Predicting a Successful Sperm Retrieval

Are you thinking about getting a sperm retrieval for your fertility goals?

Pre-surgical clinical indicators can be used to access the likelihood of successful sperm retrieval in men with severe poor sperm production resulting in a zero sperm count.

Your reproductive urologist will use testicular volume, FSH and LH blood levels, testosterone levels, genetic blood results, and whether you have a varicocele (enlarged testicular veins) to assess your likelihood of having sperm extracted during your sperm retrieval surgery.
Sperm surgically retrieved can be used with in vitro fertilization for a successful pregnancy and is now the preferred method for Dr. Russel Williams when men come in for fertility after a vasectomy or men facing other fertility issues.
Dr. Russel Williams, MD is a reproductive urologist at The Y Factor discourages a diagnostic testing biopsy prior to sperm retrieval because it creates unwanted inflammation.
A nomogram predicting testicular sperm extraction in men with non-obstructive azoospermia: a multicenter study; E Ceyhan et Al; jurology vol 196 February 2025 p.155

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.

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We offer fertility after a vasectomy treatment in Houston & Tomball.