IASH India: Institute of Andrology & Sexual Health India
Male Infertility – Meaning, Symptoms, Causes, Myths, Treatments

What is Male Infertility?

Male infertility is defined as the inability of a man that prevents him and his partner from getting a successful pregnancy without using any birth control. If a couple is trying to conceive a baby through regular physical activities for more than a year but still faces failure, then it is said that the male partner has infertility.

How Male Infertility Can Affect Someone’s life?

If through the medical tests, it is proven that the person has male infertility, then it creates a drastic change in a person’s life. Not only the person but his partner and the whole family are affected as infertility can also lead to failed marriages. Infertility can affect the bond of husband and wife, and sometimes the male partner feels so humiliated that his self-esteem gets very down. It can also affect his mental and physical health like depression and stress.

Infertility in Men and Women

Both women and men have infertility issues. According to a survey, it is shown that not only men but women are also equally responsible for infertility that can be seen in a couple. In 40-50 per cent of cases, a couple faces pregnancy failures because of the female partner, and men are 30 per cent responsible for it. In the rest of the cases, both couples are equally responsible for infertility.

Causes of Male Infertility

Infertility in a couple can be various, and when it comes to male infertility, various complex reasons result in low or no fertility. Several times the causes are identified quickly, and sometimes it’s not, but it also varies from person to person. Some of the major reasons for male infertility is due to the following biological condition:

  • Sperm Disorders

    Good and proper production of sperm quality also depends on the male reproductive organs. And after the complete formation of reproductive organs, your body must produce testosterone and several other necessary hormones that are required for good production and better sperm quality.

  • Not Able to Carry

    After sperm production in the body, it is important that the sperm be carried out with the semen through delicate tubes to the female reproductive part through ejaculation.

  • Hormonal Issues

    Male infertility can be seen because of the various hormonal imbalances in the body. Any change in the hypothalamus, pituitary, adrenal glands and thyroid can make a mal infertile.

  • Undescended testicles

    There are several times during fetal development that one or two testicles fail to descend from the abdomen into the sac that generally contains them. It is seen that with this type of cause, a man is more likely to have infertility.

  • Ejaculation Issue

    There are many ejaculation issues that are the major sexual problem in Men, Such as Dhat Syndrome, Premature Ejaculation, and Retrograde Ejaculation.

  • Testicular Problem

    Testicular problems are caused because of age issues, or some medications. It results in male infertility issues such as Varicocele, Epididymis, and Prostate Cancer.

Symptoms of Male Infertility

The main and most clear symptom is that after trying for a long time the inability to conceive a child. But there are many other signs that you can look for before getting too late.

There are some cases that have an underlying problem such as an inherited disorder, hormonal imbalance, the vaines can be dilated around the testicle, or maybe the issue of having sperm passage blockage. Other signs and symptoms that you can notice are:

  1. Issues in sexual function like a small volume of fluid, difficulty in ejaculation, low libido, or having to maintain hardwood.
  2. The problem is smelling things.
  3. Signs of a chromosomal or hormonal abnormality like a decrease in facial and body hair.
  4. Swelling, pain, or lump in the testicle area
  5. Abnormal breast growth.
  6. Drop in sperm count which is lower than the 15 million per ML of sperm or a total of a 39million per ejaculation.
  7. Recurrent respiratory infections

How Infertility In Men Tested?

Many infertility issues can be present in a single body, which makes it more critical to evaluate and diagnose sexual dysfunction. It is advised to visit the best sexologist in Jaipur.

Dr. Chirag Bhandari evaluates and treats sexual dysfunctions in males after a careful and proper diagnosis of the problem. Many doctors prescribe several tests to determine the cause of male infertility, but in several cases, the reason is unidentified.

We suggest two primary Male Infertility tests can be tested by the following methods:

  • General physical examination and medical history

    In this, the sexologist examines your genitals conditions and any inherited conditions, illness, past surgeries, injuries, and various other health conditions that can be the reason for male infertility. The doctor then asks about your routine behaviour, sexual desires, and also sexual development.

  • Semen Analysis

    Semen samples that are given from your side are checked under laboratories, which are obtained through ejaculation or masturbation. This analysis is done to determine sperm quality, measure the sperm count, and check any other abnormalities like low motility or shape issues.

We may prescribe Testicular biopsies or testicular ultrasounds sometimes.

What are the Hormonal Levels Necessary for Male Infertility

It is necessary to maintain the right amount of hormonal levels in men. An ideal hormonal level is significant in the process of pregnancy, and the FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone) are two very vital hormones that are required for attaining successful pregnancy. A low level of these hormones can directly affect sperm count and make a male infertile for a lifetime.

It is essential to ejaculate as the semen that is discharged through single ejaculation consists of more than 15 million sperm per millilitre for attaining successful pregnancy.

It is said that the optimum number of sperm counts necessary for fertility is 20 million sperm per millilitre.

You are too heavy for your sperm and Eggs! Worldwide obesity rates have drastically gone up in the last decade. Globally 650 million are obese and 135 million are from India alone.

Obesity or being overweight impacts fertility potential in both men and women and is one of the leading causes of infertility in couples these days.

Elements, Definition & Range of Hormonal Levels

ElementDefinitionReference Range
Semen volumeThe total amount of fluid ejaculated>1.5 mL
Sperm concentration (commonly known as ‘sperm count’)The number of sperm in a measured volume of the ejaculate is counted. The sperm concentration is reported as the number of sperm per mL of semen.>15 million per mL
Total sperm number (also known as ‘total sperm count’)The total number of sperm in the ejaculate, calculated by multiplying the semen volume by the sperm.>39 million
Sperm motility (the ability of sperm to swim or move forward)The number of motile (moving) sperm is compared to the number of non-motile sperm and is reported as a percentage of the total number of sperm.>40% motile within 60 minutes of ejaculation
Sperm vitality (‘live’ sperm)The number of sperm in the sample that is ‘alive’ as a percentage of the total number of sperm.>58%
Sperm morphology (the shape of the sperm)The number of ideally shaped sperm (referred to as ‘normal’) is compared to the number of imperfectly shaped sperm (often referred to as ‘abnormal’), reported as a percentage of the total number of sperm.>4%
White blood (inflammatory) cellsOften found in the semen. Large numbers of white blood cells in the ejaculate can be a sign of an infection of the reproductive tract. However, in some healthy men, it happens for no known reason.< 1 million per mL Semen pH Measured to test if the ejaculate is acidic or alkaline. Semen should be slightly alkaline. More acidic semen, together with a low amount (volume) of semen, may mean there is a blockage in the flow of semen. >/= 7.2
Sperm antibodiesNormally done in specialized laboratories using methods approved by the World Health Organization.<50% motile sperm showing antibody activity

Myths about Male infertility

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  • Infertility is a problem for females only

    When it comes to unsuccessful pregnancy, the hand goes directly to the female partner as she is responsible for carrying the baby. But it is not true as there are many times when the male partner equally contributes to infertility, which results in continuous failures. For example, low sperm quality, low motility, and testosterone level are also some significant causes that create pregnancy failures.

  • The root cause of the male sexual problem is masturbation

    There are various myths that people who masturbate pretty often tend to get infertility sooner or faster as compared to ones who don’t. But it is essential to understand that if done within

    limits and not in excess masturbation, it is not unhealthy for the body. But excess is still prohibited.
  • Test tube babies mean that babies are formed in actual test tubes there are several couples, especially females, who think that a test tube baby means that the babies are born in test tubes in laboratories. A test-tube baby is a name given to the embryo that is formed through the process of in In-Vitro Fertilisation in which the female’s eggs fertilize the man’s sperm. And that embryo is implanted back into the female body for achieving a successful pregnancy.

  • The root cause of all the sexual problems are only psychological

    Men usually overlook the fact that sexual problems are related to both physical and mental health. And that’s why they think that the root cause of all their sexual issues is because of their mental health. Research has also proved that 80% of sexual dysfunction is seen because of physical factors.

  • Babies born by IVF are not normal

    In-Vitro Fertilisation is a natural process in which the male partner’s eggs are combined with female eggs to bring out fertilization, just like the normal process. The only difference is that fertilization takes place outside the body in IVF. This means the babies born through the IVF process are just like other babies who are born by natural processes.

  • IVF cannot be done at old age

    It is vital to understand that the success rates of IVF decrease as the age of the female increases. The success rates of IVF for females below the age of 35 are 40% and it keeps dropping with age.

Male Infertility Treatments

Many male infertility treatments are followed in India. Dr. Chirag Bhandari is an experienced andrologist who has the skills and knowledge to use revolutionary therapy with advanced technology. His treatments involve:

  • Infertility and Psychotherapeutic Treatment

    Infertility is an issue that is related to all aspects of your life, and generally, in some cases, the reason for infertility can be seen because of psychological problems and not any physical issues.

    Men may be shocked when they find out they are infertile. There is still a common but incorrect belief that infertility is a woman’s problem. Therefore, when men are told there is a sperm problem, they are often unprepared.

    They are being told that a sperm problem can affect a man’s sense of masculinity, sexuality, and potency. At some time, most infertile men struggle with the idea that they are not able to do what other men can.

    An emotional response to infertility is normal. Talking with a doctor or a sexual therapist or counsellor can help some men with their feelings about infertility.

    Not having an excellent marital bond or a lack of communication between the couple can also give rise to pregnancy failures. Nowadays, in addition to physical issues, doctors are also concerned about psychological issues, and that’s why they also offer psychological therapies and treatments to overcome infertility.

    With the help of professional sex psychological knowledge, IASH has helped couples to overcome their infertility issues to attain parenthood. We provide therapies to make the bond between the couples stronger and to help them overcome their stress and conflicts.

    Couples counselling is a very effective way that is used to overcome sexual problems like erectile dysfunctions, Retrograde Ejaculation. The doctor says that most men having stress-related ED can be easily treated with a couple of counselling therapies under professional psychotherapists. We can help a couple to improve their sexual communication and skills as well, which in return can easily solve ED.

  • Infertility and medical treatment

    If the psychological treatments and counselling don’t work for the couple, then the second option goes with medical procedures. After evaluating the root cause of the issue, sex doctors offer various medical solutions that can be used to overcome infertility. Various new technologies are proven to give 100% successful pregnancy and are known as Assisted Reproductive Techniques. In-Vitro Fertilisation and Intra-Uterine Insemination are done to make a woman pregnant naturally. There are some medical treatments prescribed by the doctor.

    • Biothesiometer to check Sensations in Penis
    • Shockwave Therapy From Germany for improving your Erections
    • Biofeedback From the Netherlands to Strengthen your Pelvic Floor Muscles, Muscles responsible for Erection and Ejaculation.
    • Haag-Streit High Power Microscope From the USA for Male Infertility Surgeries.
  • Better Living style

    There are some common and natural treatments that are popular among people. People who believe in homeopathy and ayurvedic medicine try their luck first with them, But they often lose their patience with prolonged treatment. The famous natural treatments are

    • Exercise: Doing exercise can actually improve your health, both physically and sexually. By doing at least a half-hour experience, a say can improve a man’s sperm quality and count as well. Running and jogging can help to improve the sperm’s motility too. And excessive and intense training is related to a significant change in the semen quality of a person.
    • Food: The food diet of a person can have a major role in improving fertility and the hormonal level necessary for improving semen quality. Food that is rich in Vitamin D, Zinc, Vitamin C, and Folic Acid is proven to improve the quality of the sperm. You can add these foods- like walnuts, Tomatoes, Blueberries, Pomegranate, Dark Chocolate, Lentils, and Pumpkin Seeds to increase your infertility.
    • Ayurvedic: Ayurveda is believed to increase male fertility, which results in a successful pregnancy. The most common ayurvedic treatments used to improve male infertility are – Mucuna Pruriens, Shilajit, Safed Musli, and Ashwagandha are some of the best treatments to treat infertile males.
    • Homeopathy: Homeopathy is proven to create the fastest impact on infertility. Not only is it practical, but it is safer and comes with no side effects. Homeopathic treatments take around 2-3 months to show their results, but the impact of the procedures on the body nullifies the time factor up to a great extent.

What Questions might a healthcare provider ask to diagnose male infertility?

  • How long have you been attempting to conceive with your partner?
  • Have you ever successfully gotten a partner pregnant?
  • Are you a smoker? ingest alcohol? use drugs for recreation?
  • What drugs are you taking?
  • Do you spend your days in a workplace where toxins are present?
  • Have you ever had a groyne injury from something like a car accident?
  • Do you suffer from any mental health conditions like clinical depression?
  • What health issues do you have? Diabetes? an autoimmune condition?
  • Have you ever come into contact with radiation?

Take Away from This Blog

If a couple has been trying for a pregnancy without success, they should Visit IASH to cure infertility problems in males.

Infertility should be considered as a disease requiring a review of both the male and female partners even if one partner has a child from another relationship. Male infertility may be a sign of other (possibly undiagnosed) health problems such as testosterone deficiency or coexisting testicular cancer, so it is important that it is investigated.

Frequently Asked Questions

Q1. Is male infertility permanent?

Ans. Not all male infertility is permanent or untreatable; it is not uncommon for men to treat infertility through one or a combination of actions. Alternative medicine. However, certain types of herbs may be harmful.

Q2. Can a man with no sperm have a baby?

Ans. Azoospermia is a severe cause of male infertility, but there are possible treatment options. Some men may still be able to have a genetic child after a diagnosis of azoospermia, while others may need to consider using a sperm donor or looking at adoption, foster parenting, or living a childfree life

Q3. At what age does men’s fertility decrease?

Ans. 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 the time to pregnancy (the number of menstrual cycles it takes to become pregnant) and the risk of miscarriage and fetal death.

Q4. How can I check my sperm count at home?

Ans. You must use the home kit provided. Another way to test your sperm count is using a device called SpermCheck male fertility. It is fairly easy to use and to find out one’s sperm count in 30 minutes. It looks somewhat like a female pregnancy test wherein you place your sample using a dropper in the testing device.

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