While the journey to pregnancy can be straightforward for some, others face roadblocks along the way. For the nearly 15% of American couples who do not conceive within the first year of trying, their journey has an official label: Infertility. Many factors can contribute to fertility troubles, and the health of both partners plays an important role. In fact, male infertility accounts for about half of the couples who are unable to conceive.
The primary causes of male infertility include low sperm production, abnormal sperm function, or blockages that prevent the delivery of sperm. But while these tissues are sometimes the result of underlying health problems, they can also be caused by certain lifestyle factors. One recent study even suggests that the type of job a man has can significantly impact his chances of conceiving with a partner.
What can affect male fertility?
Other known risk factors that have been linked to infertility in men include:
- Smoking tobacco
- Excessive use of alcohol and marijuana
- Taking certain illicit drugs including anabolic steroids and cocaine
- Being overweight
- Suffering emotional stress
- Overheating the testicles – frequent use of saunas or hot tubs can temporarily lower the sperm count, as can sitting, wearing tight clothing, or working on a laptop for extended periods
- Exposure to toxins like benzenes, pesticides, herbicides, etc. which can lower sperm count
- Having certain, current or past STIs including chlamydia and gonorrhoea
- Experiencing a varicocele, a swelling of the veins that drain the testicles and can prevent normal cooling. This is the most common, reversible cause of male infertility. Varicoceles are often asymptomatic, but over time, they can enlarge and become more noticeable. Rarely, they can cause pain that varies from sharp to dull discomfort, increases with standing or physical exertion worsen over the course of a day, and is relieved by lying on the back.
- Performing certain prolonged activities like biking or horseback riding, especially on a hard seat or poorly adjusted bicycle
- Other medical causes include hormonal imbalances, sperm duct defects, undescended testicles, and tumours
What are the Signs of Male Infertility?
There may not be obvious signs or symptoms of male infertility other than the inability to have a child. Many men are not aware they have fertility problems until they attempt to conceive with a partner. But in some cases, signs and symptoms do arise, including:
- Problems with sexual function
- Pain, swelling, or lump in the testicle area
- Recurrent respiratory infections
- Decreased facial or body hair
What can I do?
If you are a man experiencing fertility problems, there are steps you can take to address the issue and certain lifestyle changes you can make to improve your chances of conceiving with a partner.
- Examine how your job is affecting your health. If your job is physically demanding, reducing the amount of heavy lifting you do could be beneficial
- Combat high blood pressure with a healthy diet and appropriate physical activity
- Maintain a healthy weight
- Practice stress management techniques
Make an appointment with your provider if:
- You are unable to conceive a child after a year of regular, unprotected sex
- You have erectile dysfunction or ejaculation problems, such as premature ejaculation or low sex drive
- You have pain, discomfort, a lump, or swelling in the testicle area
- You have a history of problems with the testicles, prostate, or sexual function, or have had surgery on the groin, testicle, penis or scrotum.
If you’re experiencing erectile dysfunction or premature ejaculation, then contact us to book a consultation to see one of our Urologists!