Many men can regain sufficient sperm production after appropriate treatment. Early intervention by a urologist specializing in andrology often makes it possible to avoid immediate recourse to assisted reproductive technology (ART) and optimize the chances of natural pregnancy.
Male infertility affects nearly one in two couples experiencing difficulty conceiving. In the majority of cases, there is an identifiable and often reversible cause.
✅A specialized evaluation by a urologist andrologist is essential to make an accurate diagnosis and propose appropriate treatment.
Infertility is defined as the inability of a couple to conceive after 12 months of regular intercourse without contraception.
In humans, the causes can be:
A urologist specializing in andrology is the doctor best suited to assess male fertility.
Its role is to:
✅ Identify medical or surgical causes of infertility.
✅ Offer targeted treatments to restore natural fertility when possible.
✅ Work in collaboration with PMA (medically assisted procreation) teams if necessary, in order to optimize the chances of success.
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It evaluates the testicles, epididymides, penis and genital tract.
The objective is to look for visible anomalies (varicocele, small or hardened testicle, congenital anomalies, etc.).
The spermogram is the key test: it analyzes the concentration, motility and morphology of the sperm.
Depending on the results, further tests may be prescribed:
📌Depending on the identified cause, several options may be proposed:
💡 Testicular hormonal stimulation to restart spermatogenesis.
💡 Treatment of a varicocele by surgery or embolization.
💡 Correction of a hormonal or metabolic disorder .
💡 Lifestyle improvement (quitting smoking, weight loss, stress management, etc.).
💡 And, if medical approaches fail, referral to PMA (insemination, IVF, ICSI) if necessary.
Dr. Benarroche offers individualized support for male infertility, from the precise analysis of fertility disorders to their medical and surgical management.
The general rule is to consult after 12 months of regular sexual intercourse without contraception that has not resulted in pregnancy. However, it is recommended to consult earlier (as early as 6 months) if your partner is over 35 years old.
Don’t wait and consult a doctor immediately if you have any known risk factors.
Yes, ideally. Infertility is a couple’s issue, and treatment is most effective when both partners are assessed simultaneously.
The strategy is personalized: it can range from simple lifestyle advice and dietary supplements to medical treatment or surgical intervention (varicocele repair, unblocking). If necessary, we work closely with fertility clinics to optimize your chances of success (IUI, IVF, ICSI).
A varicocele is a dilation of the veins in the testicle (a type of varicose vein) very common in infertile men. It increases local temperature, which can impair sperm production and quality. As a microsurgery expert, I can assess whether treatment is necessary to improve your natural fertility or the results of assisted reproductive technology (ART).
To save time and refine the diagnosis, please bring all your previous test results if available: sperm analyses (even old ones), blood tests (hormonal), testicular ultrasounds, or reports from past surgeries. If you don’t have these, that’s okay; we’ll order them.
Urological and Andrological Surgeon
Specializing in the management of male infertility and treatments aimed at
restore natural fertility.
Dr. Benarroche offers a male-focused approach to care, combining medical and surgical approaches, adapted to the needs of each patient.
