Male Infertility: Causes, Treatment Options, and Fertility Preservation at RPSD

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Infertility is often considered a women’s issue, but the truth is that male infertility plays a significant role in many couples’ struggles to conceive. In fact, studies show that about 40% of infertility cases in heterosexual couples are linked to male reproductive factors. If you are facing difficulties in starting or expanding your family, you’re not alone, and understanding male infertility is the first step toward addressing it. At Reproductive Partners Fertility Center (RPSD), we are committed to helping men navigate their fertility journey with compassion, expertise, and the most advanced treatments available.

What is Male Infertility?

Male infertility refers to the inability of a man to contribute to conception due to problems with his sperm or reproductive system. It’s important to understand that infertility is not just a woman’s concern—it affects men as well. Male infertility can result from various factors, such as low sperm count, poor sperm quality, or sperm motility issues. Other factors that may contribute include hormonal imbalances, physical blockages in the reproductive tract, genetic conditions, or lifestyle choices such as smoking or excessive alcohol consumption.

In many cases, the cause of male infertility may not be immediately obvious, but the right tests and treatments can help identify and address the issue.

How Many Men Struggle with Infertility?

It’s estimated that 1 in 8 couples experience infertility, and male infertility accounts for around 40-50% of those cases. Many men, however, don’t seek treatment or don’t recognize the impact their reproductive health can have on conception.

Recent studies have shown a decline in sperm count in men, especially those aged 40 and older. Men’s sperm count and quality naturally begin to decrease after age 40, which can lead to difficulties in conceiving.

In San Diego, where diverse communities and families are growing, male infertility is becoming an increasingly important topic. According to recent data, 50% of men in San Diego are unaware of their fertility status or the available options for treatment and preservation. That’s why at RPSD, we believe it’s crucial to provide information, support, and care that empowers men to take control of their reproductive health.

What Causes Male Infertility?

There are many factors that can contribute to male infertility. Some of the most common causes include:
  1. Low Sperm Count (Oligospermia): This is one of the most common causes of male infertility, where a man produces fewer sperm than usual.
  2. Poor Sperm Quality (Asthenozoospermia): Sperm that are unhealthy or don’t move properly may have difficulty reaching and fertilizing an egg.
  3. Blockages: Blockages in the male reproductive tract can prevent sperm from being released during ejaculation.
  4. Hormonal Imbalances: Conditions like low testosterone can affect sperm production and overall fertility.
  5. Genetic Factors: Certain genetic disorders can impact a man’s ability to conceive.
  6. Environmental & Lifestyle Factors: Exposure to toxins, smoking, excessive alcohol use, and high levels of stress can all affect sperm production and quality.
  7. Age: As men age, sperm quality and quantity generally decline, especially after the age of 40.

How to Diagnose Male Infertility

If you’re struggling with infertility, the first step is to seek a thorough evaluation. At RPSD, we work closely with you to identify any underlying issues that could be affecting your fertility. A comprehensive diagnosis involves:
  1. Medical History Review: Understanding your personal, family, and lifestyle history to identify potential risk factors for infertility.
  2. Physical Exam: A physical examination to check for any visible issues with your reproductive organs.
  3. Semen Analysis: The most common test for male infertility, which analyzes sperm count, motility (movement), and morphology (shape) under a microscope.
  4. Hormone Testing: Blood tests to measure hormone levels that affect sperm production.
  5. Genetic Testing: In some cases, genetic testing may be required to check for any hereditary factors affecting fertility.
  6. Scrotal Ultrasound: Used to examine the testes and sperm ducts for potential blockages or varicoceles (enlarged veins in the scrotum).

Once we have all the necessary information, we can begin formulating a treatment plan that’s tailored to your unique needs.

Treatment Options for Male Infertility

The treatment for male infertility varies depending on the underlying cause. Some common options include:
  • Medications: Hormonal treatments may be used to address imbalances or to stimulate sperm production.
  • Surgical Procedures: Surgery can correct physical blockages, varicoceles, or other structural issues in the reproductive system.
  • Intrauterine Insemination (IUI): A procedure where sperm is directly placed into the woman’s uterus to increase the chances of conception.
  • In Vitro Fertilization (IVF): IVF can be used in cases of severe male infertility, where sperm is directly injected into an egg via a procedure called Intracytoplasmic Sperm Injection (ICSI).
  • Donor Sperm: In some cases, using sperm from a donor may be an option if the male partner’s sperm is not viable.

Fertility Preservation for Men

Fertility preservation is an important option for men who may face future fertility challenges or want to delay fatherhood. Sperm freezing, also known as cryopreservation, allows men to store their sperm for future use, whether they are facing medical treatments that may affect fertility (such as chemotherapy), are planning to delay having children, or simply want the peace of mind knowing their sperm is stored for later use.

At RPSD, we offer compassionate sperm freezing services with complete privacy and a personalized approach. By freezing your sperm, you ensure that you have viable options available when the time comes to build your family, regardless of the challenges you may face in the future.

Start Here

Male infertility can feel overwhelming, but you don’t have to face it alone. At RPSD, we’re committed to providing you with the care, support, and advanced treatment options needed to help you achieve your family-building goals. If you’re struggling with infertility or are interested in learning more about fertility preservation options, we’re here to guide you every step of the way.

Reach out today to schedule a consultation with one of our experts and take the first step toward your future family.