Male Factor

Sperm Production

Sperm Detection

Sperm Abnormalities
  • Testicular Causes
  • Pituitary Causes
  • Hypothalamic &
    CNS Causes

  • Varicocele
  • Antisperm Antibodies

Clinical Evaluation

Treatment Options

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How Can I help You?

Dr Eric Daiter is a nationally recognized expert in Reproductive Endocrinology and Infertility who has proudly served patients at his office in New Jersey for 20 years. If you have questions or you just want to find a caring infertility specialist, Dr Eric Daiter would be happy to help you (in the office or on the telephone). It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).


"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."


"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."

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Case: 27 year old male with 5 children in a previous marriage is now newly remarried and has had difficulty conceiving. As his wife is undergoing an infertility evaluation, he consults with an Urologist who performs a physical examination and semen analysis. The semen analysis is “normal” and the Urologist also finds a large left sided varicocele.

Question: What is the reproductive importance of the varicocele that is identified for this man?

Answer: Varicoceles are not uncommon in men, with an incidence rate of about 15% of normal fertile men. If a varicocele is detected in a man with a normal semen analysis or proven fertility then surgical repair of the varicocele is of questionable (no known) benefit. If a varicocele is identified in a man with proven fertility (previous pregnancies) and a normal semen analysis then the benefit of surgical repair is not commonly believed to outweigh the potential risks of surgery.

Case: 40 year old male with proven fertility (a child from a previous relationship when he was 19 years old), an abnormal semen analysis (a reduction in sperm motility and an increased number of “tapered” (shape) sperm cells), and a large left sided varicocele.

Question: What (fertility) treatment options should be considered by this man

Answer: Varicoceles can be identified in about 15% of normal fertile men so they do not need to be repaired just because (whenever) they are identified. Varicoceles can affect sperm quality and this effect generally is progressive. Therefore, a man with a varicocele may have no difficulty with fertility when he is younger and then may find that there is a problem with his sperm when he is older.

A thorough basic infertility evaluation would be suggested for this couple, including a hormone evaluation for the woman (TSH and prolactin), a hysterosalpingogram and a postcoital test. If the abnormalities seen in the semen analysis are the only identified problems, then proceeding with varicocele repair or intrauterine inseminations would seem appropriate.

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