The Jorge Hallak Clinic specializes in men's health, male infertility, and urology. We do not offer sperm, semen, or egg donation/purchase services.
WELCOME
The philosophy of the Jorge Hallak Clinic is to prioritize patient care based on diagnostic criteria for the causes of infertility, hormonal changes, preservation and restoration of natural fertility, using the most innovative reproductive technologies and comprehensive and multidisciplinary support in the urological and andrological segments. , gynecological, endocrinological, nutritional and psychological.
We are concerned and committed to the patient to offer the best care and quality of service, following the precepts of the clinic's care philosophy.
SPECIALTIES
ANDROLOGY
Andrology is a medical subspecialty of urology in which the focus is on diagnosing and treating the anatomical, biological, and urological aspects of the male sexual factor. The andrologist, therefore, is the most indicated professional to treat men's sexual and reproductive health, in childhood, puberty, adulthood and old age.
UROLOGY
Urology is a medical specialty responsible for the study of Organs structural organs that make up the urinary tract of men and women, in addition to caring for the male reproductive system.
The area is also dedicated to the development and execution of procedures and techniques that allow the diagnosis and treatment of diseases that affect these two systems.
UROLOGY
Urology is a medical specialty responsible for the study of Organs structural organs that make up the urinary tract of men and women, in addition to caring for the male reproductive system.
The area is also dedicated to the development and execution of procedures and techniques that allow the diagnosis and treatment of diseases that affect these two systems.
Male Reproductive Health
Between 13% and 18% of couples face difficulties conceiving naturally, with approximately 52% of these difficulties related to male factors. It is important to promote awareness of male reproductive health from adolescence onwards. Regular visits to male health specialists are recommended for assessments of testicular development and to receive guidance on habits and risk factors that may impact reproductive health in the future.
Men's Urinary and Prostate Health Care
Urinary tract and prostate infections are common and often go unnoticed by men until they become more serious and difficult to treat. It is essential that men seek medical advice if they notice any discomfort or burning sensation when urinating, or pain, even mild, in the scrotal, testicular, or perineal/anal areas. Consulting a men's health specialist can help in the early identification and effective management of these conditions.
Sperm Health Assessment and Functional Tests
A semen analysis is frequently used as an initial test to assess male reproductive health. Although it is a simple procedure, it does not completely determine reproductive capacity. For a more detailed analysis, there are tests that evaluate sperm functionality, such as measuring oxygen free radicals, DNA damage and breaks, as well as tests that simulate the process of sperm fertilization with the egg.
Testicular Ultrasound and Evaluation of the Male Reproductive Tract
The testicles play a crucial role in men's health, being fundamental for reproductive and hormonal function. Testicular evaluation begins with a physical examination, which analyzes aspects such as size, consistency, presence of nodules, pain, and the presence of scrotal varices, known as varicocele. This examination should be conducted by a men's health specialist, such as an andrologist or urologist. To complement this evaluation, a color Doppler ultrasound is recommended, performed by a radiologist specializing in the male reproductive tract, providing a detailed analysis of blood circulation and testicular structure.
Varicocele: Evaluation and Treatment by Microsurgery
Varicocele is one of the main causes of difficulties in biological fatherhood, affecting between 15% and 20% of men. Of these, approximately 35% to 40% may require microsurgical correction to treat this condition, which involves the dilation of the veins responsible for draining blood from the testicles. Incompetence of the venous valves leads to blood reflux, resulting in decreased oxygenation and the generation of oxygen free radicals. Furthermore, scrotal temperature can increase by up to 3 degrees Celsius, which can cause significant changes in sperm quality, impacting fertility.
Vasectomy and Reversal by Microsurgery
Vasectomy is the most common procedure performed on men worldwide to prevent unwanted pregnancies. This procedure involves ligating and separating the vas deferens, which carry sperm from the testicles to the prostate, from where they are expelled through the urethra. On the other hand, vasectomy reversal is a more complex procedure, requiring anesthesia and the use of extremely fine microsurgical sutures, more delicate than a human hair. The results of vasectomy reversal are significantly superior to in vitro fertilization methods, offering a higher success rate and half the cost per birth.
Azoospermia: Obstructive and Non-Obstructive
Azoospermia is characterized by the total absence of sperm in ejaculated semen. It can be classified into two main types: obstructive and non-obstructive. Obstructive azoospermia occurs when there is an interruption in the sperm's path, even though the testicles continue to produce them. Common causes include vasectomy, infections, agenesis of the vas deferens, and post-surgical complications, such as after inguinal hernia surgery.
On the other hand, non-obstructive azoospermia results from a failure in sperm production by the testicles. The causes can be varied and include genetic factors, complications after mumps, post-COVID effects, and the use of substances such as anabolic steroids, marijuana, cocaine, as well as treatments such as chemotherapy and radiotherapy.
Decreased Libido, Erection, and Orgasm
Libido refers to sexual desire, that is, the sexual attraction and interest between two people. An adequate erection is the ability to maintain sufficient penile rigidity to allow penetration until the end of sexual intercourse. Ejaculation is the process of releasing seminal fluid through the urethra, usually coinciding with the climax of intercourse. Orgasm is the intense sensation of pleasure that usually accompanies ejaculation.
Sexual satisfaction encompasses all these aspects, and any one of them can be affected individually or collectively, impacting the sexual experience. Changes in libido, erectile capacity, or orgasm quality can occur for various reasons, including physical, emotional, and psychological factors, and may require medical or therapeutic attention to be resolved.
Low Testosterone and Male Hypogonadism
Male hypogonadism occurs when the testicles, responsible for producing about 95% of the hormone testosterone, fail to produce a sufficient amount to maintain proper hormonal balance in the male body. Testosterone is the main androgen synthesized in the testicles and, to a lesser extent, in the adrenal cortex of men. This hormone is crucial for the development and maintenance of male characteristics, such as muscle mass, strength, bone density, libido, sexual potency, and spermatogenesis.
Reduced testosterone levels are significantly associated with an increased risk of developing conditions such as metabolic syndrome, which includes obesity, hypertension, and high cholesterol levels. Furthermore, low testosterone is linked to type 2 diabetes, Alzheimer's disease, and the progression and severity of atherosclerosis. Other symptoms include sleep difficulties, irritability, depression, and other emotional disturbances.
Voiding Dysfunction and Urodynamic Study
Urodynamics, or urodynamic study, is an essential examination for diagnosing problems in the functioning of the bladder and urethra/prostate, in both men and women. This procedure is performed in the doctor's office, under the supervision of a urologist and with the assistance of a nursing technician.
During the examination, thin probes are inserted into the urinary tract, usually painlessly, using local anesthesia. These probes allow the bladder to be filled with saline solution and the internal bladder pressures to be measured. Additionally, a thin rectal probe may be used to measure intra-abdominal pressure. This procedure is crucial in helping the urologist understand and diagnose conditions such as urinary incontinence, obstruction caused by the prostate, bladder weakness, and bladder dysfunction resulting from neurological diseases, diabetes, among others.
