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Male Infertility

Talk With a Male Infertility Specialist at Z Urology

At Z Urology, our team of male infertility specialists understands the complex nature of male reproductive health. Our in-depth evaluations and personalized treatment plans help you address a wide range of infertility concerns. Our goal is to help you overcome fertility challenges and achieve your family planning dreams.
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How are Men Most Affected by Infertility?

Some males are more likely than others to experience infertility. You might be at higher risk if:

  • You are overweight or obese.
  • You are 40 years old or older.
  • You’ve been exposed to radiation.
  • You’ve been exposed to environmental toxins including lead, calcium, pesticides, or mercury.
  • You consume tobacco, marijuana, or alcohol.
  • You’re taking medications that affect fertility. Examples include cyproterone, flutamide, spironolactone, bicalutamide, cimetidine, or ketoconazole.
  • You’re frequently around heat that raises the temperature of your testes. Those who regularly use a sauna, hot tub, or wheelchair might experience this.
  • You have a history of undescended testicle(s).
  • You have a history of varicoceles, which are widened veins in your scrotum.

Lifestyle factors can play a big role in fertility struggles. However, every male is different. Other factors such as genetics, urological conditions, immunological conditions, and hormone abnormalities can impact an individual’s chances of fertility.

It’s important to talk with an expert if you’re concerned about any aspect of your fertility.

man sitting on a bed holding a pregnancy looking despondent

Treatments for Male Infertility Conditions

Male infertility is a contributing cause of approximately 30-40% of couples struggling to conceive. At Z Urology, a male infertility doctor can identify the root causes of your infertility issues and provide effective solutions. We address the most common root causes of male infertility as well as rare urological and reproductive conditions in men.

Varicoceles

Varicoceles are enlarged veins in the scrotum that can affect fertility and testicular function. Z Urology treats men with this condition through microsurgical varicocelectomy and embolization to effectively improve reproductive health.

Low Sperm Count

Low sperm count, or oligospermia, can significantly impact male fertility. At Z Urology, we offer extensive evaluations and treatments including lifestyle changes, medication, and advanced reproductive technologies. We’re passionate about helping couples achieve their dream of parenthood.

Azoospermia Post Vasectomy

At a certain point in life, infertility might be your goal. Azoospermia post-vasectomy is the absence of sperm in semen following a vasectomy. Z Urology performs thorough post-vasectomy semen analysis to confirm successful sterilization, typically 8-16 weeks after surgery.

Retrograde Ejaculation

Retrograde ejaculation is when semen enters the bladder instead of exiting through the penis. The Z Urology team diagnoses and develops individualized treatments to help patients manage this condition and improve fertility potential.

Other Causes of Male Infertility

Male infertility can also result from immunologic factors, hormonal imbalances, genetic disorders, and obstructions in the reproductive tract. Z Urology specializes in helping patients through these complex causes of infertility.
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Urological Evaluations and Fertility Planning

Our urologists use state-of-the-art medical technologies to assess your reproductive health, getting to the root cause of your fertility struggles. Evaluations include:

  • Discussing your detailed medical history
  • Physical examinations and blood work
  • Semen analysis to evaluate sperm count, motility, and morphology
  • Hormone testing to check levels of testosterone, FSH, and LH
  • Advanced imaging techniques, including in-office scrotal ultrasound
  • Genetic testing when appropriate

Depending on the causes of infertility, treatments can range from medication and lifestyle changes to specialized surgeries.

If you are struggling with infertility, we encourage you to contact Z Urology. Infertility can be a particularly hard condition to experience and we understand the sensitive nature of this experience. We are here to support you however we can!

CONTACT OUR INFERTILITY SPECIALISTS
Physician speaking with a couple about fertility planning

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

Whether you're experiencing urinary symptoms, dealing with a chronic condition, or need specialized treatment, Z Urology is your go-to care team. We provide the highest quality of care and truly value patient communication so you feel comfortable and informed every step of the way.

Contact Z Urology today to book an appointment and take the first step towards better urological health!
Schedule an Appointment
or Call (954) 714-8200
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