Infertility affects millions of individuals and couples each year, yet many misconceptions still exist—particularly when it comes to male fertility. During National Infertility Awareness Week, the UAB Department of Urology is highlighting seven of the most common questions men ask about fertility, answered by Peter Kolettis, M.D., professor and male fertility expert in the Department of Urology.
Understanding male fertility is an important step toward education, early evaluation, and effective treatment.
What does a semen analysis actually measure?
Kolettis: A semen analysis gives us an idea of a man’s fertility potential. If motile (moving) sperm are present, then pregnancy is possible. The more sperm a man has, the better.
Can lifestyle factors affect my fertility?
Kolettis: Yes. Smoking, alcohol, and recreational drugs can decrease a man’s fertility.
Does age affect male fertility?
Kolettis: Yes. Men’s fertility declines slowly with aging.
Can low testosterone cause infertility?
Kolettis: Low testosterone does not cause infertility. Testosterone treatment causes infertility by decreasing sperm production.
Are there treatments that can improve sperm count or quality?
Kolettis: Varicocele treatment and medical treatment can improve sperm count in some cases.
Is infertility only a “woman’s problem”?
Kolettis: Infertility is not just a woman’s problem. About half of couples that are infertile have male factors.
When should I see a fertility specialist?
Kolettis: In general, you should see a specialist if you have not been able to have a pregnancy after one year. If the man’s partner is in her 30s or if there are known prior risk factors such as testicular problems or prior cancer treatment, the couple can seek evaluation and treatment sooner.
Source: UAB News