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Infertility Evaluation and Treatments
Dr. Lazarou has tremendous expertise in diagnosing and treating infertile men. The infertility evaluation starts with a complete history and physical examination. A semen analysis allows evaluation of sperm characteristics that may be helping or preventing fertility. Other lab tests are also performed to identify any possible underlying hormonal abnormalities. Blood and semen tests may also be performed to identify possible genetic causes for infertility. Specialized testing may also reveal blockages of the tubes or ejaculatory disturbances that prevent the sperm from functioning or traveling properly.
A scrotal ultrasound is often used to identify the presence of varicoceles (varicose veins of the scrotum) or other abnormalities. Ultrasound can also be used to identify blockages or other anatomical problems.
We also collaborate with top female infertility specialists in Boston and surrounding areas to provide the best possible treatment for men and their partners.
Dr. Lazarou's fertility work has been published in the most respected medical journals including "Fertility and Sterility" and "Urologic Clinics of North America."
Microsurgical Varicocele Repair
One of the most common causes of male infertility are varicoceles. They are enlarged varicose veins in the scrotum. They are very common affecting up to 15% of men overall and about 40% of men with known infertility. The most effective treatment technique with the lowest complication rate is the microsurgical varicocele repair.
Sperm Aspiration/Retrieval
In cases where there are no sperm in the semen, such as after a vasectomy, it may be possible to harvest sperm from the testicle or from the surrounding structures. Technology has advanced to such a degree that we can now find sperm in many cases that were previously considered impossible. Dr. Lazarou uses cutting edge microscopic techniques to extract sperm. We now live in an era where just a few sperm can be used to help successfully create a pregnancy.
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