Men's Reproductive Health

Men's Reproductive Health Bruce R. Gilbert, MD, PhD & New York Cryo: fertility and sexual health expertise. Posts and videos are for education only—not medical advice. Dr. Bruce R.

Gilbert is a Urologist who has been in Private Practice in Great Neck, Long Island, New York for the past 30 years. He specializes in reproductive and sexual medicine including evaluation and treatment of male hormonal issues. Dr. Gilbert is Professor of Urology at the Zucker School of Medicine at Hofstra Northwell, Vice Chair for Urology Quality and the Director of Reproductive and Sexual Medicine at the Smith Institute for Urology of the Northwell Health. Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic Ultrasound. He edited and authored four nationally acclaimed textbooks on urologic ultraound. He is passionate about Urologic education and has organized training programs for medical students, residents and fellows and has lectured locally, nationally and internationally. Dr. Gilbert completed his medical degree in 1983 at Cornell University Medical College and Urology Residency at the New York Hospital Cornell Medical Center. Prior to that he completed a Doctorate (Ph.D.) at the New York Medical College followed by postdoctoral work in Renal Physiology supported by the New York Heart Association in the Department of Physiology at Cornell University Medical College. Dr. Gilbert is an experienced microsurgeon having performed over a 1000 microsurgical procedures including vasectomy reversals, microsurgical varicocele ligation, microsurgical s***matic cord denervation and microsurgical testicular s***m retrieval. Dr. Gilbert is also the Medical and Laboratory Director of New York Cryo, one of the few long term reproductive tissue banks for s***m, oocytes and embryos in the region. Dr. Gilbert has also gained national prominence for his use of Holistic approaches for the treatment of chronic Urologic problems. Dr. Gilbert is certified by the American Board of Urology and the American Board of Medical Acupuncture. He is a fellow of both the American College of Surgeons and The American Academy of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive Medicine and Complementary Medicine Journals. He is married with two children. He has a love of boating, continues to practice at golf and is an instrument rated pilot. He has a passion for writing and has published his first novel, a medical thriller entitled Inborn Error.

Round Cells in Semen: What Leukocytes and Immature Germ Cells Mean for Male FertilityRound cells in semen may represent ...
09/12/2026

Round Cells in Semen: What Leukocytes and Immature Germ Cells Mean for Male Fertility

Round cells in semen may represent leukocytes or immature germ cells, each with different implications for male fertility. This article explains leukocytos***mia, oxidative stress, s***m DNA fragmentation, semen culture, laboratory identification methods, embryo outcomes, and when advanced testing or treatment may be appropriate during a comprehensive male infertility evaluation....

Round cells in semen may represent leukocytes or immature germ cells, each with different implications for male fertility. This article explains leukocytos***mia, oxidative stress, s***m DNA fragmentation, semen culture, laboratory identification methods, embryo outcomes, and when advanced testing o...

Can AI Give Medical Advice? Understanding HIPAA, PHI Storage, Privacy, and Legal Boundaries?Artificial intelligence is c...
09/02/2026

Can AI Give Medical Advice? Understanding HIPAA, PHI Storage, Privacy, and Legal Boundaries?

Artificial intelligence is changing how patients seek medical information, but privacy and legal boundaries remain complex. This evidence-based review explains HIPAA, PHI storage in AI data centers, state privacy laws, business associate requirements, AI model training, and when personalized interpretation may cross the line into medical advice in modern healthcare...

Artificial intelligence is changing how patients seek medical information, but privacy and legal boundaries remain complex. This evidence-based review explains HIPAA, PHI storage in AI data centers, state privacy laws, business associate requirements, AI model training, and when personalized interpr...

The Counter Was Never the ProblemPublished quality control data show semen analysis variability comes from four separabl...
08/27/2026

The Counter Was Never the Problem

Published quality control data show semen analysis variability comes from four separable sources — sampling error, observer variability, chamber bias, and transcription. The tally counter is not among them. A urologist and andrologist examines what current tools address, what they miss, and introduces AndroCalc, a free browser-based calculator....

Published quality control data show semen analysis variability comes from four separable sources — sampling error, observer variability, chamber bias, and transcription. The tally counter is not among them. A urologist and andrologist examines what current tools address, what they miss, and introd...

What Men Should Know About New Safety Concerns With Cialis, Vi**ra, and Other PDE5 InhibitorsRecent studies have raised ...
08/27/2026

What Men Should Know About New Safety Concerns With Cialis, Vi**ra, and Other PDE5 Inhibitors

Recent studies have raised new questions about PDE5 inhibitor safety, including possible links between tadalafil and glaucoma, rare retinal events, hearing loss, hypotension, and other adverse effects. This evidence-based review explains what is known, what remains uncertain, and how patients and clinicians can use these medications more safely in practice....

Recent studies have raised new questions about PDE5 inhibitor safety, including possible links between tadalafil and glaucoma, rare retinal events, hearing loss, hypotension, and other adverse effects. This evidence-based review explains what is known, what remains uncertain, and how patients and cl...

PRP for Erectile Dysfunction: Does the P-Shot Really Work?Platelet-rich plasma (PRP) is an emerging, investigational tre...
08/19/2026

PRP for Erectile Dysfunction: Does the P-Shot Really Work?

Platelet-rich plasma (PRP) is an emerging, investigational treatment for erectile dysfunction that aims to promote tissue repair and vascular function. This review examines the evidence for PRP, compares it with daily tadalafil, low-intensity shockwave therapy, and other novel ED treatments, and explains efficacy, safety, limitations, and patient-selection considerations....

Platelet-rich plasma (PRP) is an emerging, investigational treatment for erectile dysfunction that aims to promote tissue repair and vascular function. This review examines the evidence for PRP, compares it with daily tadalafil, low-intensity shockwave therapy, and other novel ED treatments, and exp...

PT-141 VS. FLIBANSERIN: EXPLORING OFF-LABEL TREATMENTS FOR LOW S*X DRIVE IN MENHypoactive Sexual Desire Disorder (HSDD) ...
08/12/2026

PT-141 VS. FLIBANSERIN: EXPLORING OFF-LABEL TREATMENTS FOR LOW S*X DRIVE IN MEN

Hypoactive Sexual Desire Disorder (HSDD) affects many men, yet there are currently no FDA-approved medications for low libido in this population. This article explores two intriguing off-label treatments: Flibanserin (Addyi) and Bremelanotide (PT-141, Vyleesi). While both have shown promise in women, their potential benefits for men remain largely uncharted territory. Discover how these medications work, the latest research findings, and what men with HSDD need to know about these experimental options. Empower yourself with knowledge and take the first step towards rekindling your sexual desire....

Testosterone Testing and Treatment: How Supplements and Medications Can Influence Your ResultsMedications, supplements, ...
08/12/2026

Testosterone Testing and Treatment: How Supplements and Medications Can Influence Your Results

Medications, supplements, and even biotin can alter testosterone laboratory results and complicate testosterone replacement therapy monitoring. Learn how drugs influence testosterone levels, hormone assays, absorption, metabolism, and treatment response—and why accurate timing, medication review, and careful interpretation are essential for choosing the right testosterone dose and avoiding misleading results....

Medications, supplements, and even biotin can alter testosterone laboratory results and complicate testosterone replacement therapy monitoring. Learn how drugs influence testosterone levels, hormone assays, absorption, metabolism, and treatment response—and why accurate timing, medication review, ...

Post-Vasectomy Semen Analysis: When to Test, What the Results Mean, and When a Vasectomy Has Truly Worked.Post-vasectomy...
08/10/2026

Post-Vasectomy Semen Analysis: When to Test, What the Results Mean, and When a Vasectomy Has Truly Worked.

Post-vasectomy semen analysis confirms whether a vasectomy has successfully prevented s***m from entering the ej*****te. This guide explains when PVSA should be performed, how results are interpreted, why laboratory quality matters, and when repeat, centrifugation, viability, fructose, or additional testing may help ensure safe, evidence-based patient clearance decisions....

Men Have a Biological Clock Too: Paternal Age and S***m BankingLearn how paternal age can affect male fertility and why ...
08/10/2026

Men Have a Biological Clock Too: Paternal Age and S***m Banking

Learn how paternal age can affect male fertility and why more men are considering s***m banking. This evidence-based guide explains when to freeze s***m, how the process works, potential benefits, costs, reproductive options, and practical steps for preserving fertility and planning future fatherhood with greater confidence and flexibility....

Learn how paternal age can affect male fertility and why more men are considering s***m banking. This evidence-based guide explains when to freeze s***m, how the process works, potential benefits, costs, reproductive options, and practical steps for preserving fertility and planning future fatherhoo...

At-Home S***m BankingIn today's world, where technology intersects with personal health in increasingly innovative ways,...
05/15/2024

At-Home S***m Banking
In today's world, where technology intersects with personal health in increasingly innovative ways, at-home s***m banking has emerged as a convenient option for those looking to preserve their fertility or contribute to family planning.
Check out our blog at: https://mensreproductivehealth.com/post/at-home-s***m-banking
***mbank

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900 Northern Boulevard
Great Neck, NY
11021

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