内容简介

Infertility is big business in America, and in 40 percent of infertile couples, the problem lies with the man. Yet, women are usually the focus for treatment. And, at the same time, male sexual dysfunction makes drug companies rich. What’s going on? In this compelling volume, Fisch, the director of the Male Reproductive Center at Columbia University, takes on these unsettling contradictions and presents new research that upends the conventional wisdom about infertility and male sexuality. He questions standard procedures such as in vitro fertilization, claiming there is "an epidemic of male infertility that is going largely unnoticed. Most couples never realize the true dimension of their problem and the often simple steps they could take to remedy the male side of the equation." The in vitro procedure, which is publicized by the media and promoted by clinics, is expensive, often unsuccessful, difficult for women and ignores the man’s possible problems. Fisch focuses instead on studying and correcting men’s fertility issues. A researcher and surgeon, Fisch reveals that new studies show that men, like women, have a biological clock. Men over 35 have half the chance of fathering a child that men under 30 have. Beyond aging, many things factor into male infertility and sexual dysfunction: decreasing testosterone levels, alcoholism, abdominal fat, diabetes, urinary and prostate infections, injury, undiagnosed defects and more. Yet, too frequently, doctors do not examine their male patients thoroughly enough to pinpoint infertility and other sexual health problems, many of which can be fixed easily. An excellent resource for couples struggling to have children, Fisch’s volume speaks directly and honestly to men who want to slow down their biological clock. HARRY FISCH,M.D., is one of the nation's leadersin the diagnosis and treatment of male infertility. He is direc-tor of the Male Reproductive Center and directsurologic microsurgery in the Department of Urologyat Columbia University Medical Center of New YorkPresbyterian Hospital in New York City. He is also professorof clinical urology at Columbia University, where he was
recently named Teacher of the Year in his department. Forover fifteen years, Dr. Fisch has focused his research, prac-rice, and surgery on male infertility and reproduction. In hisprivate practice in Manhattan, Dr. Fisch has successfullytreated thousands of men with sexuality and fertility prob-lems. His work has been frequently cited in a variety of pub-lications, including The New York limes and The Economist,and he has appeared on television's Today and CBS EveningNews, among many others. He lives in Scarsdale, New York.