Male Fertility Services2023-06-19T20:14:57+00:00

Male Fertility Services

Male Fertility Services

Low Sperm & Infertility

Male infertility can be due to a number of different causes, some that are reversible and others that require fertility treatments including intrauterine insemination (IUI), in vitro fertilization (IVF) with or without sperm extraction, or use of donor sperm.

Sperm Analysis

Sperm Count, Analysis & Evaluation

Sperm Extraction

Testicular/Epididymal Sperm Aspiration/Extraction

Request an Appointment

New Patient

Request an appointment with Dr. Couvaras.

Returning Patient

Please sign into you patient portal to request an appointment.

Telehealth Medicine

IVF Phoenix™ is offering online video visits for patients.


Can semen parameters fluctuate from week to week?2023-06-19T20:10:26+00:00

Can semen parameters indeed fluctuate from week to week? Various factors can influence the quality and quantity of sperm in semen, leading to variations over time. Here are some potential reasons:

  1. Abstinence Period: The length of time between ejaculations can affect semen volume and sperm concentration. Longer periods of abstinence can lead to higher sperm counts but may also increase the proportion of sperm that are morphologically abnormal or less motile.
  2. Lifestyle Factors: Factors such as stress, diet, alcohol consumption, smoking, and drug use can all impact semen parameters. For example, excessive alcohol or substance use can negatively affect sperm production and function.
  3. Illness or Infection: Illness, especially if accompanied by high fever, can temporarily reduce sperm count and quality. Some infections can also impact semen parameters.
  4. Heat Exposure: Exposure to heat (like in hot tubs, saunas, or through keeping a laptop directly on the lap for extended periods) can increase the temperature in the scrotum and impair sperm production, leading to temporary reductions in sperm quality.
  5. Medication: Certain medications can affect sperm production and function, leading to changes in semen parameters.
  6. Hormone Levels: Fluctuations in hormone levels can impact sperm production. For instance, testosterone levels can have a direct impact on sperm production, and these levels can fluctuate based on a variety of factors.
  7. Age: While this doesn’t account for week to week fluctuations, it’s important to note that as a man ages, there can be a gradual decline in semen quality.

Remember that semen analysis at a single point in time can give a snapshot of a man’s fertility, but because sperm parameters can fluctuate, sometimes multiple tests are needed to get a more accurate picture. If you have concerns about semen parameters, it’s a good idea to discuss these with your fertility expert who can offer advice tailored to your situation.

Does my Spouse/Partner need to attend the initial New Patient TeleMed Appointment with me?2023-02-01T14:44:18+00:00

We believe that the spouse/partner is critical to supporting the process you will be going through. Although it is not mandatory that your partner attend, the first appointment is designed to evaluate the history of both patient and partner in order to best determine possible underlying causes of infertility.  Approximately 40% of infertility is related to men, we believe it is important that we address both the woman and man efficiently. We also request that your spouse/partner complete new patient forms at the same time so there is no delay in any diagnostic testing.

What about environmental male factors?2022-12-01T14:39:32+00:00

Many researchers believe environmental causes explain an ongoing decline in make infertility. Exposure to toxic substances can be harmful, as can exposure of the genitals to elevated temperatures (such as with hot baths, whirlpools or steam rooms), Also problematic is in-utero exposure to Diethylstilbestrol (DES), a synthetic form of estrogen, the female hormone. Finally, men facing the burden of a cancer diagnosis should be aware of the negative effects on fertility of medical treatments such as surgery or radiation.

Behavioral male factors

A higher risk of male infertility is tied to unhealthy behaviors such as smoking, using alcohol or illicit drugs, and being overweight. Other behavioral factors are having certain past or present infections or taking medications for ulcers, psoriasis, depression or high blood pressure.

Get help with male factors

Infertility challenges are frustrating, but we can address all the factors associated with male infertility. Call us today at (602)765-2229 or email us at to learn more and get tested. We’ll give you all the information and assistance you need to achieve your goal of starting a family or adding another child.

What are Male Infertility Risk Factors?2022-12-01T14:39:03+00:00

Infertility isn’t solely a women’s challenge. At IVF Phoenix ™ we want you to understand male infertility factors, which account for half of all cases, according to the American Society for Reproductive Medicine.

Sperm disorders – the most common male infertility factor

Difficulties making healthy sperm can cause male infertility. There may be too few sperm or sperm may be immature, abnormally shaped or unable to swim. Several causes of sperm disorders are commonly reported in men who experience male infertility.

  • Infections or inflammatory conditions such as having the mumps after puberty
  • Hormone or pituitary gland irregularities
  • Immune problems that generate antibodies against sperm
  • Genetic diseases such as cystic fibrosis or hemochromatosis
  • Erectile dysfunction or premature ejaculation
  • Men who have had groin injuries or surgeries either as an adult, or when they were children
  • Men who have taken anabolic steroids, most notably testosterone

Structural or inherited male factors can cause issues

Anything blocking the genital tract can hamper the flow of semen. Some items that our fertility specialists or urologists look for:

  • A history of a sexually transmitted disease that causes infection or inflammation
  • Scar tissue from surgery or twisted or swollen veins in the scrotum
  • Liver or kidney disease
  • Treatment for seizure disorders
  • Any trauma to the testicles, or a prior vasectomy or major abdominal or pelvic surgery
  • A history of undescended testicles
  • Medication history, most notably the use of testosterone
  • Being born with a fertility disorder or having a blood relative with a fertility disorder
  • Certain medical conditions such as tumors or chronic illnesses such as sickle cell disease
Many individuals assume that the term “fertility” relates specifically to women.2022-12-01T14:38:29+00:00

However, nearly one-third of all infertility cases are related to male factors such as low sperm concentration, poor motility, and abnormal sperm shape. While some men require treatment for their infertility, there are a number of things you can do on a daily basis to boost your male fertility naturally.

Who do I contact if I have questions?2023-04-26T15:44:23+00:00

Patient Portal: This is the best way to communicate any questions or concerns to our team.

During office hours, you can also text us at 602 765 2229.

Our main line for both offices is 602 765 2229. Should you have questions during normal hours, we are available to take your call.

Emergency After Hours: If you have an emergency after hours, on the weekend or a holiday, we have a clinical team on on-call to assist you. Simply call our main number and you will be connected to someone who will assist you. Please note any misuse of the after-hours line with non emergent requests may result in a $50 charge per call to your account.

As always, for true medical emergencies, call 911 or go to your closest Hospital’s Emergency Room.


The staff and Dr. Couvaras were so kind and understanding. They called me by name as soon as I walked in. Dr. Couvaras was incredibly knowledgeable and knew from the first visit what was going on and after tests came back he was 100% right. He was informative, personable and took care of my health needs as a priority. I never felt left on the back burner. Innovative for sure because now I have 3 amazing children!

Source Fertility IQ

My husband and I are so thankful for Dr. Couvaras and staff. We were struggling to have a family and stumbled across the IVF Phoenix website. We are from Canada and the staff was fantastic to deal with and very accommodating to work with. We always had support no matter what time of the day. We now have the most perfect beautiful little boy to complete our family!!! So grateful and blessed!!!

Jolene, From Facebook Page

This is hands down the BEST fertility clinic in all of Az. Dr. Couvaras and Rhoda are amazing!! Not only are they compassionate and helpful beyond expectations they really look at the whole body and systems and get to the root of the problem. If you are even thinking about fertility go see this place first!

Hope L. , From Yelp

From the moment we met Dr. Couvaras, My husband and I felt totally comfortable, secure, and well informed. Additionally, the nurses and staff at IVF Phoenix provided prompt, efficient care with both expertise and patience. Whether ordering prescriptions, educating me on how to properly administer medications or explaining options and probable outcomes of specific treatment protocols, Dr. Couvaras, and his team were simply remarkable. I never felt alone, and appreciated the close guidance they provided throughout our entire treatment. I couldn’t be happier with the results! My husband and I are now 12 weeks pregnant, and are absolutely thrilled! I would recommend Ivf Phoenix to anyone who is interested in finding the cause of their infertility. We love and appreciate everyone at Ivf Phoenix, they are a 2nd family to us. We still can’t thank them enough for making our dreams come true!

Jaden, From Facebook Page

Dr. Courvaras is the best there is in the infertility world!! Our first baby is here because of him and his team. Our baby is 17 and will be graduating from high school in less than a month!! We have never forgotten him and the gift he helped us have!!

Zena, From Facebook

IUI Bundled Packages































* Package pricing is subject to change.

Confused about the next steps to successfully conceive and carrying to live birth?


Take a browse through our resources, which include up to date information about fertility practices, and medication teaching videos

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Partner Insurance

Please note that the following listed insurance companies are those that we currently partner with. Please call your insurance provider and check to see if your treatment or procedure will be covered.

IVF Phoenix™ is proud to be a Center of Excellence with United Healthcare/Optum

Arizona Foundation (AZFMC)

Blue Cross Blue Shield






Banner Aetna

Bright Health Care




UHC All Savers

Medica & Mayo Medical Plan



Private Healthcare Systems



Liberty Healthshare

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