Suzanne E. Generao, MD

About

For ten years, Suzanne Generao was the person the Sacramento region’s male fertility cases came to inside Kaiser Permanente — the specialist for the greater Sacramento area and the surrounding region from 2012 onward, doing vasectomy reversals, sperm extractions and male fertility consultations at a volume most urologists never see. Male infertility is a narrow field, and a decade as a regional referral for it is the most concrete thing on her biography.

She is also the only urologist on this clinic’s physician roster, which is what makes her role here structural rather than decorative. Northern California Fertility Medical Center lists four reproductive endocrinologists; Generao is board certified in Urology and serves as a consultant to the practice, so the male half of an infertility diagnosis gets evaluated by someone whose specialty is the reproductive tract and its surgery. Her route into that was deliberate: after Georgetown University School of Medicine (1999) and a urology residency at UC Davis Medical Center (2005), she joined Sutter Medical Group Urology in Sacramento while spending three years training in male infertility and microsurgery with Dr. John Gould at this clinic. She joined Gould in practice in August 2022.

She has been performing vasectomy reversals for more than 10 years, is board certified in Urology, and holds active membership in both the American Society for Reproductive Medicine and the American Urological Association. Her clinic biography gives a direct contact line, (916) 773-5529.

Clinical Expertise

• Vasectomy reversal: more than a decade of the procedure — microsurgical reconnection whose success depends on how many times a surgeon’s hands have done it
• Sperm extraction: surgical retrieval of sperm for men whose ejaculate contains none, so a couple can still pursue IVF with ICSI using partner sperm
• Male fertility consultation: evaluation of male factor infertility as the presenting problem, not as an afterthought to the female workup
• Microsurgery: the technique base behind both reversal and retrieval, from her three years of dedicated training with Dr. Gould

Why Choose Dr. Generao

A decade as a regional referral. Being the male fertility specialist for the greater Sacramento area and surrounding region inside Kaiser Permanente means cases came to her from other urologists, which is how surgical volume is actually concentrated.

Microsurgery trained in this specific niche. Her three years of male infertility and microsurgery training happened at this clinic, with Dr. John Gould — the subspecialty training and the practice location are the same place.

She holds two relevant memberships, not one. ASRM puts her in the reproductive medicine room; the American Urological Association keeps her in the surgical one. Male factor patients benefit from that overlap because the questions are surgical and reproductive at once.

A separate phone line, because the work is separate. Her biography lists a direct number distinct from the clinic’s main fertility line, which reflects a consultant arrangement rather than a shared panel.

Professional Affiliations

Board certified in Urology, as stated in her clinic biography. Active member of the American Society for Reproductive Medicine and the American Urological Association. Training: Georgetown University School of Medicine (1999); urology residency, University of California, Davis Medical Center (2005); three years of male infertility and microsurgery training with Dr. John Gould at Northern California Fertility Medical Center. Practice history: Sutter Medical Group Urology, Sacramento; Kaiser Permanente male fertility specialist for the greater Sacramento area from 2012 for ten years; in practice with Dr. Gould since August 2022 and consulting to NCFMC.

Suitable For

Couples where the semen analysis is the abnormal one. A urologist’s evaluation can find a treatable cause — obstruction, varicocele, hormonal — that a purely IVF-shaped plan would simply route around with ICSI.

Men seeking vasectomy reversal, including later-in-life family building or after a change in family plans, where patency and return of sperm depend on microsurgical experience.

Azoospermia or very low counts, where surgical sperm retrieval is the path to a cycle using the partner’s own gametes rather than donor sperm.

Men who want their own physician, not a shared appointment. Her consultant role and direct line make the male workup a standalone evaluation inside the same practice where the partner’s cycle is managed.