Male-factor infertility — San Francisco, CA

Male-factor issues contribute to roughly a third to half of infertility cases, and a semen analysis is among the simplest, cheapest tests in the entire workup — it should happen early, not after months of treating one partner.

Treatment ranges from IUI for mild cases to IVF with ICSI (injecting a single sperm into each egg) for severe ones, and surgical sperm retrieval when needed. A program that includes a reproductive urologist — not just ICSI by default — is a good sign.

Fertility clinics in San Francisco, CA

The share shown for each clinic is the percentage of its cycles with a male-factor diagnosis.

• Pacific Fertility Center ranked #59 nationally · 18% of cycles: male factor
• Laurel Fertility Care ranked #245 nationally · 11% of cycles: male factor
• UCSF Center for Reproductive Health ranked #109 nationally · 13% of cycles: male factor
• Spring Fertility-San Francisco ranked #22 nationally · 6% of cycles: male factor
• Reproductive Medicine Associates of Northern California ranked #97 nationally · 15% of cycles: male factor
• Kindbody-San Francisco ranked #185 nationally · 6% of cycles: male factor
• Kaiser Permanente Center for Reproductive Health ranked #142 nationally · 23% of cycles: male factor

What to ask at a consult

• Was the semen analysis repeated before diagnosis? Results vary between samples.
• Do you have or refer to a reproductive urologist for evaluation before ICSI?
• When is ICSI actually indicated for us, and what does it add to the cost?

Costs are a first-class question for treatment — see what IVF costs and how to pay less and whether insurance must cover treatment in California.

Outcome data: CDC NASS 2022 Final ART Summary. Success rates vary with patient age, diagnosis, and clinic patient-selection practices; comparisons across clinics may not be meaningful (CDC). This page is general information, not medical advice.