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The Shocking Truth Behind Infertility: Why Men Are Often Overlooked Despite Their Equal Role.

The Shocking Truth Behind Infertility: Why Men Are Often Overlooked Despite Their Equal Role.
pch.vector / Magnific (not the actual photo)
The stigma surrounding infertility also affects women, who often carry a greater share of the emotional and social burden. A review of research across African countries found that women are more likely than men to seek fertility treatment and often face greater pressure because of childlessness.
Another study on infertility-related stigma in Africa also found that women are frequently blamed for not having children, even when male factors are involved.

This doesn’t mean men don’t experience distress or deserve support. A male-factor diagnosis can be deeply upsetting, particularly when a man feels it challenges his identity or his hopes of becoming a father. But when shame keeps him from seeking help and society places much of the responsibility for conception on women, both partners can end up struggling without the support they need.

Changing this starts with treating fertility as a shared concern. Men should be able to discuss their reproductive health and seek medical advice without feeling that it makes them any less masculine. Couples should also be encouraged to approach fertility care together, so neither partner has to carry the burden alone.

These health conditions and everyday habits may be contributing to male infertility

wayhomestudio / Magnific (not the actual photo)

There are several things that can affect a man’s ability to conceive with his partner. Some are linked to health conditions, while others may involve everyday habits, medications, or age. Here are some of the main factors couples should know about:

1. Medical conditions

A varicocele is a medical condition that can affect a man’s fertility. It happens when the veins around the testicles become enlarged. This can interfere with normal function and affect the body’s ability to produce the healthy cells needed for pregnancy.

Infections can also affect the testicles or the tubes that carry these cells. Some infections can cause inflammation or scarring, making it harder for them to travel through the reproductive system. Hormonal imbalances and inherited conditions can affect fertility as well.

One example is Klinefelter syndrome. Men with this genetic condition are born with an extra X chromosome, which can affect how their testicles develop and how much testosterone their bodies produce. As a result, some may produce very few of the cells needed for conception, while others may not produce any.

2. Smoking, alcohol, and drug use

The European Association of Urology identifies smoking, heavy alcohol consumption, obesity, and low physical activity as factors associated with poorer reproductive health.
Anabolic steroids, which are often used by men who want to build muscle or improve athletic performance, can interfere with the body’s natural hormone production and reduce its ability to produce the cells needed for conception. Research has also linked recreational drug use to changes in reproductive health that may affect fertility.

3. Frequent exposure to high temperatures

The testicles need to stay slightly cooler than the rest of the body to support fertility. Spending a lot of time exposed to high temperatures may interfere with this process. For example, regularly spending long periods in hot baths or saunas may raise the temperature around the testicles. Some studies have also suggested that wearing tight-fitting underwear every day may affect the production and quality of male reproductive cells.
eugeneshemyakin9 / Magnific (not the actual photo)

4. Certain medications and medical treatments

Chemotherapy and radiation used to treat cancer, for example, can damage the cells responsible for producing the male reproductive cells needed for conception. Depending on the treatment, the effects may be temporary or permanent.

Testosterone medication can also suppress the body’s natural production, even when it is prescribed to treat low testosterone. Men who hope to have children should discuss these possible effects with their doctors before starting treatment or changing any prescribed medication.

5. Age and other health conditions

Although male fertility tends to change more gradually than female fertility, the quality of the cells needed for conception may decline as a man gets older, making pregnancy more difficult to achieve. According to a study, men aged 40 and older are more likely to report difficulty conceiving.
Other health conditions, such as diabetes, may also affect reproductive function. This does not mean older men or those living with long-term health conditions cannot father children, but these factors may be important when investigating fertility problems.

The encouraging news is that some of these factors can be addressed. Quitting smoking, cutting back on heavy drinking, maintaining a healthy weight, and avoiding anabolic steroids may help support fertility. Certain underlying conditions, such as infections or hormonal problems, may also respond to medical treatment.

Still, changing a few habits may not solve every fertility problem. Some men need more specialized care, depending on the cause. Seeing a urologist or fertility specialist can help identify the underlying issue and determine which tests or treatments may be needed.

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