Infertility in Males
Nearly 1 in 10 men will experience infertility.
Nearly 1 in 10 men will experience infertility. Almost 40% of infertility cases in couples are traced back to a medical condition or contributing factor from a male partner. Traces of infertility in men can range from issues with sperm production to interference with sperm delivery. Once you have come to the conclusion that you are having issues conceiving, it is important that both partners are tested.
Probable Causes
Male infertility can be caused by physiological and lifestyle factors. Some physiological factors include:
Genetic disorders
Hormonal imbalances
Infection (acute and/or chronic infections of the prostate or testicle)Anatomic issues (blockages, varicocele, tumors)
Previous surgery or vasectomy
Direct injury (testicular or pelvic trauma, heat, irradiation, etc.)
Indirect injury (radiation therapy, chemotherapy, etc.)
Obesity
Diabetes
Undescended testicles with late repair
Lifestyle Factors
Smoking
Studies suggest that smokers may have lower sperm count than those who don’t smoke. Secondhand smoke may also affect male fertility.
Excessive Heat Exposure
Potentially increased scrotum temperature due to frequent use of saunas or hot tubs may temporarily lower a man’s sperm count. Additionally, anything that even slightly raises scrotum temperature – sitting for long periods, wearing light clothing, or working on a laptop computer – can have a similar effect.
Excessive Alcohol
Alcohol has been shown to lower testosterone levels, lower sperm count, and potentially cause erectile dysfunction. Men with liver disease caused by excessive drinking may also have trouble conceiving.
Stress
Emotional stress disrupts the body’s hormone production, which can affect the production of healthy sperm. Men who feel stressed are more likely to have lower concentrations of sperm in their ejaculate, and the sperm they have are more likely to be misshapen or have impaired mobility. These deficits could be associated with fertility problems.
Next Steps
Evaluations
Semen analysis
Sperm morphology testing
Leukocytospermia screening
Retrograde ejaculation (post-ejaculate urine) assessment
Varicocele evaluation
Hormonal evaluation
Genetic evaluation
Ultrasound evaluations of the complete male genitourinary tract
Centrifugation and pellet analysis for azoospermia
Treatments
Seminal vesicle aspiration
Penile vibratory simulation
Intrauterine Insemination (IUI) processing
Microsurgical vasectomy reversal
Fertility Preservation for men with cancer
Semen cryopreservation and storage
Surgically extracted sperm and testicular tissue cryopreservation and storage
IVF with intracytoplasmic sperm injection (ICSI)