Generated by All in One SEO Pro v5.0.1.1, this is an llms.txt file, used by LLMs to index the site. # Center for Male Health & Reproduction of CT-Leader in Male Infertility Care Nationally recognized male reproductive urologic surgeon, Matthew Wosnitzer, M.D. leads our patient-centered program serving Connecticut, New York, and United States ## Sitemaps - [XML Sitemap](https://www.malereproduction.org/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Leader in Male Infertility and Men's Health -Connecticut, New York](https://www.malereproduction.org/latest-news/) - Nationally recognized male reproductive urologic surgeon, Matthew Wosnitzer, M.D. leads our patient-centered program serving Connecticut, New York, and United States - [Leader in Male Fertility and Men's Health Treatment](https://www.malereproduction.org/male-fertility-health-news-frontpage/) - [ditty_news_ticker id="869"] Male infertility, vasectomy reversal, and men's health treatment options are available from the Center for Male Health and Reproduction of Connecticut. Infertility affects 1 in 5 couples and male infertility is a common issue affecting up to 50% of couples trying to conceive. Click here to learn more about ways to improve male - [Opioid Pain medication Can Lower a Man's Testosterone](https://www.malereproduction.org/opioid-pain-medication-can-lower-mans-testosterone/) - Opioid (pain) medication, including morphine sulfate and oxycodone, commonly used for patients with chronic pain, carries risks of addiction and side effects including nausea, itching, constipation, and low testosterone. This problem is often not recognized since a patient with persistent pain (of many causes) has many symptoms which may be similar to symptoms of low testosterone. - [Male Infertility: The Background](https://www.malereproduction.org/male-infertility-all-the-background/) - Male infertility can occur due to many causes such as obesity, prescription medications, tobacco, alcohol, marijuana, environmental toxins, and genetics. Additionally, genital defects, sperm transport blockage, erection and ejaculation dysfunction, deficient sperm production and function, and prior surgery can affect male fertility. Male infertility requires a coordinated effort for couples trying to have children. One of every five couples seeks treatment for infertility, - [Varicocele](https://www.malereproduction.org/varicocele/) - Are your testicles hot? Probably not the way you might be thinking, and certainly not good for your health! The Issue: Varicocele (pronounced varik-o-seal) is an abnormal dilation or englargement of testicular veins. These veins normally drain blood from the testicles and send it back toward the heart. Pooling of blood in these enlarged veins causes - [Watermelon - Got Lycopene?](https://www.malereproduction.org/watermelon-got-lycopene/) - Did you know that watermelon, a summertime favorite fruit, is high in the antioxidant called lycopene? While tomatoes are most well known to be high in lycopene, lycopene is also found in watermelon and guava. Lycopene, a carotenoid, has potential anti-prostate cancer properties as well as being pro-fertility (sperm shape) - it has up to twice - [Vasectomy Reversal by Leading Urologist and Microsurgeon](https://www.malereproduction.org/vasectomy-reversal-intro/) - Vasectomy reversal involves reconnecting the ends of the vas deferens tubes which were separated during vasectomy. Many factors affect vasectomy reversal including use of the operating microscope for precise microsurgical reconnection to allow sperm to flow again following vasectomy reversal. The most important factors for success of vasectomy reversal: Keys to successful outcome include duration since vasectomy - [Men's Health - Live Well, Feel Well.](https://www.malereproduction.org/mens-health-live-well-feel-well/) - Exercise, diet, and medications all matter for your fertility, sexual health, and overall well-being. Learn more - start here with our men's health evaluation. - [Is Sperm Quality Declining?](https://www.malereproduction.org/is-sperm-quality-declining/) - Background: The global decline of human sperm quality remains a matter of debate. Although many prior studies were flawed (more), numerous studies from the international literature describe a global decrease in sperm concentration among men. A recent study from France looked at 26,000 normal men (ages 18 to 70, with infertile female partners) and identified a significant and continuous decrease in - [Quit Smoking to Improve Male Fertility and Erection](https://www.malereproduction.org/quit-smoking-to-improve-male-fertility-and-erection/) - Smoking and Male Fertility: Cigarette smoking (including second-hand by being near a smoker) may negatively affect a man’s semen. This is important especially if a man is trying to have children. Some studies have shown decreased sperm count (average approximately 20% decreased and based on how much one is exposed to), motility (movement), abnormal sperm - [Tomatoes- Prostate Cancer and...Sperm Quality](https://www.malereproduction.org/fresh-tomatoes/) - Background: Anti-oxidants such as pomegranate are often in the news for possible health benefits. Lycopene is another anti-oxidant known as a carotenoid, which is most often found in tomatoes and tomato-based products. Some older studies have identified decreased risks of various types of cancer (prostate, lung, stomach) with increased lycopene intake, while others did not show such a ## Pages - [About the Surgeon - CMHR of Connecticut](https://www.malereproduction.org/about-the-surgeon/) - Matthew Wosnitzer, M.D., F.A.C.S. is a board-certified urologic surgeon and physician scientist specializing in male infertility, microsurgical vasectomy reversal, varicocele, erectile dysfunction, and low testosterone issues. Dr. Wosnitzer is Director of Male Reproductive Medicine and Surgery at CMHR, within the Yale New Haven Health System multi-specialty Northeast Medical Group in Connecticut. Education: Dr. Wosnitzer completed his - [Varicocelectomy](https://www.malereproduction.org/varicocele-varicocelectomy/) - What is a varicocele? Varicoceles are dilated veins of the spermatic cord (the attachment of the testis to the body which travels into the groin) that drain blood from the testicle. The network of veins draining the testicle includes three main sources (the internal spermatic vein, the external spermatic veins (also called cremasteric veins), and - [Low Testosterone - The Myths and Unexpected Reality](https://www.malereproduction.org/low-testosterone/) - Background: Testosterone is mentioned often in the news and in print, but here we summarize the basics. Did you know? - 1 in 4 men may suffer from low testosterone - Low testosterone is a common condition affecting more than 5 million men between ages 30 and 80 years in the United States - Testosterone levels - [Erectile Dysfunction - The Details and How to Manage](https://www.malereproduction.org/erectile-dysfunction-treatment-ed/) - Background: Erectile dysfunction (ED), a sexual disorder consisting of penile rigidity which is inadequate for satisfactory sexual intercourse, currently affects up to 50% of 40 to 70 year old men. Erectile dysfunction affects more than 150 million men throughout the world. There are many possible causes of erectile dysfunction including anxiety, depression, neurologic causes, cardiovascular - [Low Testosterone in Men - How to Maintain Fertility](https://www.malereproduction.org/low-testosterone-in-men-desiring-fertility/) - Topical, injectable, and subcutaneous testosterone preparations will have very negative effects on sperm, semen quality (azoospermia is possible), and male fertility. These effects (often mentioned quickly and in small print at the end of the advertisements seen on TV and in magazines) can linger for months or even years after stopping testosterone. This problem is highlighted in - [Press Releases](https://www.malereproduction.org/press/) - Dr. Wosnitzer In the News: For media and journalist inquiries, please contact us at media@malereproduction.org. January 22, 2025: Yale Daily News: Rising Rates of Erectile Dysfunction (ED) in Younger Males November 17, 2023: Cell Phone Use linked to Lower Semen Quality November 2, 2023: Trying To Get Pregnant? What To Know About Male Factor Infertility November 20, 2020: - [Dr. W's Blog](https://www.malereproduction.org/dr-ws-blog/) - [Surgical Services](https://www.malereproduction.org/surgical-services-surgery-mens-health-treatment/) - Surgical services offered include vasectomy reversal, male infertility, and erectile dysfunction, each with an individualized and comprehensive approach. The following are surgical options which we offer at the Center for Male Health and Reproduction of Connecticut, led by male infertility specialist Matthew Wosnitzer, M.D. Office procedures are performed at our Center in Fairfield, CT. Surgical procedures - [Schedule a Consultation](https://www.malereproduction.org/schedule-a-consultation/) - To schedule your consultation with Dr. Wosnitzer at CMHR of Connecticut, please complete the form below with your contact information and any questions. We will be pleased to respond to you within 24 hours. You may also call our staff at 203-256-5500. - [Resources](https://www.malereproduction.org/references/) - For additional unbiased medical references, please see the following sites: ReproductiveFacts.org A to Z definitions from the American Society for Reproductive Medicine. Urology Care Foundation Patient Education site from the AUA (American Urological Association). United States Government Healthy Men Men's Health: general background information from US Department of Health and Human Services. National Institutes of - [Men's Health Evaluation](https://www.malereproduction.org/mens-health-evaluation/) - Men require a detailed evaluation including an in-depth history and physical examination. The importance of a careful and thoughtful evaluation may highlight causes of infertility that may be reversible. History: The history includes a survey about medical problems and medications taken. Medical issues such as obesity, diabetes, kidney failure are just a few issues that may - [Visiting CMHR of Connecticut](https://www.malereproduction.org/visiting-us/) - We are pleased to welcome patients visiting the Center for Male Health and Reproduction of Connecticut (CMHR of CT) for male infertility, vasectomy reversal, erectile and sexual dysfunction issues. CMHR, part of Northeast Medical Group Urology/Yale New Haven Health, is located conveniently at multiple office sites: 1152 Kings Highway, Fairfield, Connecticut 06824 at the Yale New Haven Health - - [Publications](https://www.malereproduction.org/publications/) - Dr. Wosnitzer, a leading urologist and male reproductive medicine expert in Connecticut, has published and presented extensively on vasectomy reversal, male infertility, erectile and sexual dysfunction, and urology topics. Dr. Wosnitzer regularly lectures internationally on his research involving both clinical studies and basic science laboratory research studies of genetics and men's health. Recent article and - [Male Fertility / Infertility](https://www.malereproduction.org/male-fertility-infertility/) - What can cause male infertility? Male fertility can be impacted by many factors including obesity, prescription medications, tobacco, alcohol, marijuana, radiation, and environmental toxins. Additionally, age, genetics, varicocele, hormonal causes, sexual dysfunction, infection, previous surgery to the pelvic/groin area, past fertility history, or systemic illnesses (such as cancer) may contribute to infertility. Because of the many factors that may affect male infertility - [Vasectomy Reversal Procedure - CMHR of Connecticut](https://www.malereproduction.org/vasectomy-reversal-procedure-connecticut-reverse-vasectomy-details/) - How is the vasectomy reversal surgery performed? The vasectomy reversal procedure is performed by fellowship-trained urologic surgeon Matthew Wosnitzer, M.D. at the Center for Male Health and Reproduction of Connecticut. Dr. Wosnitzer has extensive specialized training in this procedure and is devoted to obtaining the best outcomes (patency rates) for men. Additionally Dr. Wosnitzer has conducted research and - [Vasectomy Reversal](https://www.malereproduction.org/vasectomy-reversal/) - What exactly is a vasectomy reversal? Vasectomy reversal involves reconnecting the ends of the vas deferens tubes which were cut or sealed off during vasectomy. The vasectomy reversal procedure (also known as reverse vasectomy, vasovasostomy, vasoepididymostomy) is performed in our outpatient surgery center and patients return to home by the evening on the day of surgery. Approximately - [The Goal - Why Choose CMHR of Connecticut?](https://www.malereproduction.org/goal-about-center-for-male-health-reproduction-connecticut/) - Our goal at the Center for Male Health and Reproduction of Connecticut (CMHR of CT) is to provide the highest quality male infertility and men's health care from a renowned fellowship-trained urologist. Here is what makes CMHR different: Top Training: Matthew Wosnitzer, M.D. completed his training at prestigious clinical and research urology programs in New York. This included six years of - [Outpatient Surgery - Center for Male Health and Reproduction of CT](https://www.malereproduction.org/outpatient-surgery-center-directions-bridgeport-hospital/) - Surgical procedures are performed on an outpatient basis at Bridgeport Hospital, Park Avenue Medical Center, or Greenwich Hospital, all part of the Yale New Haven Health System: 267 Grant Street, Bridgeport, CT 06610 5520 Park Avenue, Trumbull, CT 06611 5 Perryridge Road, Greenwich, CT 06830 Personalized transportation and lodging plans can be arranged by our coordinator. Google - [Peyronie's Disease](https://www.malereproduction.org/peyronies-disease-penile-curvature/) - What causes penile curvature of Peyronie's Disease? Peyronie’s Disease, build-up of excess scarring/collagen in the penis, occurs due to poor wound healing in the penis from trauma and genetic factors. Too much collagen (due to inflammation) is placed alongside the erectile chambers leading to penile scarring with inelastic tissue and plaque formation of the covering of - [Microsurgical Spermatic Cord Denervation](https://www.malereproduction.org/microsurgical-spermatic-cord-denervation/) - Microsurgical denervation of the spermatic cord is one treatment option for certain men with chronic testicular pain (orchalgia) or groin pain. What causes chronic testicular or groin pain? Prior vasectomy, hernia repair (herniorraphy), pelvic/scrotal trauma, recurrent infections of the epididymis or testis are some common causes. The cause may also be idiopathic (unknown). The pain - [Penile Prosthesis Insertion](https://www.malereproduction.org/penile-prosthesis-insertion/) - When is penile prosthesis an option? For men with erectile dysfunction, a complete history and physical examination identifies potential causes of erection issues. If a man is an appropriate candidate, there are four possible treatment options including oral medication (phosphodiesterase inhibitors such as sildenafil or Viagra), penile injection therapy/intraurethral suppository, vacuum erection device (VED), or - [Non-obstructive Azoospermia](https://www.malereproduction.org/non-obstructive-azoospermia/) - Background: If a man with infertility is not obstructed, but has azoospermia (no sperm in ejaculate), there is likely a problem with testicular function and therefore sperm production. This is called non-obstructive azoospermia (NOA), and can result from a problem in the testicle (primary testicular failure), or in the brain (either hormonal, congenital, or acquired - [Obstructive Azoospermia](https://www.malereproduction.org/obstructive-azoospermia/) - Background: Obstructive azoospermia (OA) is most commonly caused by vasectomy, with up to 6% (of the 600,000 men undergoing vasectomy yearly in the United States) ultimately choosing surgical reconnection (reconstruction) following vasectomy. Other causes of obstruction are groin hernia repair (typically done during childhood), history of testicle/epididymis infection, or prior surgery to the testicle, epididymis, scrotum, - [Sexual Dysfunction](https://www.malereproduction.org/sexual-dysfunction-premature-retrograde-delayed-ejaculation/) - Background: Sexual dysfunction can include issues that go beyond erection, and these include premature ejaculation, delayed ejaculation, anejaculation, sex drive (libido) issues, retrograde ejaculation, or orgasmic dysfunction. Premature ejaculation (PE) is a common male sexual complaint with prevalence rates ranging between 3 and 30% of men. PE may be acquired or lifelong, and includes ejaculation - [Accommodations and Sites to Visit](https://www.malereproduction.org/accommodations-dining-visits-sites/) - The Center for Male Health and Reproduction in Connecticut is led by leading expert Matthew Wosnitzer, M.D. specializing in male infertility, vasectomy reversal, erectile and sexual dysfunction. Below please find a listing of our favorite accommodations, restaurants, and landmark sites to visit before or after your appointment at CMHR. We think that you will enjoy - [Low sperm count - Oligozoospermia](https://www.malereproduction.org/low-sperm-count-oligozoospermia/) - Male factor infertility occurs when one or more semen parameters are abnormal according to WHO criteria. Issues may occur with sperm concentration, movement (motility), or shape (morphology) all of which affect sperm quality. These changes in sperm characteristics are defined as: Low sperm concentration called oligospermia or oligozoospermia ( less than 15 million sperm/milliliter of seminal - [Microsurgical Epididymal Sperm Aspiration](https://www.malereproduction.org/microsurgical-epididymal-sperm-aspiration/) - Which men should consider microsurgical epididymal sperm aspiration (MESA)? Candidates for sperm retrieval from the epididymis include men with congenital and acquired reproductive tract obstruction. One of the most frequent types of congenital obstruction (a male is born with this condition) is bilateral absence of the vas deferens (CBAVD), and this occurs in 1-2% of - [Microdissection Testicular Sperm Extraction](https://www.malereproduction.org/microdissection-testicular-sperm-extraction/) - What is microdissection testicular sperm extraction (micro-TESE), and why choose to have it? Microdissection testicular sperm extraction (micro-TESE) is the microsurgical technique utilized to search methodically through the seminiferous tubules of each testis using the surgical microscope to identify and obtain sperm (if present) from the testes of men without sperm in the ejaculate (called non-obstructive azoospermia). - [Information Request](https://www.malereproduction.org/information-request/) - For 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. - [Adding CMHR of Connecticut app to iPhone or iPad](https://www.malereproduction.org/adding-center-mens-health-reproduction-connecticut-iphone-ipad/) - Follow Men's Health and Reproductive news from Center for the Male Health and Reproduction (CMHR) of Connecticut and Dr. Matthew Wosnitzer on your iPhone or iPad. Three easy steps so that you can access our app easily from anywhere to have information about male infertility, vasectomy reversal, sexual dysfunction at your fingertips. 1) While you are - [Media Inquiries](https://www.malereproduction.org/media-inquiries/) - For all media inquiries or press contacts, please complete the form below or contact us at media@malereproduction.org. - [Site Disclaimer](https://www.malereproduction.org/site-disclaimer/) - Site Disclaimer: The words and content of the Center for Men's Health and Reproduction (CMHR) website, including text, graphics, images, news posts, discussions, references, and other material contained on the website (“Content”) are strictly for informational purposes only. The Content is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your - [Upcoming Events Calendar at CMHR](https://www.malereproduction.org/calendar/) - Calendar of upcoming events and seminars related to men's fertility, vasectomy reversal, erectile and sexual dysfunction at the Center for Male Health and Reproduction in Connecticut. Events include small group discussions and larger support groups. Please contact us to register for one of our events. - [FAQs](https://www.malereproduction.org/faqs/) - Frequently Asked Questions (FAQs): 1. How common is male infertility? 15% of couples will experience infertility problems, being unable to conceive after 1 year of unprotected intercourse. 30% of the time infertility is the result of male partner issues, while an additional 20% involve factors from both male and female partners. So in total male - [Vasectomy](https://www.malereproduction.org/vasectomy/) - No-scalpel vasectomy is performed by Dr. Wosnitzer under local anesthesia in office. We are pleased to discuss additional aspects of the vasectomy procedure. Please contact us for additional information. - [googlebb3032ba9d4fed0d](https://www.malereproduction.org/googlebb3032ba9d4fed0d-html/) - google-site-verification: googlebb3032ba9d4fed0d.html - [Men's General Health](https://www.malereproduction.org/mens-general-health/) - [Resources](https://www.malereproduction.org/resources/) ## News Tickers - [Did you Know?](https://www.malereproduction.org/ticker/frontpage-ticker/) ## Categories - [Uncategorized](https://www.malereproduction.org/category/uncategorized/) - [Prostate Cancer](https://www.malereproduction.org/category/prostate-cancer/) - [Male Infertility](https://www.malereproduction.org/category/male-infertility/) - [Diet and Lifestyle](https://www.malereproduction.org/category/diet-and-lifestyle/) - [Varicocele](https://www.malereproduction.org/category/varicocele/) - [FrontPage News](https://www.malereproduction.org/category/frontpage-news/) - [Men's Health](https://www.malereproduction.org/category/mens-health/)