Varicoceles are abnormally enlarged veins draining the testicle, similar to varicose veins of the legs. They are more common on the left side


Low Sperm Count, Volume, Motility or Morphology

Many causes of male infertility can be treated with medications alone. This determination is made after a discussion and examination with Dr. Samplaski. Sometimes there are lifestyle modifications that can help


Retrograde Ejaculation

Retrograde ejaculation is when semen is delivered backwards into the bladder, instead of out (“forwards”) through the penis during ejaculation


Testicle Pain

There are a variety of causes for testicle pain. Some of these are more serious than others, and Dr. Samplaski can evaluate you for these. Once serious causes have been ruled out, typically medical regimens are attempted



Spermatocele is an out-pouching off of one of the epididymal tubules, which are the tubes that sperm swim through. These are typically not dangerous, but they can be painful


Premature Ejaculation

Premature Ejaculation is defined as ejaculation that occurs earlier than desired and causes distress. The actual time which causes this distress can be variable among couples


Elevated Sperm DNA Fragmentation

Elevated sperm DNA fragmentation is generally treated with ICSI and testicular sperm extraction (TESE)


Male Fertility Following Spinal Cord Injury

There are two main issues that men with Spinal Cord Injury face considering biological fatherhood: Anaejaculation and Poor semen quality


Cancer Related Male Infertility

Many of the treatments for cancers may impair male fertility. The cells that make sperm are very sensitive to the damaging effects of these treatments, although the cells that make testosterone may also be affected


Testosterone Replacement Therapy (TRT)

The symptoms of low testosterone (T) may include low sex drive, low energy, moodiness, memory changes, exercise intolerance and erectile dysfunction. These symptoms may be variable among men.


Klinefelter Syndrome

The optimal management of males with Klinefelter Syndrome is an area of active research, and our primary goal is to help them preserve their fertility