After trying to conceive for a year, my husband was diagnosed with low sperm count and motility. We visited Dr. read more
I wanted to update to say that my husband and I have a second new baby. This time on our first try. This is all due to Dr. Turek. Had we listened to the RE's we would have had to go through 2 IVFs (at least) but these were both spontaneous pregnancies. The first was 6 ...
Dr. Turek is an incredibly caring doctor, an excellent surgeon, and one of the few top male factor infertility specialists in the country. My husband saw him for severe male factor infertility, and he gave us hope for having a biological child after we had been told it...
Apprehension, fear, cost, worry, stress ... You can think of many excuses not to see Dr. Turek, but I hope you take my advice and ma...
- How We Can Help
- Male Fertility & Infertility
- Vasectomy Reversal
- Sperm Mapping
- No-Scalpel Vasectomy
- Varicocele Treatment
- Erectile Dysfunction
- Men's Sexual Health
- Second Opinion
The Turek Clinics, located in Beverly Hills and San Francisco, are dedicated to treating and solving the unique conditions and needs of reproductive age men such as no-scaplel vasectomy, vasectomy reversal, sperm mapping, sperm retrieval, sperm banking, varicocele or ejaculatory duct repair. Our specialties also include the latest advances in men’s sexual health concerning testosterone replacement, erectile dysfunction and testis prosthesis. Founder and Medical Director, Dr. Paul Turek is an internationally renowned expert in male infertility and men’s sexual health. He believes that a combination of an intensely personal approach, the most advanced technologies and evidence-based medicine provides the best holistic care for men. Dr. Turek is a leader in research as well clinical care and is often featured in the news media for his contributions to the field, including the artificial testicle, which aims to help cancer survivors become biological fathers, and advanced paternal age. He also pioneered one of the first male prenatal supplements, Essential Beginnings™.
MALE FERTILITY & INFERTILITY
The Clinic is dedicated to treating and solving the unique conditions that affect reproductive age men such as vasectomy and reversal, sperm mapping and sperm retrieval, varicocele or ejaculatory duct repair. Our specialties also include the latest advances in men’s sexual health concerning ejaculatory disorders, testosterone replacement, erectile dysfunction and testis prosthesis. Founder and Medical Director, Dr. Paul Turek is an internationally renowned expert in male infertility and men’s sexual health. He believes that a combination of an intensely personal approach, the most advanced technologies and evidence-based medicine provides the best holistic care for men.
Dr. Turek has an international reputation for his surgical skill and is a fellowship-trained microsurgeon. He performs vasectomy reversals weekly. Unlike the vast majority of practicing surgeons, his experience with vasectomy reversals is published, as are many of his innovations. In the clinic, 40% of the patients Dr. Turek sees have a second obstruction that requires epididymovasostomy and 25% have already failed a vasectomy reversal procedure. Most of his cases are referred by urologists who do not feel comfortable performing a vasectomy reversal on men with older vasectomies because of the high likelihood that an epididymovasostomy is needed. Dr. Turek also routinely tackles cases of traumatic, infectious or congenital obstruction that require microsurgery. Because of his experience as a master surgeon, his complication rates after vasectomy reversal are extremely low and his success rates are very high.
Sperm Mapping (also known as Testicular Mapping or FNA Mapping) is a technology invented by Dr. Turek to “map” out the location of sperm in the testis. The technique is designed to benefit severely infertile men. It is a minimally-invasive, non-surgical procedure performed under local anesthesia in the office.
With Sperm Mapping, Dr. Turek can determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimize invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.
Azoospermia is a male fertility issue many men face. Board certified Dr. Paul Turek, named one of the “Best Doctors in America” for 7 years running, understands all aspects of the issues related to azoospermia and is the expert in the field.
Azoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present: A) There is a problem with sperm production, B) There is a blockage such that sperm production, although normal, cannot reach the ejaculate
One important point concerning this diagnosis is that although no sperm are found in the ejaculate, there are often usable sperm found in the testis, as not all sperm that are made in the testis actually make it into the ejaculate.
If you are considering having a vasectomy you are not alone. Every year, about half a million men in the U.S. choose vasectomy as a permanent contraception. Even though vasectomy is a minor surgical procedure performed under local anesthesia, it is recommended to choose a urologist who is performing the procedure on a routine basis. Board certified Dr. Turek, one of the “Best Doctors in America”, is the leading expert in vasectomies in the Greater San Francisco area.
The procedure takes approximately 10-20 minutes to perform. The goal of the procedure is to render the ejaculate free of sperm. This prevents the sperm from entering the semen (ejaculate) so that the female egg cannot be fertilized after intercourse. Remarkably, sperm continue to be produced within the testis but disintegrate and are reabsorbed by the body.
In clinical use for over 100 years, a vasectomy can be performed by making small surgical incisions or through the No-Scalpel technique that uses no incisions. Dr Turek much prefers the latter and offers it whenever possible to his patients.
Dr. Turek performs 100-150 varicocelectomies annually. He has operated on sultans and sailors, prime ministers and principals. He helped popularize the subinguinal microsurgical approach to varicocele repair in the 1990’s and has trained over 50 urology residents, fellows, practicing urologists in this method since then. In addition, many varicocele patients he sees have failed the procedure elsewhere. Because of this experience, his complication rates are extremely low.
Dr. Turek’s approach to varicocele treatment was chosen based on the need for any such procedure to meet the following criteria:
- Provide a high likelihood of seeing and treating the culprit veins.
- Be reliably performed and have minimal risk of failure.
- Have operative versatility.
- Be performed with minimal morbidity and complications.
- Be consistent with cost-containment principles in modern urology.
Erectile dysfunction is the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. It is estimated to affect 20 to 30 million men in the US and is definitely age-related.
It may result from any one of the following factors: psychological, neurologic, hormonal, arterial, and venous. Recently it has become quite clear that, in many cases, erection dysfunction can be a “silent marker” for the later development of cardiovascular disease.
MENS’S SEXUAL HEALTH
There is a lot more to the field of men’s sexual health than simply fertility issues. In fact, erection problems in men are far more common than is male infertility.
And another issue that is just as common as erectile dysfunction is the group of ejaculatory disorders that includes premature or early ejaculation. In many older men, their sexuality and sexual performance is profoundly affected by low male hormone (testosterone) levels which is also a very treatable condition. Less common, but highly treatable men’s sexual health issues include testis implants for men with missing testicles and treatments for penile curvature, also termed Peyronie disease.
Medicine is both an art and a science. It is the doctor’s job to understand and interpret the vast amount of information and science in medicine so that the patient can make important decisions regarding their health care.
As with any art, the way that medical information, symptoms and health care is interpreted and delivered varies widely among doctors and this can affect patient decision-making.
Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you, and you have a right to have all of your questions answered so that it does make sense to you. Similar to buying a car, people often seek second opinions regarding how they should proceed with their medical care.