Male Fertility Specialist in Los Angeles

Male infertility can have many causes, but the impact is the same – it can be frustrating trying to get your partner pregnant with no results. With the help of a board-certified urologist like Dr. Houman, you can explore treatment with the latest therapies and technologies that best fit your family’s goals.

Dr. Justin Houman is one of the nation’s leading experts in Male Reproductive Medicine and Surgery, a highly competitive subspecialty that equips him to perform the most advanced fertility treatments available. A Board-Certified Urologist and Fellowship-Trained Male Infertility and Microsurgery Specialist at Cedars-Sinai Medical Center, he also serves as an Assistant Professor of Urology. This credential is held by less than 2% of urologists in the United States, underscoring his rare expertise in male reproductive health. Patients from across the U.S. and internationally travel to Los Angeles to seek his care.

Dr. Houman is nationally recognized for his precision-driven microsurgical techniques, which he applies to complex fertility cases that many fellowship-trained urologists avoid. His practice has been featured for offering state-of-the-art microsurgical varicocelectomy and other advanced reproductive procedures that address infertility, chronic testicular pain, and low testosterone. His combination of technical mastery and compassionate care makes him one of the most trusted names in male infertility treatment.

What distinguishes Dr. Houman is his ability to take on challenging fertility cases such as azoospermia, post-chemotherapy fertility preservation, Klinefelter’s syndrome, and repeat surgeries after failed attempts elsewhere. Through enhanced recovery protocols and a minimally invasive approach, he reduces discomfort, provides same-day discharge, and helps men return quickly to their lives while addressing the most complex reproductive obstacles.

Comprehensive Diagnostics for Male Infertility

A cornerstone of Dr. Houman’s practice is his commitment to uncovering the root cause of infertility before recommending surgery. He offers a full diagnostic workup that may include:

• Semen analysis to evaluate sperm count, motility, and morphology

• Hormone testing to assess testosterone, FSH, LH, and other reproductive markers

• Testicular ultrasound for structural and vascular assessment

• DNA fragmentation analysis for sperm quality and genetic stability

• Genetic testing to identify underlying causes of infertility
  By combining these diagnostics, Dr. Houman ensures that each patient’s treatment plan is personalized and data-driven.

Individualized Treatment Approach

Dr. Houman’s philosophy is to optimize patients medically and holistically before pursuing surgery. His treatments may include:

• Hormonal optimization with Clomid, enclomiphene, or hCG to boost natural sperm production without compromising fertility

• Lifestyle and nutritional guidance, including tailored diet, exercise, and toxin avoidance strategies to enhance sperm health

• Adjunctive therapies for associated sexual health issues such as erectile dysfunction or ejaculatory dysfunction, using shockwave therapy, PRP (P-Shot), medications, and counseling
  This comprehensive, whole-patient approach reflects Dr. Houman’s belief that fertility is not an isolated condition but part of a man’s overall sexual health and wellness.

Advanced Microsurgical Fertility Treatments

When surgical intervention is necessary, Dr. Houman applies cutting-edge microsurgical techniques to maximize outcomes while minimizing risks. These include:

• Microsurgical varicocelectomy, the gold standard for treating varicoceles that impair sperm quality

• Microsurgical vasectomy reversal for men who wish to restore fertility after vasectomy

• Microsurgical sperm retrieval techniques such as micro-TESE and PESA for men with azoospermia

• Redo surgeries for patients who have had unsuccessful prior procedures at other centers
  His precision-based surgical methods are designed to preserve testicular function, protect delicate structures, and achieve superior fertility outcomes.

Complex Fertility Cases

Dr. Houman is widely recognized for his ability to manage some of the most complex infertility scenarios, including:

• Azoospermia (no sperm in the ejaculate)

• Fertility preservation after chemotherapy or radiation therapy

• Klinefelter’s syndrome and other genetic causes of infertility

• Revision surgeries after failed procedures at other centers
  By integrating advanced surgical techniques with medical management and patient-focused care, he provides hope to men who have been told by others that nothing more can be done.

Compassionate and Personalized Care

Beyond his technical expertise, Dr. Houman is known for his warm, compassionate bedside manner. He takes the time to listen, understand each patient’s concerns, and provide not only medical treatment but also emotional support. His patients consistently remark on the dignity and respect he provides, helping them feel confident throughout the process of fertility treatment.

Research and Publications

Dr. Houman actively contributes to the advancement of urology and male infertility. He has published in peer-reviewed journals on topics ranging from reproductive surgery to wearable technology in health. His research underscores his commitment to pushing the boundaries of male fertility treatments and making new options available to patients worldwide.

 

Frequently Asked Questions (FAQs) About Male Fertility

What percentage of infertility is due to male factors?

Male factors contribute to infertility in about 40–50% of couples. Addressing male infertility directly can dramatically improve outcomes.

Does male fertility decline with age?

Yes, though more gradually than female fertility. After age 40, men experience a measurable decline in sperm count, motility, and morphology. Sperm DNA fragmentation, which is damage to the genetic material inside sperm, also increases with age and can affect embryo quality and increase miscarriage risk even when standard semen parameters appear normal. Men over 45 are also associated with higher rates of certain genetic conditions in offspring. These changes are real but not absolute. Many men father healthy children in their 50s and beyond, particularly with the right evaluation and support.

How common is male infertility?

Male infertility is far more common than most people realize. Approximately 1 in 7 couples struggles to conceive, and a male factor is solely or partially responsible in roughly 50% of those cases, affecting an estimated 7% of all men. Despite these numbers, male infertility has historically been under-evaluated and under-treated. The good news: most causes are diagnosable and many are correctable.

When should a man see a male fertility specialist?

A male fertility evaluation is recommended if a couple has been trying to conceive for 12 months without success (or 6 months if the female partner is over 35), if you have a known risk factor such as prior vasectomy, varicocele, testicular surgery, chemotherapy, radiation, undescended testicle, or hormonal disorder, if a semen analysis is abnormal, if you have sexual dysfunction or signs of low testosterone, or if your partner has had recurrent pregnancy losses. Don’t wait 12 months if you have a known risk factor. Early evaluation can save time, money, and emotional toll.

What if my infertility has no clear cause?

Dr. Houman often sees men with idiopathic infertility. He uses a combination of advanced diagnostics, medical therapies, and lifestyle optimization to improve sperm health and maximize chances of success.

What is sperm DNA fragmentation and should I test for it?

Sperm DNA fragmentation (SDF) refers to breaks or damage in the DNA strands inside sperm. High SDF can impair fertilization, embryo development, and implantation and is associated with higher miscarriage rates even when the standard semen analysis appears completely normal. Testing is recommended for men with unexplained infertility, recurrent pregnancy loss, prior failed IVF cycles, advanced age, varicocele, or exposure to heat, radiation, or tobacco. The most commonly used tests are the Sperm Chromatin Structure Assay (SCSA) or the DNA Fragmentation Index (DFI). A DFI above 25 to 30% is considered elevated and clinically significant.

Can male infertility be treated without IVF?

Absolutely, and often it should be. Many causes of male infertility are surgically or medically correctable, enabling natural conception or simpler fertility treatments rather than jumping straight to IVF/ICSI. Varicocelectomy, vasectomy reversal, hormonal therapy, and treatment of infections or blockages can all restore or significantly improve fertility without assisted reproduction. A thorough male evaluation before proceeding to IVF can save couples significant cost and stress.

 

Why Choose Dr. Justin Houman for Male Infertility Treatment

Choosing the right fertility specialist is critical. With his rare combination of Cedars-Sinai fellowship training in Male Infertility and Microsurgery, Assistant Professorship in Urology, national reputation, and less than 2% credential status among urologists, Dr. Houman is uniquely qualified to treat the most complex infertility cases. His ability to combine state-of-the-art diagnostics, advanced microsurgical techniques, medical optimization, and compassionate care makes him a trusted resource for men who want not just treatment, but hope and results.

To meet with Dr. Houman in Los Angeles and learn more about your treatment options, contact our office by calling (310) 854-9898 or filling out our online form.

An expert in his field

Meet Dr. Houman

Dr. Justin Houman is a board-certified, fellowship-trained Urologist and Men’s Health specialist whose mission is to enhance men’s quality of life by improving their sexual and reproductive health. Dr. Houman’s focus is on making a difference in people’s lives through state-of-the-art, compassionate, and personally tailored care.

       

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