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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

Low Sperm Count | Infertility Center of St. Louis

To get feedback from patients who have undergone treatment at our Center, click here to go to the Patient Comments page.

If you have any questions, you may call us at  (314) 576-1400.

Disc_Health_blurb_sm“Dr. Silber is world leader & pioneer of the most widely used in vitro fertilization techniques. His patients fly in long from distances all over the world for treatment at his fertility center and, he is happy to take care of the most difficult cases with warm personal attention and great technical skill.“

Do I Have A Low Sperm Count?

A low sperm count is associated with decreased fertility based on a large statistical population, but it may not be an indication of infertility for that particular male with that particular female. Even if her partner’s sperm count is extremely low, a woman may become pregnant without resorting to high-tech treatment. But the higher the sperm count, the greater the chance of pregnancy, and the lower the sperm count, the more likely it is that the man is infertile.

What Causes Low Sperm Count?

Men with low sperm production have an intrinsic testicular defect. No medicine or surgical treatment can increase it. However, we have invented an IVF method called ICSI, which will completely solve the problem of low sperm count

How Is Low Sperm Count Treated?

Over the past two decades, countless ineffective tests and treatments were foisted upon infertile men. Infertility specialists would treat male infertility with a variety of hormones, such as Clomid, FSH, HCG, testosterone, tamoxifen, and so on, with completely unsupported claims of success. When scrutinized carefully, all these claims were demonstrated to be invalid. Every kind of hormone treatment that was attempted in infertile men yielded no improvement in either sperm count or pregnancy rates when it was subjected to a proper controlled study. The same can be said of varicocelectomy. Very few infertile men who are referred to urologists ever escape this procedure, despite the fact that no beneficial effect from varicocelectomy has ever been demonstrated in properly controlled studies. Indeed, more than 15 percent of all fertile men on the face of the earth have a large varicocoele, and it is of no consequence. Despite the apparent absence of sperm production, we can often find a tiny number of sperm inside the testicle which are often sufficient to get the wife pregnant.

Many infertile men have been treated in this haphazard and unscientific manner to improve their sperm count or fertility, and none of these regimens have any proven value. That is why the use of IVF and ICSI is much more likely to be effective than the hopeless effort of trying to improve sperm production.

Success stories with low sperm count

image 1Dear Dr. Silber, Dr. DeRosa, and your wonderful staff,

My husband and I would like to take this opportunity to thank you for everything you do to help couples achieve their dream of becoming parents, and to share our story. We hope it might encourage someone else.

My husband and I are high school sweethearts who wanted to start our family not long after we were married. I don’t know why, but I had a feeling that it would be hard for us. It was my husband’s turn to get checked out. We were shocked to find out that his sperm count was only ONE, especially when a normal count is like twenty million! My husband was a normal healthy 32 year old man with no history of childhood illness or injuries. We visited several urologists who told us that he is young and suggested he take some expensive vitamins and wait to see if they help. Then we went to a local reproductive endocrinologist who told us that if I wanted to become pregnant I would need a sperm donor because my husband had nothing to work with. This was hard to hear and very discouraging. Can you imagine telling someone that when Dr. Silbers ICSI was so readily available!

Then one summer day I was flipping through the channels and saw this show on the Discovery Health channel about IVF. It was Dr. Silber and his staff in St. Louis. The couples had fertility issues similar to ours. That show gave me so much hope! I researched Dr. Silber and when I saw that he specialized in male infertility and difficult IVF cases I knew he was the doctor for us.

We flew up to St. Louis the following December for a consultation with Dr. Silber. We were afraid that he might say that we were not good candidates for IVF, but instead he said we were great candidates for it! He was so warm and sweet and encouraging. You could really tell that he cared. We left feeling so excited and couldn’t wait to come back! So the next summer we started the process.

The staff is so patient and kind. We live in Florida and they were so good about explaining things over the phone and making sure we understood all our meds, blood work, and ultrasounds that needed to be done before coming back up to St. Louis for the egg retrieval. After the procedure we had six embryos that made it to the three day gestation and freezing process.

December 13, 2011 we had two embryos implanted in my uterus. We had the best Christmas of our lives being able to tell our entire family that after eight years of marriage, and six years of trying, God had blessed us and we were FINALLY going to have a baby!!!! On August 16, 2012 our dreams came true and our little miracle baby was born!

We just celebrated our first Christmas with our baby girl Madison and we are still pinching ourselves! We are so grateful to God for leading us to Dr. Silber and for this beautiful, healthy baby girl! We are now planning our next trip to give Madison a brother or sister! There are no words to tell you just how thankful we are for all of you and what you mean to our family!


Chris and Casey Click (and baby Madison)
Palm Bay, FL



Also listen to Dr. Silber’s radio commentaries:


Listen to Dr. Silber’s internet radio chat on msnbc.com. (47:26 min.)


Listen to Dr. Silber and Joan Hamburg discuss the exciting new procedure for determining exactly how long a woman has left on her biological clock. (25:52 min.)

If you have any questions, you may call us at  (314) 576-1400.