Male Infertility Clinic

Our Male Infertility Clinic care team specializes in assessing and treating patients with complex male infertility issues and sees patients from across Canada.   

What we do

We conduct the following in-depth testing to figure out the cause of infertility:

• Genetic testing
• Endocrine testing and therapy
• Semen analysis
• DNA fragmentation testing
• Sperm aneuploidy testing
• Diagnostic imaging

The following sperm retrieval and surgical procedures are performed to help increase fertility:

• Microdissection testicular sperm extraction (MicroTESE) to retrieve sperm
• Percutaneous epididymal sperm aspiration (PESA) to retrieve sperm
• Testicular sperm aspiration (TESA) to retrieve sperm
• Vasoepididymostomy  and vasectomy reversal
• Varicocelectomy to remove enlarged scrotal veins
• Electroejaculation (EEJ) and vibrostimulation to stimulate ejaculation 

What to expect

Before your appointment, please abstain from sexual activity for two to five days. You may be asked to give a semen sample during your visit.  

When you arrive at the clinic, you will be asked to complete an intake form. This form contains questions about your medical and sexual history and current concerns regarding fertility.  

You will meet with a urologist to discuss your medical history and any questions or concerns you may have. The urologist will work with you to develop a care plan that may include any of the following:  

• Blood and urine tests
• Diagnostic imaging tests
• Genetic testing
• Endocrine tests
• Semen analysis
• Surgery

If surgery is recommended, please note that not all procedures are covered by OHIP. Our infertility clinic care team will discuss all of your options with you.

We can also co-ordinate treatment with an in vitro fertilization (IVF) clinic, if desired.

As part of your treatment, we may consider whether you qualify to take part in a clinical trial. We will talk to you about the risks and benefits of helping to test innovative new therapies that are still in the experimental stage.

Please note we are a teaching hospital, so you may see medical students, residents or other medical trainees as part of your care. Learners are supervised by other members of our dedicated health-care team who work together to provide you with comprehensive care.

What to bring

• Health (OHIP) card or valid health-care coverage
• Any recent fertility test results you’ve received
• A list of your current medication
• A list of questions you want to ask
• Your partner, if desired

Please abstain from sexual activity two to five days before your appointment, as you may need to provide a semen sample. 

How to access our services

You need a referral from a health-care provider to be seen at our clinic. Visit our referral criteria for more information.