What Are The Causes Of Male Infertility And How To Manage It

Male infertility is not much discussed but it is an important aspect of achieving parenthood.

Male infertility is a prevalent issue affecting nearly 1 in 7 couples who struggle to conceive a child despite engaging in frequent, unprotected sexual intercourse for a year or longer. In approximately half of these cases, male infertility contributes to difficulties in conception.

This article explores the various causes, symptoms, and available treatments for male infertility, providing valuable insights for individuals seeking to understand and address this challenging condition.

Having a child is bliss.  But there are many childless couples around the world, who have faced difficulty in having a child.

One out of eight couples around the world is infertile due to numerous reasons. Infertility can be attributed to both male infertility and female-related infertility and here we will elaborate on the causes of male infertility and how to manage it.

The main symptom of male infertility is the fact that the couple is unable to conceive a child even after a year of unprotected regular intercourse. There may be no other symptoms apart from this.

However, for females, other symptoms like an irregular menstrual cycle or other hormonal imbalances can indicate infertility issues.

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Understanding Male Infertility

Male fertility is a complex process that requires the proper functioning of various reproductive organs and the production of healthy sperm. Several key factors are necessary for successful conception:

1. Healthy Sperm Production: During puberty, the male reproductive organs undergo growth and formation, leading to the production of sperm. Adequate levels of testosterone and other hormones are essential to trigger and maintain this process.
2. Sperm Transport: After production, sperm must be carried into the semen through delicate tubes until they mix with semen and are ejaculated from the penis during sexual intercourse.
3. Sufficient Sperm Count: The number of sperm in the semen, known as sperm count, plays a crucial role in the likelihood of successful fertilization. A low sperm count can reduce the chances of conception.
4. Functional and Motile Sperm: The sperm must be functional and capable of moving to reach and penetrate the partner’s egg for fertilization to occur.

Signs and Symptoms of Male Infertility

Some of the signs and symptoms of male infertility are –

• Pain, lump, or swelling in the testicle area
• Inability to smell
• Gynecomastia or abnormal growth of the breast
• decreased hair on the face or in the body
• Problems associated with sexual function like reduced sexual desire, erectile dysfunction, or difficulty with ejaculation.

Causes of Male Infertility

Male infertility can be due to many factors, which can be medical, environmental, or related to lifestyle issues.

#1. Medical issues

• Varicocele – Varicocele is characterized by the swelling in the veins that drains the testicles. It is the most reversible and common cause of male infertility. The cause of the Varicocele might be unknown but it may be related to the abnormal temperature regulation in testicles. Varicocele results in a reduction in sperm count. Treating Varicocele will help in increasing sperm count and function.
• Ejaculation issues – Retrograde ejaculation happens when, during orgasm, semen enters the bladder instead of the tip of the penis. Various health circumstances, including diabetes, spinal injuries, medication, and bladder, prostate, or urethra surgery, can trigger retrograde ejaculation
• Infections – Some infections can interfere with sperm health or sperm production. These infections might include the inflammation of the epididymis or of the testicles known as orchitis. Most often the sperm can be retrieved but, in some cases, the infection results in permanent damage of the testicles.
• Tumors – Cancers and non-malignant tumors may directly influence male reproductive organs through the glands releasing reproductive-related hormones, such as the pituitary gland, or through unidentified triggers. At some times, male fertility may be affected by surgery, radiation, or chemotherapy to treat tumors.
• Hormonal Imbalances – Infertility may lead from testicular illnesses or an abnormality that affects other hormonal structures including the hypothalamus, thyroid, pituitary, and adrenal glands. There are a number of possible underlying causes for low testosterone (masculine hypogonadism) and other hormonal issues.
• Chromosome defects – Inherited illnesses such as the syndrome of Klinefelter — where a male is born with two X chromosomes and one Y chromosome (instead of one X and one Y) — cause male reproductive bodies to develop abnormally. Cystic fibrosis, Kartagener’s syndrome, and Kallmann’s syndrome are other genetic syndromes connected with infertility.
• Problems with sexual intercourse – These can include the problem of erectile dysfunction, painful intercourse, hypospadias, or psychological problems that interfere with sex.
• Celiac Disease – Celiac disease is a digestive disorder that is caused due to sensitivity to gluten and can result in male infertility.
• Medications – Long-term use of anabolic steroids, testosterone replacement therapy, cancer drugs (chemotherapy), some ulcer drugs, certain antifungal drugs, and some other drugs may impair sperm output and reduce male fertility.
• Prior Surgeries – There are certain surgeries that may prevent you from ejaculation. These surgeries may include vasectomy, hernia repairs, prostate surgeries, scrotal surgeries, and large abdominal surgeries.

#2. Environmental causes

Overexposure to a few environmental elements like heat, toxins, and chemicals can reduce sperm count or sperm function.

• Industrial chemicals – Exposure for a long time to benzene, xylene, pesticides, herbicides, organic solvents, and painting material can result in low sperm count
• Heavy exposure to metals – Exposure to lead and other heavy metals can result in male infertility.
• Radiation or X-rays – Exposure to X-rays for a long time or to any kind of radiation results in a reduction in sperm count.
• Overheating of testicles – Elevation in temperature will result in damage to sperm production and function. Frequent use of a sauna bath can impair your sperm count.

#3. Health and Lifestyle 

• Use of alcohol – Drinking alcohol can result in reduced testosterone levels that can cause a decrease in erectile function as well as sperm count. Liver disease caused by excessive drinking can also lead to infertility problems.
• Smoking – Men who smoke have a lower rate of fertility than those who don’t. Passive smoking can also harm male fertility.
• Use of drugs – Anabolic steroids are taken to boost muscle power and development can cause shrinkage of the testicles and reduce sperm output. Using cocaine or marijuana may also momentarily decrease your sperm count and quality.
• Stress – Stress can interfere with the hormones that are necessary for producing sperm. Hence, it can also lead to male infertility.
• Depression – The likelihood of pregnancy is lower if the male has severe depression. It can be because of reduced libido, erectile dysfunction, or inhibited ejaculation.
• Weight – Being overweight can result in a hormonal change that might further reduce male infertility.

More resources about Male Infertility:

Male infertility treatment options

Natural remedies for male infertility

Lifestyle changes to improve male fertility

Counseling for male infertility 

Sperm DNA Fragmentation; Causes, Significance, Tests, and Treatments

Treatments for Male Infertility

There are various treatments for male infertility the options might include surgery treating infections or hormonal treatments.

#1. Surgery

It is often possible to correct a varicocele surgically or to repair an obstructed vas deferens. It is possible to reverse prior vasectomies. In cases where there is no sperm in the ejaculate, sperm can often be recovered from the testicles or epididymis using sperm recovery techniques.

#2. Treating infections

It is possible to cure an infection but it doesn’t always restore fertility.

#3. Treatments for sexual intercourse problems

Counseling and medication can help in improving fertility conditions such as erectile dysfunction or premature ejaculation.

#4. Hormonal treatments

In instances where infertility is caused by elevated or low concentrations of certain hormones or issues with how hormones are used by the body, your doctor may suggest hormone replacement or medication.

#5. Use of ART

ART treatments require obtaining sperm, depending on your particular situation and desires, through ordinary ejaculation, surgical extraction, or from donor people. The sperm is then placed into the female genital tract or used to inject sperm in vitro or intracytoplasmic.

Read more on this topic on Causes Of Male Infertility:

What is the IVF Process?

10 Easy Tips For a Successful IVF Cycle

How to Prevent Male Infertility?

While not all cases of male infertility can be prevented, some measures can be taken to reduce the risk. Consider the following:

1. Maintain a Healthy Lifestyle: Avoid smoking, excessive alcohol consumption, and illicit drug use.
2. Manage Environmental Exposures: Limit exposure to toxins and chemicals known to affect fertility.
3. Protect the Testicles: Avoid prolonged exposure to heat in the testicular area.
4. Seek Timely Medical Attention: Address any health conditions that may impact fertility promptly.

Conclusion

Male infertility can be a challenging condition for couples trying to conceive. Understanding the various causes and risk factors is crucial in seeking appropriate medical evaluation and treatment.

By making informed lifestyle choices and seeking expert medical guidance, couples can increase their chances of achieving successful conception and starting a family.

Therefore, there are many causes of male infertility but fortunately many ways to treat it as well. One should read carefully and then only go for the options in the treatment category.

The first step is knowing the condition and then opting for the right medical help.  A fertility expert can evaluate by doing a few tests and sperm analyses and guide you with a further treatment plan.

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Mobile: +91-8800481100  ( WhatsApp, Line, Viber)  

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FAQs Causes Of Male Infertility

1. What are the common causes of male infertility?

Common causes of male infertility include low sperm production, abnormal sperm function, and blockages that prevent sperm delivery. Illnesses, injuries, chronic health problems, lifestyle choices, and other factors may also contribute to male infertility.

2. How does age affect male fertility?

Age can negatively impact male fertility. As men age, sperm production may decline, and the quality of sperm may decrease, leading to decreased fertility and an increased risk of genetic abnormalities in offspring.

3. Can certain lifestyle habits contribute to infertility in men?

Yes, certain lifestyle habits can contribute to male infertility. Factors such as smoking, alcohol intake, illicit drug use, obesity, stress, and dietary practices can affect male reproductive health.

4. Are hormonal imbalances a potential cause of male infertility?

Yes, hormonal imbalances can be a potential cause of male infertility. Disruptions in testosterone and other hormone levels can affect sperm production and reproductive function.

5. What role does genetics play in male fertility issues?

Genetics can play a significant role in male fertility issues. Inherited disorders and chromosomal abnormalities can impact reproductive health and sperm production.

6. Can sexually transmitted infections lead to infertility in men?

Yes, certain sexually transmitted infections, if left untreated, can lead to infertility in men. Infections such as chlamydia and gonorrhea can cause damage to the reproductive organs.

7. Are there any environmental factors that can impact male fertility?

Yes, environmental factors such as exposure to toxins, chemicals, and radiation can impact male fertility by affecting sperm quality and production.

8. How does excessive stress affect male reproductive health?

Excessive stress can negatively impact male reproductive health by disrupting hormonal balance and reducing sperm quality and production.

9. Can certain medications cause infertility in men?

Yes, some medications can cause infertility in men. Certain drugs, such as anabolic steroids and some antifungal medications, may affect sperm production.

10. What impact does diet and nutrition have on male fertility?

Diet and nutrition play a role in male fertility. A healthy diet rich in nutrients, antioxidants, and essential vitamins can promote better sperm health and reproductive function.

Reference used:

Male infertility Cause and symptoms

Male infertility