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    Male Infertility

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    Having Trouble Getting Your Partner Pregnant (Male Infertility): What to Know

    Having Trouble Getting Your Partner Pregnant (Male Infertility): What to Know

    Infertility is when people have trouble getting pregnant. Male infertility means you're not able to get a female pregnant after a year of having sex regularly without using birth control.

    What are the causes?

    The male reproductive system, showing the penis, vas deferens, and a testicle.

    Male infertility may be caused by:
    • Problems with sperm. This can include:
      • Sperm that are not the right size or shape.
      • Sperm that don't move enough to reach the egg.
      • A low number of sperm.
    • Problems with the reproductive organs, such as:
      • Enlarged veins, cysts, or tumors in the testicles.
      • Injury to the testicles.
      • Sexual dysfunction.
      • Low levels of a hormone called testosterone.
      • Conditions a person is born with, such as:
        • An undescended testicle.
        • Not having the tubes that carry sperm. These tubes are called the vas deferens.
    • Certain medical conditions. These may include:
      • Diabetes.
      • Kidney failure.
      • Thyroid problems.
      • Sexually transmitted infections.
      • Cancer and cancer treatments.
      • Certain genetic disorders.

    Infertility can be linked to more than one cause. In some cases, the cause isn't known.

    What increases the risk?

    A male's fertility decreases with age. Other things may also make you more likely to have infertility. These include:
    • Lifestyle choices such as:
      • Using products with nicotine or tobacco.
      • Drinking too much alcohol.
      • Exposing the testicles to heat often. This can happen with frequent use of a hot tub or sauna.
      • Using drugs such as anabolic steroids, cocaine, or marijuana.
      • Being around harmful chemicals or toxins.
    • Health issues like:
      • Stress.
      • Being overweight.
      • Taking certain medicines.

    How is this diagnosed?

    Male infertility may be diagnosed using:
    • Semen analysis tests. These check sperm number, shape, and movement.
    • Blood tests.
    • Ultrasounds.

    As part of diagnosing infertility, both partners will have a physical exam. They will also have their medical and sexual history taken.

    How is this treated?

    Treatment depends on the cause. Most cases of infertility are treated with medicine or surgery.
    • You may be given medicine to:
      • Fix hormone problems.
      • Treat other health issues.
      • Treat sexual dysfunction.
    • Surgery may be done to:
      • Remove blockages in the reproductive tract.
      • Fix other problems with the reproductive organs.

    Follow these instructions at home:

    Lifestyle

    • If you drink alcohol, limit how much you have to 0–2 drinks a day.
    • Do not smoke, vape, or use nicotine or tobacco.
    • Make changes to your diet if needed to lose weight or stay at a healthy weight. Work with your health care provider and an expert in healthy eating called a dietitian. They can help you set a weight-loss goal that's right for you.
    • Find ways to reduce stress that work well for you. Some good options include regular physical activity, meditation, or deep breathing.

    General instructions

    • Take your medicines only as told.
    • Get support from a counselor or support group. Couples counseling may be helpful for you and your partner.
    • Keep all follow-up visits. Your provider will check hormone levels and see how your treatment is going.

    Contact a health care provider if:

    • You feel that stress is getting in the way of your life and relationships.
    • You have side effects from treatments.

    This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.

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