertility Association in McLean, Virginia. (

What does that mean for you? First, accuracy is the word for the day. As with female tests, a second opinion from a medical professional, particularly a male infertility micro-surgeon, should be the next step if a negative test result is produced. Second, the testing procedures should be easy to follow. The article states that it’s a relatively easy process, but if a man is willing to meet with a urologist, then its not necessary to take the test at home.  Remember, An OTC sperm test still cannot replace a truly accurate and reliable semen analysis rendered by a reputable Andrology Laboratory.

The movement to provide male infertility testing in the drugstore is a huge advancement in drugs and medicine, but its accuracy and reliability should be continuously monitored to maintain a high level of integrity and responsibility.

Does Sleep Apnea Affect Male Fertility?

Friday, January 27th, 2012

As we continue to look into issues of men’s health, a common disorder is Sleep Apnea.  Sleep Apnea occurs when breathing is interrupted during sleep and if left untreated, a person can stop breathing hundreds of times during the night. Sleep Apnea has
also been implicated as a causative factor in cases of low testosterone level. (  Sleep Apnea can be extremely dangerous because the brain and the rest of the body may not be receiving enough oxygen.  There are two types of sleep apnea: obstructive and central.  Obstructive sleep apnea is caused by a blockage of the airway by the tissue in the back of the throat collapsing.  In the case of central sleep apnea, the airway is not blocked and is a result of non-respiratory control.  As simple as sleep apnea may sound it can be fatal. If you feel that you have sleep apnea, please see your physician and have a sleep study performed. Sleep Apnea and fatigue go hand in hand. Fatigue does not directly affect sperm count in male infertility; however,  it does have an impact in sexual stamina and performance. Plenty of rest will increase your stamina, thus increasing your overall chances of successful fertility. If you are experiencing symptoms of sleep apnea, sexual dysfunction or male infertility, please consult a qualified specialist.