MALE INFERTILITY

Male Infertility

BHG is a leader in male infertility.  The sperm count of men in Western countries has been declining precipitously with no signs of “leveling off,” according to new research, bolstering a school of thought that male health in the modern world is at risk, possibly threatening fertility.  

Infertility affects approximately 1 out of every 6 couples. Male infertility factors contribute to approximately 30% of all infertility cases, and male infertility alone accounts for approximately one-fifth of all infertility cases.  Male infertility usually occurs because of sperm that are abnormal, because of inadequate number of sperm, or problems with ejaculation.

Causes

Male fertility is a complex process. To get your partner pregnant, the following must occur:

  • You must produce healthy sperm. Initially, this involves the growth and formation of the male reproductive organs during puberty. At least one of your testicles must be functioning correctly, and your body must produce testosterone and other hormones to trigger and maintain sperm production.
  • Sperm have to be carried into the semen. Once sperm are produced in the testicles, delicate tubes transport them until they mix with semen and are ejaculated out of the penis.
  • There needs to be enough sperm in the semen. If the number of sperm in your semen (sperm count) is low, it decreases the odds that one of your sperm will fertilize your partner's egg. A low sperm count is fewer than 15 million sperm per milliliter of semen or fewer than 39 million per ejaculate.
  • Sperm must be functional and able to move. If the movement (motility) or function of your sperm is abnormal, the sperm may not be able to reach or penetrate your partner's egg.

Health, lifestyle and other causes

Some other causes of male infertility include:

  • Illicit drug use. Anabolic steroids taken to stimulate muscle strength and growth can cause the testicles to shrink and sperm production to decrease. Use of cocaine or marijuana may temporarily reduce the number and quality of your sperm as well.
  • Alcohol use. Drinking alcohol can lower testosterone levels, cause erectile dysfunction and decrease sperm production. Liver disease caused by excessive drinking also may lead to fertility problems.
  • Tobacco smoking. Men who smoke may have a lower sperm count than do those who don't smoke. Secondhand smoke also may affect male fertility.
  • Emotional stress. Stress can interfere with certain hormones needed to produce sperm. Severe or prolonged emotional stress, including problems with fertility, can affect your sperm count.
  • Weight. Obesity can impair fertility in several ways, including directly impacting sperm themselves as well as by causing hormone changes that reduce male fertility.

Risk factors

Risk factors linked to male infertility include:

  • Smoking tobacco
  • Using alcohol
  • Using certain illicit drugs
  • Being overweight
  • Having certain past or present infections
  • Being exposed to toxins
  • Overheating the testicles
  • Having experienced trauma to the testicles
  • Having a prior vasectomy or major abdominal or pelvic surgery
  • Having a history of undescended testicles
  • Being born with a fertility disorder or having a blood relative with a fertility disorder
  • Having certain medical conditions, including tumors and chronic illnesses, such as sickle cell disease
  • Taking certain medications or undergoing medical treatments, such as surgery or radiation used for treating cancer

Complications

Infertility can be stressful for both you and your partner. Complications of male infertility can include:

  • Surgery or other procedures to treat an underlying cause of low sperm count or other reproductive problems
  • Expensive and involved reproductive techniques
  • Stress and relationship difficulties related to the inability to have a child

Prevention

Many types of male infertility aren't preventable. However, you can avoid some known causes of male infertility. For example:

  • Don't smoke.
  • Limit or abstain from alcohol.
  • Steer clear of illicit drugs.
  • Keep the weight off.
  • Don't get a vasectomy.
  • Avoid things that lead to prolonged heat for the testicles.
  • Reduce stress.
  • Avoid exposure to pesticides, heavy metals and other toxins.