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Male Fertility: Understanding the Science, Risks, and Why It Cannot Be Ignored

Male Fertility: Understanding the Science, Risks, and Why It Cannot Be Ignored

Fertility discussions have historically focused on women. However, scientific data consistently shows that male factors contribute to approximately 40–50% of infertility cases.

Ignoring male fertility delays diagnosis and increases emotional burden on couples.

 

How Male Fertility Works

Healthy conception requires:

  • Adequate sperm count

  • Good sperm motility (movement)

  • Normal morphology (shape and structure)

  • Intact sperm DNA

Sperm production takes approximately 74 days. This means lifestyle changes today may influence sperm quality 2–3 months later.

What a Semen Analysis Evaluates

A semen analysis measures:

  • Sperm concentration (number of sperm per milliliter)

  • Total sperm count

  • Progressive motility

  • Morphology

  • Semen volume

  • pH balance

If abnormalities are detected, further testing may include:

  • Hormonal evaluation

  • Ultrasound for varicocele

  • DNA fragmentation index (DFI) testing

Common Causes of Male Infertility

  • Varicocele (enlarged veins in the scrotum)

  • Hormonal imbalance

  • Diabetes

  • Obesity

  • Smoking and alcohol use

  • Heat exposure (saunas, laptops on lap)

  • Occupational toxins

  • Chronic stress

Even mild abnormalities can reduce natural conception chances significantly.

Why Early Male Testing Is Critical

Many couples undergo months of female testing while male factors remain unexamined. A simple semen test can prevent unnecessary procedures.

Early male testing:

  • Saves time

  • Reduces unnecessary medication cycles

  • Creates balanced treatment plans

  • Prevents emotional strain

Fertility is not gendered. It is biological collaboration.

When both partners are evaluated together, treatment becomes precise and effective.

Dr. Vidyalatha Atluri

Infertility specialist

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