The Dr. Fisch Blog

Expert Mens Health Care

Adult male and adolescent facing variocele
The Latest from the Blog

Varicocele and Infertility: Adolescent and Adult Men

Many of my patients and their parents worry about the long term consequences when presented with a diagnosis of varicocele. A varicocele is a collection of swollen veins in the scrotum and often causes no readily apparent symptoms. However, there is unfortunately a strong link between varicoceles and male infertility, whether that is of an immediate concern or one further down the road. … MORE

Wife & husband after vasectomy reversal

Dispelling Myths about Vasectomy Reversals

There’s a lot of misunderstanding and myths out there about vasectomy reversal. I’m led to believe that maybe it’s because reverse vasectomy is not a particularly common procedure, although 2%- 6% of men who have had a vasectomy eventually seek a reversal.  If you have the facts, you’ll see that vasectomy reversals are a very successful method of restoring fertility and allowing you to enjoy fatherhood. … MORE

Family sitting together on porch

Understanding the Vasectomy Procedure: Fact from Fiction

With between 300,000 to half a million vasectomies performed in the US each year, you would think this elective procedure would be well understood. Unfortunately, myths and downright misinformation about vasectomies still abound. While any competent urologic surgeon will review the procedure in detail – including the technique, recovery, risks, limitations, and benefits – with their patients prior to their vasectomy procedure, it can be very helpful to be familiar with the facts about vasectomy before you ever visit your surgeon.

… MORE

Vasectomy Reversal Cost vs IVF - Pregnant Couple

Vasectomy Reversal Cost versus IVF

A vasectomy is intended to be a permanent fertility-limiting procedure in men. And while I tell my patients that they should consider a vasectomy as a permanent option, I know that doesn’t necessarily mean irreversible. And if the time does come when the vasectomy patient wants to father children, vasectomy reversal surgery may be a good option, especially given the cost of a vasectomy reversal compared to other options such as IVF.

… MORE

effects of varicocele

The Effects of Varicocele: More Than a Feeling

Like many medical conditions, the effects of varicocele can range from mild to life-changing. Men and adolescent males that have a varicocele often wonder about the short and long term consequences, treatment, and if they should even bother visiting a physician or surgeon about the problem.

… MORE

vasectomy reversal and T.E.S.E

Does Size Matter?

Men catch a lot of grief for being obsessed with their penises…is it big enough? Thick enough? Hard enough? Etc. But given that Mother Nature’s prime directive is to reproduce, and given the prominence of the male member, maybe this attention isn’t so odd.

… MORE

reversing vasectomy

Reversing the Irreversible: Vasectomy Reversal

Every year, about 500,000 men in the US get a vasectomy because they’re sure they don’t want any more (or simply any) children. It’s a fairly simple procedure that cuts the two vas deferens, which are the tubes through which sperm travel from the testicles to the prostate. This ensures that no sperm are in a man’s semen, hence he can’t father children. … MORE

more accurate prostate test

Avoid Prostate Biopsies with More Accurate Screening

Standard prostate cancer screening involves a prostate exam and a blood test that aims to identify a prostate-specific antigen (PSA) biomarker. If a man’s PSA level is high, doctors recommend a prostate biopsy. But for every four men who undergo the procedure, only one will end up having aggressive prostate cancer. … MORE

chronic prostatitis male infertility

The Male UTI – A Hidden Cause of Infertility

Let’s talk about a condition that is often an unrecognized source of problems ranging from the merely inconvenient – having to get up frequently in the middle of the night to pee – to the serious: impaired fertility.  Chronic prostatitis is a low-grade infection of the male urinary tract.

… MORE