Information Request

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Male Infertility, Sexual Dysfunction Information request- CMHRFor additional information about our services (including management of vasectomy reversal, male infertility, varicocelectomy, and sexual dysfunction), please complete the form below.  Or call our office at 203-254-1576.  For media/press inquiries, please email us at media@malereproduction.org. [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Mailing address’ type=’textarea’ required=’1’/][contact-field label=’Preferred Contact Method’ type=’select’ options=’Email,Regular Mail’/][contact-field label=’I would like to learn more about:’ type=’select’ options=’Vasectomy Reversal,Male Fertility/Infertility,Vasectomy,Varicocelectomy,Erectile Dysfunction Treatment,Peyronie%26#039;s Disease Treatment,Low Testosterone Treatment’/][contact-field label=’Any additional comments’ type=’textarea’/][/contact-form]