Infertility is the difficulty achieving pregnancy despite having unprotected intercourse with your partner. Most clinicians would consider infertility only if you have been actively trying to conceive for at least 6 to 12 months.
Approximately 1/3 of the cases of infertility are based on an issue with a man. This can be based on either abnormal production of sperm or a problem with the delivery sperm to the female vagina. Abnormal sperm production can be from a variety of reasons. Some people produce low volumes of sperm, and some people produce sperm that do not move forward normally. Finally, some people produce sperm which are either abnormal in shape or otherwise unable to perform its function in pregnancy.
Abnormal delivery of sperm can be based on either blockages in the anatomy or problems with ejaculation.
There are a multitude of medical conditions which can contribute to male infertility. These range from infections, varicoceles (dilated veins near the testicles), tumors, development problems, chromosome abnormalities, hormonal problems, prior surgeries, and other medical conditions including Celiac disease.
Overall, improving your general health and keeping a normal weight is beneficial in male infertility. This would include avoiding illicit drug use, avoiding exposure to chemicals and radiation, preventing prolonged hot tub use or other activities which can increase the temperature of the testicles. Additionally, avoiding alcohol, smoking, and stress can also be beneficial.
This skilled and experienced urologists at Urology of Greater Atlanta can help guide couples through the process of evaluating for male infertility. Important testing will likely include semen analysis, a physical examination, and reviewing pertinent history. The evaluation can also include laboratory testing and imaging studies.