Male infertility refers to any medical condition in a man that diminishes the likelihood of his female partner achieving pregnancy through unprotected sexual intercourse. Infertility can stem from various factors affecting both men and women. Notably, in more than a third of infertility cases, the issue resides with the male partner. There are several male infertility treatments available today.
When couples are having difficulty conceiving, often the medical workup looking into causes starts with the female. But approximately 20% of all couples that are trying to conceive have difficulty only because of male factors, and another 30% of the time both male and female factors play a role. So, 50% of couples have difficulty conceiving either in part or completely due to an issue with male subfertility!
What’s more alarming is that even though frequently the male side gets relegated to a secondary role when it comes to fertility, and therefore not tested or tested late in the process, issues with male fertility can be either corrected completely or improved on. This leads to the female getting put through extensive – or possible even unnecessary – testing and treatment.
Furthermore, issues with male fertility can be one of the few early chances to address health issues that can compound as one ages. It is a window of opportunity that, if taken, can lead to healthier lives later in life.
The workup for male infertility usually starts after a couple has been trying to conceive unsuccessfully for 6 months to a year, but if there are known issues that may prevent fertility the workup may start prior.
Often a semen analysis is performed at the onset of that evaluation. A semen analysis, also known as a sperm count or spermogram, is a laboratory test that evaluates various parameters of semen to assess a man's fertility. Here are some of the key parameters measured in a semen analysis and what they signify:
Find out more about the various causes of male infertility below.
Low Sperm Count - Find out what the definition of low sperm counts are, and the possible causes
No Sperm - This condition is referred to as azoospermia. Find out the possible causes of azoospermia, and the treatment options.
Normal Sperm Counts - Even though a man has a normal sperm count, there still may be an underlying issue that is leading to male factor infertility. Find out more.
Vasectomy Reversal - It is estimated that 5% of men who undergo vasectomy have regret about doing so and wish to reverse the process. Find out here what the options are.
Sperm Cryopreservation - There are times when an anticipated or unanticipated event takes place (e.g. surgery, vasectomy, medical therapy, fatal illness, etc) and a couple may want to preserve sperm for future. Find out more information about sperm cryopreservation here.
Male infertility encompasses a wide variety of potential issues. There are genetic, hormonal, environmental, and anatomic issues that can be contribute to suboptimal sperm counts.
The above is not an exhaustive list. However, there are many reasons for hope if there is an issue with a man’s sperm count. Many of the above conditions can be corrected. Furthermore, even if not corrected completely, in the majority of cases a man’s sperm count can be improved, which can lead to improved outcomes.
It is important to realize that fertility involves at least two individuals, and it is important to evaluate the female counterpart, just as it is important to evaluate the male. As such, for achieving fertility, it becomes less like other forms of medicine in the sense that we deal with probabilities rather than absolutes. For example, when an individual has diabetes or hypertension, there are established reference ranges that determine those conditions. Though those reference ranges can change over time, they still represent thresholds for identifying a person as diabetic or having hypertension.
With fertility, we talk much more about probabilities. There is a probability that a male will be able to have children, and a probability that a female will be able to have children. Our goal is to increase the probability on the male side to achieve a pregnancy, and by doing so increase the overall chances of success.
Male infertility is relatively common, affecting about 7-10% of men worldwide. It can result from various factors, as listed below.
Yes! Almost always, there is something that can be done, either with medications, surgical interventions, lifestyle changes or (most commonly) a combination of the above. Learn more about what can done with each specific condition below.
Yes, certain medical conditions such as diabetes, hypertension, and hormonal disorders can contribute to male infertility by affecting sperm production or function.
Smoking can harm sperm quality and male fertility by causing DNA damage to sperm cells, reducing sperm count, and impairing sperm motility.
Steroid use, particularly anabolic steroids, can disrupt the body's hormonal balance. It may lead to decreased sperm production and potential male infertility.
Stress and mental health issues can impact male fertility treatment by affecting hormone levels and sperm production. Managing stress and seeking mental health support can have optimistic fertility.
The success of any organization is ultimately determined by how well it serves the community. Please feel free to contact us or read the testimonials of the men and women we have helped to achieve their goals.
John S, Jacksonville
I had been sent to Dr. Patel secondary to a very specific fertility issue that he had expertise in. We had low expectations, as every other Urologist we had seen (as well as fertility doctors) had said that the chance of having children, or even having a chance to have children, was basically zero. He was able to do a surgery that solved multiple problems at once. We were able to have multiple children thanks to him and my wife’s fertility doctor. We are lucky to have a doctor like him in Florida.
Sean L, Merritt Island
I had a vasectomy, and Dr. Patel did a surgery to reverse it. 3 kids later, I came back to him for another vasectomy! I guess that says everything you need to know about him.