There is a persistent and costly blind spot in how the fertility industry talks about itself: the assumption that infertility is primarily a women's issue. It isn't. Male-factor causes contribute to roughly 40–50% of all infertility cases, and in perhaps a third of cases, the male partner is the sole identifiable cause. Yet for most couples navigating a fertility diagnosis, the man receives a semen analysis — sometimes twice — and is then sent on his way while the clinical focus shifts almost entirely to the female partner. The Male Fertility and Peyronie's Clinic in Orem, Utah exists to correct that imbalance.
Founded in 2019 by Dr. Landon Trost, MD, this is the only practice in Utah County dedicated exclusively to male infertility and Peyronie's disease — conditions that often intersect, are almost always underserved, and require a level of subspecialty training that most fertility clinics simply do not have on staff. With a 5.0-star rating from 995 patient reviews, the clinic has built something unusual in medicine: a perfect score at meaningful scale.
The Physician Behind the Practice
Dr. Landon Trost is not a generalist who added male fertility to a broad urology practice. Before founding the clinic, he served as the head of male infertility and Peyronie's disease at the Mayo Clinic in Rochester, Minnesota — one of the most respected medical institutions in the world — where he also held an appointment as Assistant Professor and Chief of Male Infertility. At the Mayo Clinic, he trained residents and fellows to perform microsurgical sperm retrieval procedures, which means his clinical output shaped not just his own patients but the next generation of andrologists.
That research pedigree is considerable. Dr. Trost's team has authored more than 100 scientific papers, book chapters, and editorials covering male infertility and sexual health, and has delivered over 300 national, international, and regional presentations. He currently serves as a guideline panel member for Peyronie's disease at the American Urological Association — the body that sets evidence-based treatment standards for urologists across the country. When Dr. Trost recommends a protocol, it is because he has often been part of writing the protocols that everyone else follows.
Joshua Savage, a physician who trained alongside Dr. Trost at Mayo Clinic, also practices at the clinic with a specific focus on vasectomy reversals — a procedure where surgical technique and volume matter enormously to success rates.
Services: The Full Spectrum of Male Reproductive Medicine
Most fertility clinics can perform a basic semen analysis and flag an abnormal result. What they typically cannot do is diagnose the anatomical, hormonal, or genetic source of that abnormality and offer definitive surgical treatment under one roof. The Male Fertility and Peyronie's Clinic does both.
Comprehensive male fertility evaluation begins with semen analysis and extends to hormonal workups, genetic screening, scrotal ultrasound, and clinical examination to identify correctable causes of infertility — including varicocele, obstruction, hypogonadism, and ejaculatory dysfunction.
Varicocelectomy is the surgical correction of varicoceles — dilated veins in the scrotum that increase testicular temperature and impair sperm production. Varicocele is the most common surgically correctable cause of male infertility, present in roughly 35–40% of men evaluated for infertility. Early surgical correction can improve sperm parameters, reduce the need for IVF, and preserve long-term testicular function.
MicroTESE (microsurgical testicular sperm extraction) is the most technically demanding procedure in the male fertility toolkit. Performed under an operating microscope, it allows a surgeon to identify and extract rare pockets of sperm production in the testicle — even in men with non-obstructive azoospermia (no sperm in the ejaculate), a condition once considered untreatable. Dr. Trost personally trained surgeons in this procedure at the Mayo Clinic, placing the clinic among a small number of practices nationwide with this level of hands-on microsurgical expertise.
Vasectomy reversal is performed by Joshua Savage, who brings Mayo Clinic training to a procedure where the success rate depends heavily on technical precision and the surgeon's case volume. The clinic's approach reflects the same subspecialty seriousness applied to every other service it offers.
Peyronie's disease treatment — the other half of the clinic's name — addresses the fibrous plaque buildup inside the penis that causes painful curvature, shrinkage, and in significant cases, the inability to have intercourse. The team has performed over 2,000 Xiaflex (collagenase clostridium histolyticum) injections, a volume that places them among the most experienced Xiaflex providers in the world. Their published data documents a median 58% improvement in curvature — the largest published improvement to date — and Dr. Trost's team conducted the first randomized, controlled trial evaluating surgical outcomes in men with Peyronie's disease. For patients who have been told their condition is "just something to live with," the clinic's outcomes represent a meaningful alternative.
Why a Dedicated Male Fertility Specialist Matters
The default pathway for couples facing infertility is to begin with the female partner's OB-GYN, then progress to a reproductive endocrinologist (REI), with a semen analysis ordered somewhere along the way. If the semen analysis is abnormal, the REI typically recommends IUI or IVF with ICSI — procedures that bypass the male factor rather than treating it. That approach is clinically sound in many scenarios, but it is not always the most efficient or cost-effective path.
A male fertility specialist can often identify a correctable underlying cause — a varicocele, a hormonal imbalance, an obstruction — that when treated, improves sperm parameters enough to make natural conception or lower-intervention fertility treatments possible. For couples where the male partner has azoospermia, a urologist like Dr. Trost can retrieve sperm directly from the testis through microTESE, making IVF possible where it otherwise might not be.
Skipping this evaluation is not a neutral decision. In Utah, where there is no state mandate requiring insurers to cover fertility treatments for most residents, understanding what your plan does and does not cover is essential before committing to IVF or ICSI, which can cost $15,000–$25,000 per cycle without insurance. See IVF cost data for Utah and neighboring states for a full breakdown. A thorough male evaluation — and surgical correction where appropriate — can sometimes reduce or eliminate the need for those cycles entirely.
When evaluating any fertility practice, the scope of services, the physician's subspecialty training, and the clinic's willingness to treat both partners systematically are the variables that matter most. Our guide on how to choose a fertility clinic walks through that framework in detail.
A 5.0-Star Rating From 995 Patients
Patient ratings are imperfect proxies for clinical quality, but a 5.0-star average from 995 reviews is a different category of signal than a 4.7 from 40 patients. At that volume, the rating is not driven by a handful of enthusiastic early adopters — it reflects the sustained experience of nearly a thousand patients, most of whom arrived with a diagnosis that carries significant emotional weight and whose gratitude, when it comes, tends to be specific and hard-won. Men seeking help for infertility or Peyronie's disease often report difficulty finding a physician who takes their concerns seriously and communicates clearly about complex, stigmatized conditions. The review record suggests the clinic has solved for both.
For couples in Utah County and across northern Utah who are navigating male-factor infertility, the Male Fertility and Peyronie's Clinic represents access to Mayo Clinic-caliber subspecialty care without the trip to Minnesota. A full directory of fertility clinics across Utah is available for those comparing providers across the state.
To schedule a consultation, contact the clinic at (801) 655-0015 or visit malefertilityandpeyroniesclinic.com.
Considering At-Home Insemination?
Not every fertility journey begins in a clinic. At-home intracervical insemination (ICI) is a lower-cost, private option that suits patients with no known fertility diagnosis — including single parents by choice, same-sex couples, and people who want to try a few cycles before committing to clinical treatment.
At-home insemination kits like those from MakeAMom come with step-by-step instructions designed for donor or partner sperm. Kits are a one-time purchase that can be reused until conception succeeds, require no clinic visit, and arrive in plain, discreet packaging. Many patients use them as a first step while working toward a fertility consultation — or alongside ovulation tracking while they wait for an appointment slot.
If you have a known fertility diagnosis, have been trying for 12 months without success (six months if you're over 35), or your physician has already recommended IUI or IVF, a board-certified reproductive endocrinologist is the right next step.
Frequently Asked Questions
What is male-factor infertility, and how often does it affect couples?
Male-factor infertility is diagnosed when problems with sperm production, motility, morphology, or delivery are identified as a contributing cause of a couple's inability to conceive. It is a factor in approximately 40–50% of all infertility cases. In roughly one-third of cases, the male partner is the sole identifiable cause. Despite this prevalence, male partners are frequently evaluated less thoroughly than female partners, and treatable conditions such as varicocele or hormonal imbalance can go undiagnosed for years while a couple pursues female-focused fertility treatments.
What is microTESE, and who is a candidate for it?
MicroTESE (microsurgical testicular sperm extraction) is a surgical procedure performed under a high-powered operating microscope to locate and retrieve sperm directly from the testicular tissue. It is typically recommended for men with non-obstructive azoospermia — meaning no sperm are present in the ejaculate due to a production problem rather than a blockage. Because sperm production in these men is often focal (limited to scattered pockets of the testicle), the precision of microsurgery significantly increases the likelihood of finding viable sperm compared to conventional biopsy techniques. Sperm retrieved through microTESE can be used for IVF with ICSI. Not every man with azoospermia will have sperm found, but a consultation with an experienced microsurgeon is the appropriate first step.
Does Utah insurance cover male infertility treatment?
Utah does not have a comprehensive state mandate requiring private insurers to cover infertility diagnosis or treatment for the general population. A limited provision under House Bill 94, effective January 1, 2026, requires state-regulated plans to cover medically necessary fertility preservation for patients facing iatrogenic infertility from cancer treatment — but this does not extend to male infertility evaluation or surgical treatment such as varicocelectomy or microTESE in most standard plans. Patients should review their specific plan documents and request prior authorization for any planned procedure. The fertility insurance guide by state provides a detailed breakdown of what Utah and other states require insurers to cover.