Male infertility can be caused by
Causes of male infertility
These may include: Abnormal sperm production or function due to undescended testicles, genetic defects, health problems such as diabetes, or infections such as chlamydia, gonorrhea, mumps or HIV. Enlarged veins in the testes (varicocele) also can affect the quality of sperm.
Not all male infertility is permanent or untreatable; it is not uncommon for men to treat infertility through one or a combination of actions.
Symptoms and Causes
Possibilities include: Azoospermia: Your infertility can be related to your inability to produce sperm cells. Oligospermia: The production of low or poor quality sperm. Genetic diseases: Examples include Klinefeflter's syndrome, myotonic dystrophy, microdeletion and more.
Medication can treat some issues that affect male fertility, including hormone imbalances and erectile dysfunction. Surgery can be effective for repairing blockages in the tubes that transport sperm. Surgery can also be used for repair of varicocele.
Obesity, too much alcohol, and smoking cigarettes all negatively affect sperm count and overall sperm health. So does stress. In fact, stress can actually cause sperm abnormalities and lower sperm concentration.
Male fertility generally starts to reduce around age 40 to 45 years when sperm quality decreases. Increasing male age reduces the overall chances of pregnancy and increases time to pregnancy (the number of menstrual cycles it takes to become pregnant) and the risk of miscarriage and fetal death.
Male infertility can be caused by low sperm production, abnormal sperm function or blockages that prevent the delivery of sperm. Illnesses, injuries, chronic health problems, lifestyle choices and other factors may contribute to male infertility.
In general, fertility starts to decline for men when they're in their late 40s, with up to a 23% annual decline in fertility beginning at age 39. One study suggested that conceiving during a 12-month period was 30% less likely for men who were over the age of 40 compared to men who were under 30 years old.
Low sperm count symptoms might include: Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction) Pain, swelling or a lump in the testicle area. Decreased facial or body hair or other signs of a chromosome or hormone abnormality.
First, doctors will request a semen analysis – a test to look at your sperm. You ejaculate into a cup, and your sperm will be analyzed under a microscope. To get the best results, do not ejaculate for two to five days before your visit.
Bottom line: Men generally see a decrease in fertility beginning at 35, and the decline progresses from there. The age men are most fertile may be between 30 and 35, but we haven't yet determined a specific window of peak fertility.
excessive alcohol consumption, smoking and using drugs such as marijuana or cocaine. certain medications, including testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), some antibiotics and some antidepressants. being overweight or obese.
Men can produce sperm from puberty to a ripe old age and continue to father children as long as they do so. Women, on the other hand, have a limited fertile window. Past 51 – the average age of menopause – they cease to release any eggs and become infertile. Both men and women are delaying having children.
Dietary changes that promote a higher sperm count include reducing the intake of trans fatty acids and increasing polyunsaturated fatty acid and vitamin D intake. Maintaining a healthful, balanced diet that includes plenty of fruits and vegetables is the best way to boost sperm count through the diet.
Semen can become watery or thinner than usual if someone masturbates or engages in sexual activity multiple times each day. In this case, abstaining from sexual activity for a few days may help treat the issue. Watery semen can sometimes indicate that a person has a low sperm count or reduced semen quality.
Some at-home tests also check how well sperm can move. For a home sperm test, you collect a semen sample by ejaculating into a small cup. A home sperm test may be appealing because you can do it in the privacy of your own home. Results are often ready within a few minutes.
For healthy semen samples collected between 5:00am and 7:30am were found to exhibit a statistically higher sperm concentration, total sperm count and a higher percentage of normally shaped sperm, compared to samples produced later in the day.
Experts say the best time to get pregnant is between your late 20s and early 30s. This age range is associated with the best outcomes for both you and your baby. One study pinpointed the ideal age to give birth to a first child as 30.5. Your age is just one factor that should go into your decision to get pregnant.
Semen analysis is probably the first test you will be asked to perform. Semen is the fluid that is released when a man has an orgasm. Semen carries the sperm in fluids that should nourish and protect it. You will typically be asked to provide a semen sample by masturbating into a sterile glass jar.
Your health care provider will study your sperm volume, count, concentration, movement ("motility"), and structure. The results of the semen analysis tests tells about your ability to conceive (start a pregnancy). Even if the semen test shows low sperm numbers or no sperm, it may not mean you are permanently infertile.
There is no specific frequency with which a man should ejaculate. There is no solid evidence that failure to ejaculate causes health problems. However, ejaculating frequently can reduce the man's risk of getting prostate cancer. Ejacu-lation can be through having sex or masturbating a few times a day.
No, you can't run out of sperm. Your testes are always making new sperm, which means you'll have a constant supply even if you're masturbating a lot and/or having sex every single day. Having said that, it is possible to have a “dry orgasm”. This is where you reach a sexual climax, but don't ejaculate any semen.
Seeing a male infertility specialist
We start with a good conversation, a comprehensive physical exam, a semen analysis and blood tests. This often points the doctor in the right direction, allowing a specialized treatment plan to be made. Many times, the problem is correctable.