What is Male Infertility?

Male infertility refers to a situation where a couple has been unable to conceive for at least two years despite regular, unprotected sexual intercourse, with the male contributing to the issue.

What are the Common Causes of Male Infertility?

Male Infertility causes include:

  • Previous surgeries: Surgeries such as vasectomy or those on the prostate or testicles can impair the sperm’s ability to reach the female body.
  • Varicocele: Swollen veins in the testicle can affect sperm quantity and quality.
  • Undescended testicles: Failure of one or both testicles to descend during childhood can lead to decreased fertility.
  • Defects in sperm transport tubules (vas deferens): Blockages in the tubes that carry sperm from the testis to the penis can arise from surgery, infections, or developmental issues.
  • Chromosome defects: Inherited conditions like Klinefelter’s syndrome can cause abnormal development of reproductive organs.
  • Tumors: Cancers or nonmalignant tumors can directly affect reproductive organs or hormone-producing glands.
  • Infection: Infections, including sexually transmitted infections, can hinder sperm production.
  • Ejaculation issues: Conditions like retrograde ejaculation can cause semen to enter the bladder instead of exiting through the penis.
  • Sexual intercourse problems: Issues such as erectile dysfunction and premature ejaculation can interfere with sexual activity.
  • Certain medications: Drugs like testosterone replacement therapy, long-term anabolic steroids, and some cancer medications can impair sperm production.

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Hormonal Problems Causing Infertility in Men

Hormonal imbalances can lead to infertility, resulting from issues with the testicles or other hormone-producing areas. These include:

  • The hypothalamus: A brain region that controls many functions and sends signals to various glands to regulate hormonal secretions, such as gonadotropin-releasing hormone, which stimulates testosterone production.
  • The pituitary gland: A small gland in the brain that regulates growth, metabolism, and reproduction by producing FSH, which stimulates sperm maturation.
  • The thyroid: This gland can influence FSH production from the pituitary.
  • The adrenal glands: These glands partially stimulate the production of male hormones.

Low testosterone (male hypogonadism) and other hormonal issues can arise from impairments in one or more of these regulatory systems, contributing to infertility if not treated properly.

How is Male Infertility Diagnosed?

Your urologist will begin by reviewing your medical, family, and surgical history. Based on this detailed information and a physical examination, the doctor will develop a diagnosis plan that may include:

  • Semen Specimen Analysis: To evaluate sperm concentration, count, and quality.
  • Hormonal Profile: Testing to identify any hormonal abnormalities that could be contributing to the issue.
  • Genetic Testing: In some cases, this may be necessary, as certain genetic disorders can lead to low sperm concentration.
  • Urinalysis After Ejaculation: To determine if sperm are returning to the urinary bladder upon release.
  • Ultrasound: This may be abdominal, scrotal, or transrectal to identify any abnormalities in the male pelvis and urinary tract.
  • Urological Endoscopy: This procedure allows visualization of the urinary tract lining, enabling the detection, biopsy, and possible removal of any obstructions or abnormal lesions during the same session.

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What Treatment Options are Available for Male Infertility?

Infertility treatments for male vary based on the underlying cause, here are the options:

  •  Counseling: For issues like premature ejaculation, coaching can be effective in addressing psychological factors and improving sexual function.
  • Antibiotics: If an infection is the cause, antibiotics or other specific medications can help clear it up and restore normal function.
  • Hormonal Therapies: In cases of hormonal imbalances, treatments like testosterone replacement therapy may be necessary to restore hormonal levels.
  • Assisted Reproductive Technology: For couples facing infertility issues that can’t be resolved through other means, techniques like IVF can be beneficial.

Each case is unique, so it’s essential to work with your urologist to determine the best course of action.

Risk Factors of Male infertility

Several lifestyle factors can significantly impact male fertility. They include:

  • Obesity and Overweight: Excess weight can affect hormone levels and lead to reduce sperm quality and production.
  • Smoking: Tobacco use is linked to decreased sperm count and motility, as well as increased DNA damage in sperm.
  • Alcohol Consumption: Heavy drinking can lead to hormonal imbalances and reduced sperm production.
  • Anabolic Steroids: While they may enhance muscle mass, steroids can negatively affect testosterone levels and impair sperm production.
  • Radiation Exposure: Exposure to certain types of radiation can harm sperm production and overall reproductive health.

Addressing these factors through lifestyle changes can improve fertility outcomes.

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Can Male Infertility be Prevented?

Reducing exposure to risk factors can help prevent male infertility.

Properly addressing issues like undescended testicles, varicocele, and timely treatment of testicular torsion or trauma can also make a difference.

Why Choose Reem Hospital for Male Infertility Treatment?

At Reem Hospital Abu Dhabi, our state-of-the-art technology and specialized doctors with extensive experience enable us to accurately diagnose and treat male infertility. With wide insurance coverage and streamlined logistics, we are committed to delivering exceptional care and ensuring patient satisfaction.

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Written By
Dr. Rahaf Wagdy

Medical Content Writer

Dr. Rahaf Wagdy is an Egyptian nuclear radiologist and medical content creator who merges her clinical expertise with digital creativity. With over five years of experience in medical content writing in both Arabic and English, she is dedicated to simplifying...

Medically Reviewed By
Dr. Hamdy Aboutaleb

Consultant Urology

Dr. Hamdy Aboutaleb is a highly accomplished Urologist with more than 25 years of experience in the field. He completed his undergraduate studies at Menoufia University in Egypt, and his academic journey continued with the successful completion of a Master’s...

Meet Our Andrologists/Urologists

Dr. Hamdy Aboutaleb

Urology
Consultant Urology
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Dr. Maciej Szwedowski

Urology
Consultant Urologist
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Dr. Madeh El Walili

Urology
Specialist Urology
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Male Infertility Treatment FAQs:

  • Can male infertility be treated with medication?

  • How long does it take to see results from infertility treatment?

  • When should I see a specialist for male infertility?

  • Can stress cause male infertility?

  • Does age affect male fertility?

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