Services

Male Fertility

We offer specialized care in male infertility, providing comprehensive evaluations and personalized treatment options to help patients and couples achieve their family goals. From advanced diagnostic testing to the latest treatments in surgical and non-surgical care, we address every aspect of male reproductive health. With compassionate, expert support, we work closely with each patient to develop tailored solutions that prioritize your unique needs.

  • Baseline Assessment

  • Semen Analysis

  • Fertility Education

  • Sexual Health Optimization

  • Fertility Supplements

  • Hormone Evaluation

  • Genetic Testing

  • Recurrent Pregnancy Loss

Vasectomy

We provide trusted expertise in vasectomy—a safe, effective solution for men seeking a reliable form of permanent contraception. Our team offers a streamlined, minimally invasive procedure that prioritizes comfort and precision, allowing for a smooth recovery and long-term peace of mind. We are committed to providing personalized care, ensuring you feel fully informed and supported every step of the way as you make an important decision for your reproductive health.

Vasectomy Reversal

We specialize in vasectomy reversals, offering advanced, patient-centered care to restore fertility for men looking to expand their families. A vasectomy reversal is typically the most cost effective method of achieving your goal. Using precise microsurgical techniques, we aim to achieve the best possible outcomes, tailoring each procedure to your specific needs. Our goal is to provide compassionate support and expert care throughout your journey, helping you take the next step with confidence.

Varicocele

We specialize in varicocele repair for men seeking fertility optimization or relief from scrotal pain.

For those looking to improve fertility, our microsurgical approach to varicocele treatment addresses blood flow irregularities to support healthier sperm production and quality.

For men experiencing scrotal or testicular discomfort, we provide a full assessment to identify the underlying cause, and for those with an underlying varicocele, we then determine if a microsurgical varicocele repair would benefit you in alleviating scrotal pain and improve your quality of life.

With advanced microsurgical techniques and personalized care, we are dedicated to achieving optimal results that meet each patient’s unique needs.

Low Testosterone

We specialize in diagnosing and treating low testosterone to help men regain energy, vitality, and overall well-being. Low testosterone can affect mood, strength, and libido, but with expert evaluation and personalized treatment options—including lifestyle changes and hormone therapy—we help restore balance and improve quality of life. Our team provides compassionate, comprehensive care to support your unique health goals.

Testosterone therapy approaches:

  • Topical gel

  • Injectable

  • Autoinjector

  • Testosterone patches

  • Testosterone pellets

  • Oral testosterone

Erectile Dysfunction

Erectile dysfunction (ED) is a common condition, with approximately 40% of men experiencing some degree of ED by age 40, with the prevalence increasing with age. Dr. Santamaria provides expert care for men seeking effective solutions for ED. Offering a full spectrum of treatments—from oral medications and lifestyle guidance to advanced options like injections and penile implants. Dr. Santamaria creates customized treatment plans designed to restore confidence and intimacy. With compassionate, specialized care, our goal is to help men regain control over their sexual health and quality of life.

ED Overview

  • Prevalence: ED affects over 30 million men in the United States, with approximately 40% of men experiencing some degree of ED by age 40, and approximately 70% by age 70.

  • Age Factor: Although more common as men age, ED can affect men at any age, with younger men increasingly reporting symptoms due to lifestyle and psychological factors.

  • Underlying Health Indicator: ED can be an early sign of other health conditions, such as heart disease, diabetes, high blood pressure, or hormonal imbalances, making it an important factor in overall health assessments.

  • Mental Health Impact: ED is linked to psychological effects like low self-esteem, anxiety, and depression, and can significantly impact intimate relationships and overall quality of life.

  • Treatment Variety: There is a broad range of treatments available for ED, including oral medications, lifestyle modifications, hormone therapy, injection therapy, vacuum devices, shockwave, and penile implants, providing options to address each individual’s unique needs and lifestyle.

Peyronie’s Disease / Penile Curvature

Peyronie’s Disease is a condition affecting up to 10% of men, causing a curvature or bend in the penis due to fibrous scar tissue (plaques). This condition can lead to discomfort, difficulty with intimacy, and a significant impact on quality of life. Dr. Santamaria offers comprehensive and personalized care for men with Peyronie’s Disease, beginning with an in-depth diagnosis. Our evaluation may include a penile Doppler ultrasound to assess blood flow and measure the extent and location of the plaques, providing a precise understanding of each patient’s unique case.

Treatment options for Peyronie’s Disease vary depending on severity and patient goals. For mild cases, oral medications may help manage symptoms. We also offer nonsurgical approaches, including collagenase injections (Xiaflex), to break down the plaques and RestoreX traction therapy, a clinically proven device designed to reduce curvature and improve penile length. Often, a combination of multiple therapies is recommended to achieve the best outcome.

For more advanced cases, surgical solutions like plaque incision or excision and grafting may be recommended to you. These options allow Dr. Santamaria to reshape the affected tissue and restore a more natural appearance and function.

It is important to note that not all penile curvatures stem from Peyronie’s disease; some may be congenital, yet can be just as limiting to sexual activity. During your consultation, we will diagnose the specific cause of the curvature and discuss tailored treatment options, regardless of its origin.

By providing a full range of treatment options, we tailor each care plan to the specific needs of our patients, aiming to improve both physical comfort, functionality, and confidence. With expertise, compassion, and advanced techniques, we help men regain control of their sexual health and well-being.

Testicular Pain

Chronic testicular and scrotal pain is a common issue affecting many men, often impacting daily activities and overall quality of life. The causes of this discomfort can vary widely, from infections and inflammation to varicoceles or other structural concerns. We specialize in diagnosing and treating the sources of scrotal and testicular pain, offering a comprehensive approach that addresses both symptoms and underlying causes. Through tailored treatments, we aim to provide effective relief, restoring comfort and helping men regain confidence in their health.

Penile and Scrotal Skin Issues

We offer specialized care for common conditions affecting penile and scrotal skin, including phimosis, a tight penile frenulum, and skin irregularities such as skin tags, moles, and scrotal calcifications. Phimosis, characterized by a tight foreskin that cannot fully retract, and a restrictive frenulum can both cause discomfort, hygiene challenges, and/or limitations to sexual activity. We provide a range of treatment options tailored to each condition, from conservative approaches to minor surgical procedures that offer effective and lasting relief.

For skin irregularities, such as moles, skin tags, and scrotal calcifications, we offer precise and minimally invasive removal techniques that prioritize comfort and aesthetic outcomes. Dr. Santamaria’s approach combines expertise with individualized care, ensuring you receive a solution that meets your needs and enhances your confidence. Our goal is to provide a seamless experience that restores comfort, function, and peace of mind.

Recurrent Pregnancy Loss / IVF Failure

We offer specialized care for men in couples experiencing recurrent pregnancy loss or IVF failure. Understanding that male fertility plays a critical role in conception, we conduct thorough evaluations to identify and address potential male factors contributing to fertility challenges.
How treating male infertility can improve outcomes for recurrent pregnancy loss and IVF failure:

  1. Improving Sperm Quality: Addressing male infertility can enhance sperm quality, including factors like DNA integrity and motility. Higher-quality sperm can increase the likelihood of successful fertilization and lead to healthier embryo development, reducing the risk of miscarriage.

  2. Reducing Genetic Abnormalities: Male infertility treatments can identify and mitigate genetic factors or chromosomal abnormalities in sperm that may contribute to recurrent pregnancy loss, leading to more viable pregnancies and potentially reducing the rate of IVF failure.

  3. Enhancing Embryo Development: By improving sperm quality, male fertility treatment supports healthier embryo development, which is crucial in IVF success and may help prevent early pregnancy loss due to compromised embryo quality.

  4. Increasing IVF Success Rates: Treating male infertility can significantly impact IVF success rates by increasing fertilization potential and improving embryo quality, helping couples achieve successful implantation and sustainable pregnancies.

  5. Providing a Comprehensive Fertility Approach: Addressing male infertility ensures that both partners are fully evaluated and treated, leading to a more holistic and effective approach to overcoming fertility challenges and reducing the likelihood of recurrent pregnancy loss.

Contact

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2186 Geary Blvd., San Francisco, CA 94115

 

1661 Mission St., San Francisco, CA 94103