Most Common Fertility Problems in Men

The inability to procreate can be an extremely painful experience for any man who wishe to have children.  There are many reasons why some men find it difficult, if not inpossible to impregnate their female partners. Ten percent 10% percent of couples in the US  having difficulty conceiving and 20% of those are as a direct result of male infertility.

The normal sperm count is 20 million per milliliters, 10 million per millilitres is considered low and 40 millilitres is an indication of increased fertility, whilst a zero sperm count is an extremely rare occurrence.

Healthy sperms are perfectly shaped that move rapidly and accurately in their singular purpose to reach their final destination, which is the female egg. The two most common causes of male infertility are abnormally shaped sperms and poor sperm production.  Abnormally shaped sperms can neither move rapidly nor accurately and as a result fail to reach their target. 

The advice given to couples by fertility experts is that if they are regularly participating in unprotected sex for six to twelve months and a pregnancy fails to materialise, then it is time to consult their physician.  The good news here is that 90% of male infertility problems can be successfully treated through surgical intervention, artificial insemination of the female using a sperm donor, invitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI).

Male infertility can be caused as a result of infections acquired through sexually transmitted diseases such as gonorrhoea and Chlamydia.  These infections cause scarring which in turn lead to blockage in the ejectlatory duct.  Heredity factors such as Cystic fibrosis and chromosonal disorders can also affect sperm production.

Birth defects can impact on male ability to produce sperm, such as hypospadias which is the abnormal placement of the urethra that can affect the accurate delivery of sperm.  This condition can readily be corrected surgically, whilst testosterone deficiency and undescending testicles can cause the sperm to overheat and die as a result.  Poor general health, lifestyle issues, and environmental factors can all be significant contributing factors when it comes to male infertility.

Lifestyle and health issues are also important considerations. These include alcohol and drug abuse, obesity, malnutrition, the toxic side-effects of cancer treatment, thyroid disease, anaemia, psychological or relational problems and emotional stress.

Certain environmental factors have also been identified, such as working with pesticides and other toxic chemicals, smoking or spending long periods in smoke-filled environments and substance abuse.

Other contributing factors includes ineffective sperm delivery during sexual intercourse, pain during intercourse, premature ejaculation and erectile dysfunction can all massively impact on the ability to impregnate.  The use of certain lubricants have also been known to destroy ejaculated sperm and interfere with delivery.

Surgical procedures such as a vasectomy not only block the ejaculatory duct and prevent the sperm from entering the seminal fluid, in some cases the surgical procedure can also cause antibodies to develop, which can further serve to inhibit fertilisation by weakening or disabling the sperm.  This can pose a problem should there be a wish to reverse the procedure.

The decision to consult the physician about infertility problems can provoke many direct questions which should be answered with truth and honesty, if a successful diagnosis is to be made.  A full physical examination will be undertaken and will include laboratory examination of the seminal fluid, obtained either by masturbation or by the interruption of sexual intercourse.  Other diagnostic tests include, hormone testing, trans-rectal and scrotal ultrasound.

Infertility is no longer the taboo subject it once was, as it is now ably assisted by the intervention of modern technology and advancing medical science which can help to resolve most male infertility problems.