For some couples, it is difficult to achieve pregnancy even though they have had frequent intercourse without using contraception. Male reproductive problems cause about one-third of all occurrences of infertility. Male fertility typically depends on the quality and amount of sperm produced. If there are few sperm discharged, or if they are of poor quality, getting pregnant will be challenging. Hormonal imbalance, obstructions preventing the sperm’s movement, genetic abnormalities, chronic health issues, and lifestyle choices are some of the significant factors that cause infertility in males. The male reproductive system produces, keeps, and transfers sperm. Sperm and a male sexual hormone are made in the two testicles. The testicles are present in the scrotum. When the sperm escapes from the testicles, it goes into the epididymis. [1, 2]

The sperm is released from the epididymis into another set of tubes, known as the vas deferens, just before ejaculation. Each vas deferens originates from the epididymis and travels to the pelvis behind the bladder. There, each vas deferens connects the ejaculatory duct to the seminal vesicle. Sperm fuse with fluid from the prostate and seminal vesicles when a man exudes forms semen. The semen then moves via the urethra and out of the penis.

Male fertility depends on the body making normal sperm and delivering them. The sperm travels into the vagina of the female partner. The sperm moves through the female’s cervix into her uterus and fallopian tubes. Fertilization takes place when a sperm and an egg meet. [1, 2]

Male Infertility Causes

Making mature, healthy sperm that can travel is based on several things. Difficulties can stop the cells from growing into the sperm and also keep the sperm from reaching the egg. Even the temperature of the scrotum may influence male fertility. [1]

Here are the leading causes of male infertility:

• Azoospermia: The inability to generate sperm cells can factor into infertility.
• Oligospermia: The production of low-quality sperm.
• Varicoceles: This is a disorder where the testicles’ veins are more extensive than usual. This causes them to overheat, which might alter the type or quantity of sperm they produce.
• Examples of genetic diseases include Klinefelter’s syndrome, myotonic dystrophy, microdeletion, and others.
• Sperm is unhealthy and won’t live long enough to fertilize the egg.
• Medical conditions include diabetes, autoimmune diseases, cystic fibrosis, and infections.
• Some drugs and supplements.
• Cancer treatments can involve testicular removal surgery, chemotherapy, or radiation therapy (one or both).
• Unhealthy habits include the use of alcohol, tobacco, and narcotics.
• A testicular trauma.
• Infertility may be affected by hormonal problems that affect the brain or pituitary glands. [1, 2, 4]

What Determines the Health of Sperm?

Several variables, such as quantity, mobility, and structure, influence sperm health.

• Quantity: Fertility is likely if at least 15 million sperm per milliliter of semen is released after a single ejaculation (ejaculate). It may be more difficult having a pregnancy if there is insufficient sperm in an ejaculation because there will be fewer sperm accessible to fertilize the egg.
• Movement: Sperm must travel to meet an egg and fertilize it. It must wriggle and swim via a female’s cervix, uterus, and fallopian tubes. Motility is a term for this. Ejaculation occurs if the quantity of sperm is less than 40%, yet 40% is enough to get a pregnancy; more is always good.
• Structure (morphology): Roundheads and long tails of typical sperm cooperate in propelling them. Compared to sperm volume or motility, this has a lesser effect. [1, 4]

What Hinders Men’s Sperm Production?

Male reproductive troubles can result from several medical conditions, such as:

• A dysfunction in the pituitary gland or hypothalamus, two regions of the brain that control the production of testosterone and sperm in the testicles (secondary hypogonadism)
• A testicular condition
• Abnormalities of sperm transport
• Age can also be a factor. Age tends to alter sperm mobility and quantity, affecting fertility, particularly after age 50. [1, 2, 4]

How Can one Best Create Healthy Sperm?

Several simple techniques to raise the likelihood of producing healthy sperm include:

• Keep a Healthy Weight: Sperm motility and count are known to decline when body mass index (BMI) rises.
• Eat a Balanced Diet: A variety of antioxidant-rich fruits and vegetables are selected, which is helpful to increase the health of the sperm.
• Avoid Sexually Transmitted Diseases (STIs): Men may experience infertility due to STDs like chlamydia and gonorrhea. STIs can be avoided by maintaining a mutually monogamous relationship with the partner who is uninfected, reducing the number of sexual partners (protected sex), and always using a condom during sexual activity.
• Management of Stress: Stress can affect the hormones needed to produce sperm and impede sexual performance.
• Be Active: Strong antioxidant enzyme levels can rise with moderate exercise, helping to protect sperm. [1, 3, 4]

Facts To Know:

Medical Conditions that can Result in Male Infertility:
Various medical conditions, including renal disease and testicular cancer, can cause male infertility. Even typical illnesses, fevers, metabolic conditions, and “whole-body” health concerns could obstruct sperm growth. Diseases spread through intercourse can leave the reproductive tract with blocks and scars. Genetic conditions like cystic fibrosis, which inhibits sperm from developing in the semen, might result in the absence of the vas deferens or seminal vesicles. Infertility is a result of numerous disorders.

Faulty Sperm or Semen Analyses are not Always Responsible Result in Birth Abnormalities in Children:
Not always. The likelihood of conceiving a child with a birth abnormality is comparable to most couples using reproductive treatment. Some issues, primarily hereditary ones that lead to infertility, may also increase the likelihood of having a child with birth abnormalities. Therefore, before starting some ARTs, couples need thorough examinations and guidance.

Taking Steroids to Increase Muscle Lead Can To Infertility:
The body may stop producing the hormones required to produce sperm when using oral or injectable steroids.

Smoking has an Impact on Sperm Production:
According to research, routine smoking has a variety of effects on sperm. Their DNA becomes damaged. Smoking may also have an impact on the sperm-filled seminal fluid ejaculated. [2, 4]

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References:

1. https://www.urologyhealth.org/urology-a-z/m/male-infertility
2. https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/fertility/art-20047584#:~:text=Fertility%20is%20most%20likely%20if,available%20to%20fertilize%20the%20egg.
3. https://www.cilexin.com/
4. https://my.clevelandclinic.org/health/diseases/17201-male-infertility

Conceiving a child is not the easiest thing in the world. Both men and women can suffer from infertility- a reproductive health condition that makes an adult unable not have children despite having frequent, unprotected sex for a year or longer. When talking of infertility, most people restrict it to women’s fertility issues. This has led to the passing of generations of men who have poor lifestyles that actually might have harmed their sperm. Researchers believe that the possibility of men infertility is more than women.

To conceive a child, men must produce healthy sperms that can be carried into the semen, produce enough sperms in the semen, and the produced sperms must be able to move and properly function. Infertility in males can happen if any of these is not taking place.

There are many internal and external male factors of infertility. The medical problems affecting male infertility include infections such as epididymitis, orchitis, and some STIs like gonorrhea or HIV; varicocele (swelling of veins that drain the testicles), defect of tubules that deliver sperms or semen efflux anti-sperm antibodies, tumors, hormonal imbalances, ejaculation problems, celiac disease, undescended testicles, chromosome defects, prior surgeries, certain medications, chromosome defects, and problems with sexual intercourse. Some environmental factors like exposure to certain industrial chemicals, X-rays or any radiation, heavy metals, or even overheating of testicles can lead to male infertility. Other than these, there are also lifestyle choices that can affect fertility in men.

This article focuses on the few men’s habits or lifestyle choices that can lead to infertile men or causes male infertility. The good news is that with a few tweaks to daily life, men can improve their sperm count and quality. [1, 2, 4]

Signs of Infertility in Men

The main symptom of infertility in men is the ability to provide healthy sperm in the adequate count to make their partner pregnant. Other than this, there are many noticeable signs and symptoms of male infertility including:

• Pain, inflammation, or lump in the testicles area
• Issues with sexual function- such as reduced sexual desire, erectile dysfunction, and trouble ejaculating or releasing small volumes of ejaculated fluids
• The appearance of male boobs or female-like breasts due to abnormal breast growth- a gynecomastia condition
• Recurrent infections in the respiratory system
• Inability to smell
• Low sperm count- means either fewer than 15 million/milliliter of sperm in semen or a total sperm count of less than 39 million in every ejaculate
• Reduced body or facial hair or other signs of a hormonal problem or a chromosomal abnormality.

It’s important to soon see a doctor and go for fertility test for men if any of the following problems are experienced by the patient:

• Pain, discomfort, swelling, or lump formation in the testicle area
• Surgery of the penis, groin, testicle, or scrotum
• Having a sex partner aged above 35 years
• Earlier records of the prostate, testicle, or sexual problems
• Problems in penile erection or ejaculation, low sex drive, or other issues with sexual function. [4]

Daily Habits of Men That Impact Their Fertility:

1. Alcohol Intake, Smoking, and Drug Use
   If one is thinking of having a baby, the foremost things that one must avoid are drinking excessive alcohol, smoking tobacco including vaping, and use of drugs like steroids, cannabis, and opioids. Heavy alcohol consumption can decrease testosterone levels and provide poor-quality sperm. Smoking can damage male fertility by reducing sperm motility, lowering sperm count, producing abnormally-shaped sperms, and increasing DNA fragmentation. The steroids can block the hormonal signals that are responsible for producing sperm while opioids can reduce sperm quality and quantity. [3]
2. Sedentary Lifestyle
   Lack of regular exercise can affect men’s fertility as well as make them put on weight. Obesity can lead to hormonal imbalances which affect sperm production and fat deposits in the pubic region could lead to heating of the testis which hampers the production of sperm. If men engage in moderate physical activities for 30 minutes, five days a week, they can have better quality and count of their sperm. [1, 2, 3]
3. Self-medication
   Non-prescribed medications can impact fertility in men. For instance, taking anabolic steroids (derived from testosterone) for muscular growth and bodybuilding can improve one’s appearance and physical performance but also negatively impact sperm production. [1, 2]
4. Unprotected Sexual Intercourse
   Having unsafe sex with multiple partners can increase the risk of sexually transmitted diseases in men and make them infertile. [1]
5. Lack of Sleep or Prolonged Sleep
   Proper sleep or a well-rested body is fundamental for the proper functioning of the body. It is even associated with infertility in men. Researchers believe that both sleep deprivation and excess sleep can affect male fertility by reducing sperm production. [2]
6. Unhealthy Diet
   A balanced, healthy diet is important for men to maintain a healthy weight. Men who are underweight or overweight experience changes in their hormones and sperm quality which renders them infertile. To improve the diet, one must incorporate whole foods such as fresh fruits and vegetables, lean proteins, and whole grains. [3]
7. Exposure to Electromagnetic Radiation and Pesticides in Food
   As per recent research, sperm count, motility, and morphology can all get affected by exposure to pesticides and electromagnetic radiation. To avoid pesticide exposure, men must buy organic fruits, vegetables, and packaged foods or grow their fruits and vegetables, and properly wash produce before having it. The everyday use of devices like laptops, cell phones, and microwaves must be limited or otherwise, the harmful electromagnetic radiation they emanate can make them infertile. [3]

How to Treat Male Infertility?

Male infertility treatment options may include:

• Medications and counseling- to treat premature ejaculation and erectile dysfunction
• Antibiotics- to treat infection of the reproductive tract
• Hormonal replacement therapy- includes medications that help maintain the levels of hormones in cases where male infertility is caused by high or low levels of certain hormones or there are issues in the way the body make use of hormones
• Surgery- to correct varicocele, repair obstructed vas deferens, and reverse prior vasectomies. If sperm are absent in ejaculate, sperm retrieval techniques can be performed to take out sperm directly from the testicles or epididymis.
• Assisted Reproductive technology- It involves obtaining sperm through normal ejaculation, donor individuals, or from surgical extraction and inserting them into the female genital tract or performing intracytoplasmic sperm injection or in vitro fertilization. [4]

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References:

1. https://www.mensxp.com/health/sexual-health/111340-mens-daily-habits-causing-infertility-sexual-wellness.html
2. https://www.thehealthsite.com/pregnancy/8-lifestyle-habits-that-can-lead-to-male-fertility-890100/
3. https://www.malefertility.com/blog/lifestyle-habits-that-can-impact-male-fertility
4. https://www.mayoclinic.org/diseases-conditions/male-infertility/symptoms-causes/syc-20374773

For some couples, it is difficult to achieve pregnancy even though they have had frequent intercourse without using contraception. Male reproductive problems are reasons for about one-third of all occurrences of infertility. Male fertility typically depends on the quality and amount of sperm produced, such as low sperm count and poor-quality sperm make getting pregnant challenging. Hormonal imbalance, obstructions preventing sperm movement, genetic abnormalities, chronic health issues, and lifestyle choices are some of the significant factors that cause infertility in males. The male reproductive system produces, keeps, and transfers sperm. Sperm and a male sex hormone are made in two testicles. The testicles are present in the scrotum. When the sperm escapes from the testicles, it goes into the epididymis.[1]

The sperm comes from the epididymis and enters into another set of tubes known as the vas deferens before ejaculation. Each vas deferens originates from the epididymis and travels to the pelvis behind the bladder. There, each vas deferens connects the ejaculatory duct to the seminal vesicle. Sperm fuse with fluid from the prostate and seminal vesicles when a man exudes. It forms semen, which moves through the urethra and out of the penis. [1]

Male fertility depends on the body’s capacity to make normal sperm and deliver them. The sperm travels into the vagina of the female partner. Sperm moves through the cervix to the uterus and fallopian tubes. There, if sperm and egg meet, fertilization occurs. [1]

What Are the Causes of Male Infertility?

Making mature, healthy sperm that can travel is based on several things. Problems stop cells from growing into sperm. Problems can stop the sperm from reaching the egg. Even the temperature of the scrotum may influence male fertility. [1] The main reasons for male infertility are listed below:

• Sperm Disorders
• Varicoceles
• Retrograde Ejaculation
• Immunologic Infertility
• Obstruction
• Hormones
• Medication.

The Following are the Six Ways Men Can Boost Male Fertility and Increase Sperm Count:

1. Perform Exercise Daily: It is crucial to exercise for overall health. Men can increase blood flow in their bodies through exercise. Regular physical activity can improve male fertility. [6] Make sure to maintain a healthy weight to boost fertility. The body’s hormone balance can be disturbed by being overweight or underweight, which might result in reduced sperm counts. [4] Here are a few more advantages of exercise:

• Regular exercise will raise testosterone levels.
• Men’s semen quality improved by it.
• Exercise regularly can increase fertility and lower the likelihood of infertility.

2. Reduced Tension: Male infertility is primarily brought on by stress, anxiety, and melancholy. Stress in the mind prevents the majority of men from developing sexual feelings. The study found that stress harms one’s physical and mental well-being. [6]

Keep the following in mind:

• Sexual desire may become less intense under stress
• It raises the level of cortisol, which lowers the level of testosterone
• Getting enough rest and taking the recommended medications for the issue are advisable
• Take a full 8-hour sleep each day, and men can also benefit from improved support at the infertility clinic.

3. Ashwagandha: An all-natural treatment for infertility problems is ashwagandha. [6] Scientific studies have shown that ashwagandha can treat infertility in several ways, including:

• It aids in boosting male fertility and testosterone levels
• It is most well-known for raising sperm or semen quality and quantity
• Men who use ashwagandha won’t experience any adverse side effects on their bodies.

4. Eat Meals High in Antioxidants: Antioxidants are chemicals that assist in neutralizing substances known as free radicals, which harm cells. Several vitamins and minerals produce antioxidants, and some research has connected antioxidant consumption to a rise in sperm count. Eating abundant fresh fruits, vegetables, whole grains, and legumes are the best foods to increase male fertility. Additionally, avoid smoke, processed carbs, coffee, tea, alcoholic beverages, and foods containing artificial additives.

Men who are deprived of food experience a lack of libido and anatomical alterations in their reproductive tissue that result in infertility. [3]

Among the antioxidants that may support a healthy sperm count and increase sperm production are:

• Beta-carotene
• Lutein
• Beta-cryptoxanthin
• Vitamin C.

5. Consume Wholesome, Nutrient-Rich Foods: Men also require nutrients that increase fertility. Walnuts and other foods high in antioxidants, fruits, and vegetables, have also been demonstrated to improve sperm quality. Additionally, shortages of vitamins C, D, and E, zinc, selenium, folic acid, and good fats like omega-3 fatty acids may affect the quantity and quality of sperm and acts as sperm booster. [5]

6. Quit Drinking and Smoking: Lower sperm counts are associated with recreational drug use and smoking. A man’s stats can also drop if he drinks a lot. These behaviors combined are especially detrimental to male fertility. There are numerous positive reasons to stop smoking, including the potential to increase fertility rate by improving sperm morphology. According to research on smoking and sperm quality, smoking impacts a variety of sperm health factors, such as sperm counts, sperm motility (the sperm’s capacity to swim), and sperm shape. [2]

Drinking too much alcohol can reduce fertility. For example, it may be wise for males to cut back on, or perhaps cease, their alcohol use if they are hoping to conceive. [2]

Another Important Thing One Also Try Is to Reduce Stress:

Stress, anxiety, and despair are frequently the leading reasons for male infertility. Stress in mind prevents the majority of guys from developing sexual desire.

According to the study, both physical and mental health are negatively affected by stress.
Remember the following points:

• Stress might decrease the desire for sexual fulfillmen
• It elevates cortisol levels, which have deleterious effects on testosterone levels.
• It is recommended that one must relax and take the suggested medications for their condition
• Take a daily eight-hour sleep and receive superior care at the infertility clinic by medical experts.

Take Help

One must take the help of a doctor if the self-care methods do not offer the best outcomes. With the help of fertility test for men (male fertility check) and modern technologies provided by a medical expert, male infertility can be readily treated. One can become a parent and live a happy life with their entire family if one receives the appropriate treatment for male infertility.

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References:

1. https://www.urologyhealth.org/urology-a-z/m/male-infertility
2. https://www.verywellfamily.com/tips-to-increase-fertility-for-men-1959906
3. https://www.medicalnewstoday.com/articles/320010#natural-remedies
4. https://www.insider.com/guides/health/how-to-increase-sperm-count
5. https://www.whattoexpect.com/getting-pregnant/boosting-male-fertility.aspx
6.https://www.mannatfertility.com/blog/6-ways-to-boost-male-fertility-and-increase-sperm-count