Everything You Wanted to Know About Male Sexual Health | Dr. Danielle Velez Leitner

Sperm Extraction

Dr. Danielle Velez Leitner, a specialist in male infertility and sexual dysfunction, provides insights into sperm extraction procedures. She explains that sperm extracted directly from the testicle must be used for IVF, as it lacks the ability to swim, unlike sperm from a vasectomy reversal, which can naturally fertilize an egg 1. Dr. Velez Leitner also discusses the importance of managing testosterone levels for fertility, recommending a regimen of Clomid and hCG to stimulate sperm production in men who wish to conceive after testosterone therapy 1.

I always just want to prevent the crash because no one wants to feel like shit, and I don't blame them.

--- Danielle Velez Leitner

Her approach emphasizes maintaining energy levels and avoiding the negative side effects of hormonal changes.

   

Vasectomy

Vasectomy is a common procedure performed by Dr. Velez Leitner, who emphasizes its effectiveness as a permanent form of birth control. She describes the procedure as a quick, in-office surgery that involves cutting and sealing the vas deferens to prevent sperm from entering the ejaculate 2. Despite its permanence, she notes that vasectomy reversals are possible but costly and not always successful, requiring a detailed surgical process 3.

A vasectomy is an incredibly effective form of birth control. They can technically be reversed, but that reversal is not covered by insurance.

--- Danielle Velez Leitner

Dr. Velez Leitner advises patients to consider the decision carefully, especially younger individuals, due to the potential for future regret.