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Male fertility clinics in Texas

There are more male fertility urologists in Texas than in any other US state. That makes Texas, by some measure, the male fertility capital of the nation. There is at least one male fertility clinic in most of Texas’ larger cities — such as Dallas, Austin, and Houston — as well as male fertility clinic options in smaller Texas metropolises like Temple.

Urologists in Texas specialize in

male fertility, microsurgery including vasectomy and vasectomy reversal, low testosterone and other hormone disorders, sexual function, and sperm retrievals.

Male fertility urologists in Texas

Andrologist-urologists or male fertility urologists in Texas, in alphabetical order:

Tolulope Bakare, MD
UT Southwestern Medical Center
Dallas, TX

Stephanie Harris, MD
Baylor Scott and White Medical Center - Temple
Temple, TX
Parviz Kavoussi, MD
Austin Fertility
Austin, TX
G. Luke Machen, MD
Austin Fertility - Westlake IVF
Round Rock, TX
Antoine Makhlouf, MD
Hillcroft Medical Clinic
Sugar Land, TX
Tony Mammen, MD
Urology Partners of North Texas
Arlington, TX
Ryan Owen, MD
Covenant Health - Covenant Urology Group
Lubbock, TX
Nathan Starke, MD
Houston Methodist Urology Associates
Houston, TX
Not sure if you need to see a male fertility urologist? Talk to one of our fertility specialists to learn more about the best next steps for you. (It’s free.)

Fertility in Texas

Sperm health in Texas
Legacy data from the results of over 3,000 semen analyses tells us that the average total motile sperm count in Texas is 66.1 million sperm. (A normal total motile sperm count of 20 million or more is considered normal.) Texas ranks 24th in the country — including Washington, DC and Puerto Rico — for sperm health.
Environmental health in Texas
Environmental health and exposure to pollution, toxins, and other endocrine-disrupting chemicals is known to impact fertility. Texas is 11th most polluted state in the United States, so Texans may have a higher-than-average likelihood of experiencing male-factor infertility due to environmental exposure.
Temperatures in Texas
Sperm production happens most optimally at 93.2ºF — that’s why the testes hang away from the body, to keep them at a lower temperature than the rest of the body. High temperatures and warmer climates are associated with lower sperm count and quality. Texas is the 4th warmest state, with temperatures averaging 67ºF for the entire year.

Before you see a male fertility specialist: test your sperm

At-home sperm testing in Texas
Before you make an appointment with a urologist in Texas, you should consider getting up-to-date semen analysis results. You should also consider testing your sperm if you are trying to conceive, want to freeze your sperm, or just want to understand your fertility and overall health.
With a Legacy kit, you can test your sperm from home, without a doctor consultation or a prescription. We can deliver kits to Texas in as little as two business days, and you can get your report in less than a week — in time for your urologist appointment. Our closest sperm testing and freezing laboratory is located in San Antonio, TX.
Learn More About Sperm Testing

Why choose Legacy?

The most scientifically advanced at-home sperm testing kit on the market. We test for all the key male fertility factors: sperm count and concentration, sperm motility, and sperm morphology. Plus, we offer the only easy mail-in sperm DNA fragmentation kit to give you a deeper understanding of your fertility. There are very few specialty labs that perform sperm DNA fragmentation analysis in Texas — Legacy offers an alternative option for easy at-home sperm DNA fragmentation testing.

Personalized, easy-to-understand report and a complimentary call with a specialist. You’ll receive a digital report including your results and individualized recommendations to improve sperm health, based on self-reported lifestyle factors. You also have the opportunity to discuss your results with a male fertility urologist or nurse, free of charge.

Clinic-grade analysis at a CLIA-certified laboratory. Legacy’s kits use a proven transport medium to protect your sperm during overnight shipping to our lab in San Antonio, TX. Upon arrival, your sample will receive a comprehensive, clinic-grade analysis.

The option to freeze your sperm. Sperm Sperm freezing can be performed at in-person male fertility clinics in Texas. However, Legacy’s at-home sperm freezing option makes it easier and more affordable — your sperm sample can be kept in multi-site cryogenic storage for as long as you need, starting at less than $100 per year.

Our kit is available in all 50 states. That includes Texas! We’re the first at-home male fertility testing company to be covered by major insurance plans in some states. We’re working on insurance coverage for male fertility testing in Texas — coming soon.

We offer discounts for active duty members of the military as well as Texas-based veterans. To explore your options for discounts and payment, contact us.

We’ve curated a list of male fertility clinics and urologists in Texas. If you’re not sure where to turn next, our fertility specialists can help you figure it out.


What is a male fertility urologist?
Urology is a branch of medicine that deals with the function and disorders of the urinary system and the male reproductive system. Subspecialties of urology include urologic oncology (cancer), pediatric urology (urology for children), reconstructive urology (surgery), female urology, and andrology — the study of sperm and male fertility.

Andrologist-urologists or “male fertility urologists” are uniquely experienced to treat male-factor infertility, often working side-by-side with other fertility specialists such as reproductive endocrinologists. There are 4 male fertility urologists in California.
Who should see a male fertility urologist?
  • Have had multiple abnormal semen analyses.
  • Have been diagnosed with azoospermia (zero sperm count), oligospermia (low sperm count), asthenospermia (low sperm motility), or teratospermia (poor sperm morphology), or other problem with sperm production.
  • Have low testosterone or another hormone disorder.
  • Are interested in recovering your fertility after a vasectomy (and you have not frozen your sperm).
  • Have been referred for a testicular sperm extraction (TESE) or other sperm retrieval procedure before in vitro fertilization (IVF).
  • Have or suspect you may have a varicocele (swelling in the veins of the scrotum).
What is sperm DNA fragmentation analysis?
Sperm DNA fragmentation is a measure of the damage to the genetic material (DNA) carried by sperm. Because this DNA is responsible for half of the pregnancy and future offspring, its integrity is extremely important. Elevated sperm DNA fragmentation has been associated with lower pregnancy rates, increased chance of miscarriage, and poorer health outcomes for the child. Legacy is the only company that offers easy mail-in sperm DNA fragmentation testing.

Who should consider sperm DNA fragmentation testing?
  • All fertility patients, especially:
    • Patients with unexplained infertility.
    • Patients diagnosed with male-factor infertility of an unknown cause.
    • Patients with a history of miscarriages.
    • Patients with poor embryo quality during IVF treatment.
  • Men over 40.
  • Men with a history of cancer.
  • Men under treatment with prescription medications.
  • Men with lifestyle habits that may affect sperm health, such as smoking.
  • All men who want a more thorough understanding of their sperm health.
What is sperm freezing?
Sperm freezing is the process of preserving some of your sperm in a liquid nitrogen “deep freeze” for use later, to attempt to create a pregnancy. Sperm freezing saves your youngest, healthiest sperm, offering you the option of parenthood regardless of age, illness, infertility, injury, or medical treatment.

Sperm freezing can be performed at in-person male fertility clinics in California. However, Legacy’s at-home sperm freezing option makes it easier and more affordable — your sperm will be kept in multi-site cryogenic storage for as long as you need, starting at less than $100 per year.

Who should consider sperm freezing?
  • Those who may have children later in life.
  • Members of the military and others who work in high-risk environments.
  • Cancer patients, before treatment.
  • Those considering a vasectomy.
  • Transgender women, before medical gender transition (gender affirming hormones).
  • Anyone who wants peace of mind about their fertility.
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