Many men will have a zero sperm count due to poor sperm production and require a sperm retrieval to use with in vitro fertilization. This condition is relatively prevalent in men who are on testosterone therapy (TRT).

A sperm retrieval is a small surgical procedure where sperm is harvested from the testicles by a highly trained urological surgeon.

Since this procedure is invasive, it is incredibly important that we improve sperm production before Dr. Russel Williams does a retrieval. The Y Factor improves the sperm retrieval success rate by focusing on hormone treatment and a varicocele repair.  Varicoceles are a common condition of dilated scrotal veins encountered in men with decreased fertility.

Your fertility condition might require genetic testing.  This is important to predict the success of sperm retrieval and prevent passing along a genetic defect.

The practitioners at The Y Factors provide both medical and surgical treatment for men with decreased fertility and will help you in every step of the way to make sure we can improve your chances of collecting viable sperm for your fertility goals. 

Source: Clinical factors impacting microdissection testicular sperm extraction success in hypogonadal men with non-obstructive azoospermia; fertility sterility, 2024; 122(4) 636–647.

Russel H. Williams, MD

Dr. Russel H. Williams is the founder, CEO and CMO of The Y Factor and brings more than 20 years of experience. Dr. Williams earned his Medical Degree at the University of Texas at Dallas Southwestern Medical Center, where he graduated at the top of his class. He completed his urology residency at Baylor College of Medicine in Houston, then completed a male reproductive medicine and microsurgery visiting fellowship at the New York-Presbyterian/Weill Cornell Medical Center in Manhattan, New York. Dr. Williams is an active member of the American Urological Association, American Society for Reproductive Medicine, and peers recognize him as one of only a handful of Reproductive Urologists focusing on men’s urological wellness & fertility.