Male Infertility: How Common Is It and What Are Its Main Causes?

Feb 14, 2025 | Fertility Blog

Infertility is often seen as a women’s health issue, but men are equally likely to be the cause of a couple’s struggles to conceive. Male infertility accounts for nearly 40-50% of all infertility cases worldwide. Understanding its prevalence and causes is key to addressing the issue effectively.

How Common Is Male Infertility?

According to studies, approximately 1 in 6 couples experience infertility, and in about half of these cases, male infertility plays a significant role. The World Health Organization (WHO) estimates that around 7% of all men are affected by infertility. This makes it a prevalent health concern that requires greater awareness and early intervention.

Main Causes of Male Infertility

Male infertility can arise due to a variety of physical, environmental, and lifestyle factors. Here are some of the most common causes:

1. Low Sperm Count

  • The most frequent cause of male infertility is a low sperm count (≤15 million sperm per milliliter of semen).
  • Causes can include hormonal imbalances, varicocele (enlarged veins in the scrotum), and genetic disorders.

2. Poor Sperm Motility

  • Motility refers to the ability of sperm to swim effectively. Poor motility can make it difficult for sperm to reach and fertilize the egg.
  • This condition is often linked to infections, oxidative stress, or structural abnormalities in the sperm.

3. Abnormal Sperm Shape (Morphology)

  • Sperm with irregular shapes are less likely to fertilize an egg.
  • Morphology issues may result from genetic factors, exposure to toxins, or infections.

4. Hormonal Imbalances

  • Testosterone and other hormones regulate sperm production. Hormonal disruptions can occur due to conditions like hypogonadism, pituitary gland disorders, or anabolic steroid use.

5. Ejaculation Disorders

  • Retrograde ejaculation (when semen enters the bladder instead of exiting through the penis) or blockages in the ejaculatory ducts can prevent sperm from being released.

6. Varicocele

  • This condition involves swollen veins in the scrotum, which can raise the temperature in the testicles and affect sperm production.

7. Infections

  • Infections like sexually transmitted infections (STIs), prostatitis, or mumps orchitis can impair sperm health or block sperm passage.

8. Lifestyle Factors

  • Smoking, excessive alcohol consumption, obesity, and drug use can negatively impact sperm production and quality.
  • Chronic stress and lack of exercise also contribute to infertility.

9. Environmental Factors

  • Exposure to industrial chemicals, heavy metals, or radiation can harm sperm production.
  • Frequent use of saunas, hot tubs, or laptops on the lap can raise scrotal temperatures and reduce sperm quality.

10. Genetic Factors

  • Certain genetic conditions, like Klinefelter syndrome or microdeletions on the Y chromosome, can affect fertility.

Diagnosis and Treatment Options

Diagnosing male infertility typically involves semen analysis, blood tests, ultrasound imaging, and genetic testing. Once the underlying cause is identified, treatment options may include:

  • Medications: To treat hormonal imbalances, infections, or inflammation.
  • Lifestyle Changes: Improved diet, regular exercise, and avoiding harmful substances.
  • Surgical Interventions: Procedures to correct varicocele or blockages.
  • Assisted Reproductive Techniques (ART): Methods like intrauterine insemination (IUI) or in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) can help couples conceive.

Prevention Tips

While not all cases of male infertility are preventable, the following tips can help maintain reproductive health:

  • Maintain a healthy weight.
  • Avoid smoking, excessive alcohol, and recreational drugs.
  • Reduce stress and get adequate sleep.
  • Protect yourself from STIs by practicing safe sex.
  • Limit exposure to environmental toxins and high temperatures.

Conclusion

Male infertility is more common than many people realize, but with proper diagnosis and treatment, many men can overcome this challenge and achieve fatherhood. If you’re concerned about your fertility, consult a healthcare professional to explore your options. Remember, addressing the issue early can make all the difference.

At Lifegate Acupuncture, we’re here to guide you on your fertility journey. Our holistic treatments aim to support male and female reproductive health naturally. Reach out to us today to learn how acupuncture can play a role in improving fertility outcomes.

For a consultation book an appointment at Lifegate Acupuncture

Dr. Jeffrey Zurawin, AP, LAc
Acupuncture Physician & Clinical Director
Traditional Chinese Medicine
Lifegate Acupuncture
190 NW Spanish River Blvd, STE 202 Boca Raton, FL 33431

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