Male Infertility: Causes, Myths, and Modern Treatment Options

Infertility is one of those things people don’t talk about enough. Traditionally, many assumed it was always a “women’s issue,” but we now know that’s not true. In nearly half of all infertility cases, the challenge is linked to the male partner.

The good news? Most causes of male infertility are treatable, especially when diagnosed early. The sooner a couple seeks help, the better their chances of a successful pregnancy.

What is Male Infertility?

Male infertility simply means a man has difficulty fathering a child due to problems with sperm production, quality, or movement. If a couple has been trying to conceive for 6–12 months without success, it’s wise to see a specialist.

Healthy fertility depends on sperm count, shape, and their ability to swim. So even small issues with sperm function can make pregnancy harder.

 Common Causes of Male Infertility

Medical Causes

Varicocele:
Enlarged veins in the scrotum can increase temperature and weaken sperm quality.

Hormonal Imbalance:
Low testosterone or other hormonal changes can affect sperm production.

Blockages:
Sometimes sperm cannot travel due to blockages in the reproductive tract.

Infections:
STIs, mumps, or urinary infections can damage sperm or transport pathways.

Genetic Disorders:
Some men are born with conditions that affect sperm development or hormones.

Lifestyle & Environmental Causes

Some factors in everyday life can quietly affect male fertility:

• Smoking, alcohol, and obesity
  
• Sitting with laptops on the lap for long hours
  
• Frequent exposure to saunas or hot tubs
  
• Chronic stress
  
• Unhealthy diet
  
• Use of steroids or certain medications
  

These don’t always cause infertility on their own, but they certainly make it harder for the body to produce healthy sperm.

 Symptoms & Warning Signs

Many men experience no obvious symptoms, but some signs include:

• Trouble conceiving despite regular intercourse
  
• Erectile difficulties or low sexual drive
  
• Pain or swelling in the testicles
  
• Reduced body or facial hair (possible hormonal issue)
  

If any of these sound familiar, a urology consultation is a smart next step.

 Myths vs. Facts

A few things people still get wrong:

Myth: Only women are responsible for infertility.
Fact: Male infertility contributes to nearly 40–50% of cases.

Myth: Infertility means you’ll never have a baby.
Fact: Many men with fertility issues become fathers with the right treatment.

Myth: Tight underwear causes infertility.
Fact: It may affect temperature slightly, but it’s not a major cause.

Myth: Men can father children at any age.
Fact: Age affects sperm quality too, especially after 40.

How Doctors Diagnose Male Infertility

At Central Hospital Sharjah, evaluation is quick, private, and evidence-based. Tests may include:

• Semen analysis to check sperm count and movement
  
• Hormone tests
  
• Ultrasound or imaging
  
• Genetic tests if required
  
• Physical examination
  

In many cases, doctors evaluate both partners, because teamwork leads to faster answers and better treatment.

 Modern Treatment Options

Treatment depends on the cause, but there are many effective solutions:

Medications:
To improve hormones or sperm production.

Surgery:
For varicocele or blocked sperm ducts.

ART (Assisted Reproductive Techniques):

• IVF
  
• ICSI (injecting a single sperm directly into the egg)
  
• Sperm retrieval for men with very low or absent sperm count
  

Lifestyle Improvements:
Quitting smoking, reducing alcohol, eating healthy, and staying active can significantly improve sperm quality.

Many couples succeed with a mix of medical treatment and healthy lifestyle changes.

 Can Male Infertility Be Prevented?

Not all cases can be prevented, but these steps help:

• Avoid prolonged heat exposure to the testicles
  
• Maintain a healthy weight and balanced diet
  
• Stay active
  
• Don’t use steroids or smoke
  
• Manage conditions like diabetes and high blood pressure
  
• Get regular checkups if planning a family
  

 When Should You See a Urologist or Fertility Specialist?

• If you’ve been trying to conceive for 6–12 months
  
• Pain, swelling, or history of testicular injury
  
• Past surgeries in the pelvic or abdominal area
  
• If trying to conceive after age 40
  
• History of infections or hormonal problems
  

The earlier you start, the better your chances.

 Conclusion

Male infertility can be emotional, stressful, and frustrating—but it’s also highly treatable. You are not alone, and you are not without options. Many men become fathers with the right guidance and medical support.

If you or your partner are experiencing fertility challenges, the specialists at Central Hospital Sharjah are here to help with advanced diagnostics, modern treatments, and complete privacy.

 Book a consultation today and take the first step toward growing your family.