Factors That Affect Male Factor Infertility
The fertility specialists at Arizona Associates for Reproductive Health provide diagnosis and treatment for male factor infertility. When a male partner has an inadequate sperm count, low testosterone, or anatomical complications, it can reduce the chances of conceiving. By understanding what contributes to male factor infertility, we can provide solutions.View transcript
Well, male infertility is a very common problem. In fact, about one in three of our couples that come into our clinic and throughout the reproductive world have a male infertility factor. Usually, this is because there is a problem with the testis. The testis itself can be deficient, in terms of producing hormones, as well as the sperm. Now, sperm are the messengers of the DNA from the man, and so basically, if those are deficient, then you're not going to be able to have adequate fertilization occur. And the reasons for deficient sperm production can be varied. It can be a primary problem with the testis itself, or it can be because of secondary hormonal problems, very similar to what women have also, such as thyroid deficiencies, hormonal problems of the pituitary gland itself, in terms of stimulating the testis to produce adequate testosterone and sperm. So one of the common problems these days, in 2014, in our era, is men with low testosterone. Now, sometimes low testosterone can just be a problem in terms of the symptoms that the man faces, such as increased fatigue, low libido, erectile dysfunction, so forth. But also low testosterone can signal that there's a problem in sperm production. Some of the men with low testosterone will come in and being treated by their primary care physician, urologist or endocrine physician with testosterone. That can be a real problem because testosterone, when it's given or administered to a male, he feels good. He feels energetic. He's got good libido, but that can suppress sperm production in the testis itself. In some conditions with men with male infertility, we can discover that there's actual anatomic problems with the testis. Now, these are obstructions of the vas deferens or some of the tubules. Just like women have Fallopian tubes, men have tubes that continue from their testis out through the urethra. So sometimes if there's absence of that tubule, that can be associated with a very common genetic disorder called cystic fibrosis. So in any couple that presents for diagnostic evaluation for infertility, we certainly want to evaluate the male first with a semen analysis. It's a very simple process for the man where we get a quantitative measurement and a qualitative evaluation of his sperm. So guys, if you think fertility issues are just related to women, just remember that one in three of you has a fertility problem related to either low testosterone or low sperm production. And so it's a pretty common problem guys, easy to test for. Come on into the clinic and get evaluated with a semen analysis and we can answer some of the questions.