Are You at Risk for Male Infertility?

Male infertility can get in the way of growing your family. In 35% of couples, both the man and woman have factors that make it hard to conceive. In 8% of couples with infertility, issues with the man’s fertility is the sole reason they can’t get pregnant.
If you’ve been diligently trying to conceive for an entire year with no success, or you’re older than 35 and have been trying for six months, it’s time to seek a professional evaluation. At California Center for Reproductive Health, our team can identify the cause of infertility and offer treatment so you can build your family.
We look at both the man and the woman’s reproductive health. Here’s what puts a man at risk for infertility.
First, the basics
Conception can only occur when a man’s sperm combines with a woman’s egg. The man’s testicles are the organs responsible for making and storing sperm. They must be fully developed and functioning. His body also needs to produce adequate testosterone and other hormones necessary to maintain sperm production.
Sperm are then carried to semen, but if there is a blockage in the reproductive tract, they may never get there. A man’s semen has to have enough sperm. If it doesn’t, a man has what’s known as a low sperm count and has a harder time getting his partner pregnant.
The semen is then delivered to the female reproductive tract during ejaculation. The sperm must be mobile. If they are particularly slow or abnormal, they may not be able to make the necessary trip to the fallopian tubes to fertilize an egg.
Men at risk
The most common factors leading to male infertility include:
- Past inflammation of the prostate
- Past genital infections
- Early or late puberty
- Twisting or other injury to the testicles
- Exposure of the genitals to high temperatures
- Hernia repair
- Undescended testicles
Prescription medicines for ulcers, psoriasis, depression, and high blood pressure can also cause problems with male fertility.
Environmental factors, like extended exposure to certain pesticides and painting materials, heavy metal exposure, and exposure to high levels of radiation, put a man at risk of infertility. In some of these cases, the effects are temporary.
Being overweight, smoking, excessive alcohol use, and drug use also can temporarily affect male fertility by causing the testicles to shrink and inhibiting sperm production.
Solutions
At California Center for Reproductive Health, we can narrow down the cause of your infertility and offer treatments. Sometimes, the treatment includes optimizing your lifestyle, like helping you quit smoking, change hot tub and sauna habits, reduce stress, avoid illicit drugs, minimize alcohol intake, and maintain a healthy weight.
We may also recommend that you undergo advanced testing for issues like antisperm antibodies, abnormal sperm DNA fragmentation/sustainability, or a central hormonal imbalance.
We’ll treat any detected problems medically or use assisted reproductive technology (ART) that includes in vitro fertilization and intracytoplasmic sperm injection.
At California Center for Reproductive Health, we provide advanced fertility support to all people in the Southern California area who are struggling to conceive. Call our nearest office or use this website to request a consultation.
Eliran Mor, MD
Reproductive Endocrinologist located in Encino, Santa Monica, Valencia & West Hollywood, CA
FAQ
Reproductive endocrinology and Infertility is a sub-specialty of Obstetrics and Gynecology. In addition to managing medical and surgical treatment of disorders of the female reproductive tract, reproductive endocrinologist and infertility (REI) specialists undergo additional years of training to provide fertility treatments using assisted reproductive technology (ART) such as in vitro fertilization.
Reproductive endocrinologists receive board certification by the American Board of Obstetrics and Gynecology in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility.
In general, patients should consider consulting with an REI specialist after one year of trying unsuccessfully to achieve pregnancy. The chance of conceiving every month is around 20%, therefore after a full year of trying approximately 15% of couples will still not have achieved a pregnancy.
However, if a woman is over the age of 35 it would be reasonable to see a fertility specialist earlier, typically after 6 months of trying.
Other candidates to seek earlier treatment are women who have irregular menses, endometriosis, fibroids, polycystic ovary syndrome (PCOS), women who have had 2 or more miscarriages, or problems with the fallopian tubes (prior ectopic pregnancy).
Approximately 1/3 of the time cause for infertility is a female factor, 1/3 of the time a male factor, and the remaining 1/3 a couples’ factor.
At CCRH, we emphasize the importance of establishing a correct diagnosis. Both partners undergo a comprehensive evaluation including a medical history and physical exam.
Furthremore, the woman’s ovarian reserve is assessed with a pelvic ultrasound and a hormonal profile. A hysterosalpingogram (HSG) will confirm fallopian tube patency and the uterine cavity is free of intracavitary lesions. A semen analysis is also obtained to evaluate for concentration, motility, and morphology of the sperm.
Additional work up is then individualized to direct the best possible treatment option for each couple.
In vitro fertilization (IVF) is the process that involves fertilization of an egg outside of a woman’s body.
The process starts with fertility drugs prescribed to help stimulate egg development. In your natural cycle, your body is only able to grow one dominant egg, but with stimulation medication we can recruit multiple eggs to continue to grow. After about 8-10 days of stimulation, the eggs are surgically retrieved and then fertilized with sperm in a specialized laboratory. Fertilized eggs are then cultured under a strictly controlled environment within specialized incubators in the IVF laboratory for 3-5 days while they develop as embryos. Finally, embryos (or an embryo) are transferred into the uterine cavity for implantation.
Before deciding if IVF is the right choice, it’s important to sit down with an REI specialist to discuss available treatment options. For some people, other methods such as fertility drugs, intrauterine insemination (IUI) may be the best first choice treatment. At CCRH, we believe each individual couple is unique and not everyone needs IVF.
While not painful, the fertility medications may some side effects including headaches, hot flashes, mood swings, and bloating. The injection sites may also bruise.
Unfortunately, no. Many people think once they start IVF it’s a matter of time that they will be pregnant and have a baby. But according to national statistics per the Society of Assisted Reproduction (SART), on average 40% of assisted reproduction cycles achieve live births in women under age 35. The chances of success then continue to decrease with advancing age.
At CCRH, we employ only evidence-based interventions to ensure patient safety and optimal outcome. While we cannot guarantee a baby, we guarantee that you will receive the best, most advanced, personalized care to help you maximize your chance of a baby.
The average IVF success rate (success measured in live birth rate) using one’s own eggs begins to drop around age 35 and then rapidly after age 40. This is due to the decline in egg quantity and egg quality as a woman ages.
Our clinic’s success rate consistently beats the national average year after year.
Individual insurance plans often do not have any coverage for infertility treatments. If you have a group plan, you can call members services to see if they have coverage for infertility (including consultation/workup and IVF).
After your consultation with our REI specialist, one of our dedicated account managers with sit with you to go over the cost of treatment.