Reversing Male Infertility


MIAMI, Fla. (Ivanhoe Newswire) — Thousands of couples struggle with infertility. And while the causes may vary, a common condition that few men have heard of can be blocking their fertility. Now, there’s a simple solution that’s helping more couples conceive.

“The moment I saw him it was instant love,” Kristine told Ivanhoe.

Kristine is talking about the day her son JP was born. A day she and her husband, John, thought would never happen after years of trying to conceive.

Kristine continued, “The worst part is when people tell you, ‘you just need to relax, it will happen, don’t worry.”

But they did worry, so they both got checked out.

John explained to Ivanhoe, “They did some tests and they said, ‘you know you have a problem,’ and it’s like what?”

Ranjith Ramasamy, MD, Director of Reproductive Urology at the University of Miami explained, “In fact, most … 50 percent of the time, it is the man’s problem.” (Read Full Interview)

Doctor Ramasamy says the most common cause of male infertility is a condition called varicocele.

Doctor Ramasamy continued, “This is a condition where the veins around the testes are dilated, the temperature of the testes increases, and affects sperm production.”

Because most men have no symptoms, it has to be diagnosed through physical examination.  An injury can be the cause.

“I had a motorcycle accident at the race track back in 2005,” said John.

Thanks to Dr. Ramasamy, John found out about a procedure using a microscope to reverse the varicocele and open up blood flow to the testes.

Doctor Ramasamy explained, “When the veins are tied off, the temperature in the testes cools off, and it takes up to about three months after surgery for the sperm parameters to improve.”

Doctors say after the procedure, up to 65 percent of those couples can go on to conceive naturally.

“About two months later is when we found out we were pregnant,” said Kristine.

John and Kristine tell other couples not to give up. If they had … Little JP might not be here today.

Kristine said, “He’s the light in our lives. I mean I can’t, we can’t imagine life without him.”

Giving hope to couples trying to conceive.

Doctor Ramasamay has performed over 200 of these procedures with a 97 percent success rate. The procedure is covered by most insurance companies. For more information about varicocele repair please visit

Contributors to this news report include: Janna Ross, Field Producer; Judy Reich, Videographer; Cyndy McGrath, Supervising Producer; Gabriella Battistiol, Assistant Producer; Jamison Koczan, Editor.

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REPORT:         MB #4371

BACKGROUND: A varicocele is an enlargement of the veins within the scrotum. It is similar to a varicose vein that may be found in the leg. Varicoceles are a common cause of low sperm production and can decrease sperm quality, causing infertility in men. Not all varicoceles affect sperm production, but some may cause testicles to fail to develop normally or even shrink. Most develop over time, are easy to diagnose and many don’t need treatment. If they cause symptoms, it oftentimes can be repaired surgically. It is not certain what causes varicoceles, however, many experts believe they form when the valves inside the veins of the cord prevent proper blood flow. The resulting backup causes the veins to dilate, causing damage to the testicle and result in worsened fertility. There are no significant risk factors for developing a varicocele. Complications from them include shrinkage and softening of the affected testicle and infertility.

SYMPTOMS: Varicoceles often produce no signs or symptoms. They may rarely cause pain that varies from sharp to dull discomfort, may increase with standing or physical exertion; especially over long periods of time, be relieved when laying down, worsen over the course of the day, and even impair fertility. Varicoceles may enlarge over time and become more noticeable, and are described as looking like a “bag of worms.” The condition may cause swelling in the testicles, almost always on the left side. Because a varicocele usually causes no symptoms, it often requires no treatment. They may be discovered during a routine physical exam or even a fertility evaluation.


VARICOCELECTOMY: Varicocelectomy is a same-day procedure, done under anesthesia. The procedure ties off the veins that cause this back flow of blood. The procedure is done to reroute the blood through another venous system that does not have leaks. Once the veins are tied off, the temperature in the testes cools off. It takes up to three months after surgery for the sperm parameters to improve. The recovery is pretty quick, most patients are able to go back to work in about two or three days and are up and about in about 24 hours. The varicocelectomy can be done either using the open approach or using the microsurgical approach. At the University of Miami Health System surgeons use the microscope method to fix the varicocele. Some of the side effects that can happen from the surgery itself are either recurrence; where the veins come back after surgery, damage to the testes, or hydrocele can occur which is fluid build up around the testes. Using the microscope helps avoid and minimize these side effects.

(Source: Ranjith Ramasamy, MD)


Joanna Palmer

Ranjith Ramasamy

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