It is crucial to acknowledge that 30% of the couples we see have male factor infertility (usually sperm issues). It is usual for us to do a sperm test as part of our initial workup.
Let’s examine the most common male infertility issues, and what male fertility testing can tell us about sperm health:
Causes of male fertility Issues
Low Sperm Count (Oligospermia):
A low sperm count can be caused by lost of different things including hormonal problems, varicoceles (enlarged veins within the scrotum), certain infections resulting in temporary or permanent testicular damage, medications, chronic health conditions and using steroids from a gym. Lifestyle factors such as smoking, excessive alcohol consumption, substance abuse, and obesity also play a role. There are some genetic conditions that also lead to a reduction in sperm production (example Klinefelter’s syndrome). However it is very common for there to be no particular cause (idiopathic).
“With fertility issues, there can be an assumption that because it’s the woman trying for pregnancy, it must be her… But there could be a male fertility problem.” -Dr Erin Fuller