Men's Health & Fertility

Testosterone replacement therapy is a medically supervised treatment that restores testosterone to healthy levels in men with confirmed deficiency. It can improve energy, libido, mood, and muscle mass.

Therapy is individualized, with careful dosing using gels, injections, or subcutaneous pellets, and adjusted based on follow-up labs and clinical response.

The practice screens for contraindications, including certain cardiovascular and prostate conditions, and monitors blood counts, PSA, and symptoms over time.

Fertility implications are discussed as a routine part of planning so that men who may wish to father children can choose the approach that best supports their long-term goals.

Erectile dysfunction care is a comprehensive, individualized program to diagnose and treat erectile dysfunction and its underlying causes.

Evaluation looks for vascular, hormonal, neurologic, and psychological contributors, recognizing that ED can be an early warning sign of cardiovascular disease.

Treatment is stepwise, beginning with lifestyle changes and oral medications and progressing as needed to injection therapy, vacuum devices, or advanced options such as penile implants.

Care is discreet, respectful, and tailored to each patient's goals, with the aim of restoring satisfying sexual function and addressing any underlying health issues identified during evaluation.

Intracavernosal injection (ICI) therapy is a highly effective treatment in which medication is self-injected directly into the penis to produce a reliable erection. It is used when oral medications are insufficient or not tolerated.

Patients are carefully trained on proper injection technique and on safe starting doses to ensure both effectiveness and safety.

The therapy works directly on penile blood flow, which makes it effective for many men whose ED stems from vascular causes.

It is a well-established option for erectile dysfunction, and the practice provides thorough instruction, dose titration, and ongoing follow-up.

Male infertility treatment encompasses a range of evaluations and therapies aimed at the male-factor causes of infertility, which contribute to a significant share of couples' difficulty conceiving.

Workup includes semen analysis, hormonal testing, focused physical examination, and imaging when indicated.

Treatments may include microsurgical varicocelectomy, microsurgical vasectomy reversal, and hormonal optimization, all aimed at improving sperm quantity and quality.

Care is coordinated with reproductive specialists when advanced assisted reproductive techniques are needed, with a shared goal of improving the chances of conception.

Xiaflex for Peyronie's disease is an injectable, non-surgical treatment for penile curvature caused by scar tissue (plaque) within the penis.

The enzyme breaks down the collagen plaque responsible for the bend, gradually allowing improvement in curvature.

It is administered over a planned series of in-office sessions, often combined with gentle modeling techniques.

For appropriate candidates, Xiaflex can improve curvature and sexual function while avoiding surgery; candidacy is confirmed through careful examination and counseling.

Microsurgical vasectomy reversal is a precise microsurgical procedure that reconnects the tubes cut during a previous vasectomy in order to restore fertility.

It is performed using high-powered surgical microscopes to allow accurate suturing of these delicate reproductive structures.

Success depends on multiple factors, including the time since vasectomy and the appearance of fluid at the time of surgery.

Many men regain sperm in the ejaculate after a successful reversal, and the procedure remains an excellent option for men who wish to father children after a prior vasectomy.

Varicocelectomy is a surgical procedure to correct a varicocele — enlarged veins in the scrotum that can impair fertility and cause scrotal discomfort.

The procedure works by sealing or removing the affected veins to restore more normal blood flow within the scrotum.

A microsurgical approach is used to minimize complications and to protect the testicular artery and lymphatic channels.

Varicocelectomy can improve semen parameters and relieve discomfort, and is a common, well-tolerated treatment for male infertility.