Infertility primarily refers to the biological inability of a man or a
woman to contribute to conception. Infertility may also refer to the
state of a woman who is unable to carry a pregnancy to full term. There
are many biological causes of infertility, some which may be bypassed
with medical intervention.

Male infertility has many causes–from
hormonal imbalances, to
physical problems, to
psychological and/or
behavioral problems.
Moreover, fertility reflects a man’s “overall” health. Men who live a
healthy lifestyle are more likely to produce healthy sperm. The
following list highlights some lifestyle choices that negatively impact
male fertility–it is not all-inclusive:
- Smoking–significantly decreases both sperm count and sperm cell motility.
- Prolonged use of marijuana and other recreational drugs.
- Chronic alcohol abuse.
- Anabolic steroid use–causes testicular shrinkage and infertility.
- Overly intense exercise–produces high levels of adrenal steroid
hormones which cause a testosterone deficiency resulting in infertility.
- Inadequate vitamin C and Zinc in the diet.
- Tight underwear–increases scrotal temperature which results in decreased sperm production.
- Exposure to environmental hazards and toxins such as pesticides,
lead, paint, radiation, radioactive substances, mercury, benzene,
boron, and heavy metals
- Malnutrition and anemia.
- Excessive stress!
Modifying these behaviors can improve a man’s fertility and should be considered when a couple is trying to achieve pregnancy.
HORMONAL PROBLEMS
A small percentage of male infertility is caused by hormonal
problems. The hypothalamus-pituitary endocrine system regulates the
chain of hormonal events that enables testes to produce and effectively
disseminate sperm. Several things can go wrong with the
hypothalamus-pituitary endocrine system:
- The brain can fail to release gonadotrophic-releasing hormone (GnRH)
properly.GnRH stimulates the hormonal pathway that causes
testosterone synthesis and sperm production. A disruption in GnRH
release leads to a lack of testosterone and a cessation in sperm
production.
- The pituitary can fail to produce enough lutenizing hormone (LH) and
follicle stimulating hormone (FSH) to stimulate the testes and
testosterone/sperm production. LH and FSH are intermediates in the
hormonal pathway responsible for testosterone and sperm production.
- The testes’ Leydig cells may not produce testosterone in response to LH stimulation.
- A male may produce other hormones and chemical compounds which interfere with the
sex-hormone balance.
The following is a list of hormonal disorders which can disrupt male infertility:
Hyperprolactinemia:
Elevated prolactin–a hormone associated with nursing mothers, is found
in 10 to 40 percent of infertile males. Mild elevation of prolactin
levels produces no symptoms, but greater elevations of the hormone
reduces sperm production, reduces libido and may cause impotence.
Hypothyroidism:
Low thyroid hormone levels–can cause poor semen quality, poor
testicular function and may disturb libido. May be caused by a diet
high in iodine.Reducing iodine intake or beginning thyroid hormone
replacement therapy can elevate sperm count. This condition is found in
only 1 percent of infertile men.
Congenital Adrenal Hyperplasia:
Occurs when the pituitary is suppressed by increased levels of
adrenal androgens. Symptoms include low sperm count, an increased
number of immature sperm cells, and low sperm cell motility. Is treated
with cortisone replacement therapy. This condition is found in only 1
percent of infertile men.
Hypogonadotropic Hypopituitarism:
Low pituitary gland output of LH and FSH. This condition arrests
sperm development and causes the progressive loss of germ cells from the
testes and causes the seminiferous tubules and Leydig (testosterone
producing) cells to deteriorate. May be treated with the drug
Serophene. However, if all germ cells are destroyed before treatment
commences, the male may be permanently infertile.
Panhypopituitafism:
Complete pituitary gland failure–lowers growth hormone,
thyroid-stimulating hormone, and LH and FSH levels. Symptoms include:
lethargy, impotence, decreased libido, loss of secondary sex
characteristics, and normal or undersized testicles. Supplementing the
missing pituitary hormones may restore vigor and a hormone called hCG
may stimulate testosterone and sperm production.
A variety of physical problems can cause male infertility. These
problems either interfere with the sperm production process or disrupt
the pathway down which sperm travel from the testes to the tip of the
penis. These problems are usually characterized by a low sperm count
and/or abnormal sperm morphology. The following is a list of the most
common physical problems that cause male infertility:
Variocoele:
A varicocele is an enlargement of the internal spermatic veins that
drain blood from the testicle to the abdomen (back to the heart) and are
present in 15% of the general male population and 40% of infertile
men. These images show what a variocoele looks like externally and
internally.
A varicocele develops when the one way valves in these spermatic
veins are damaged causing an abnormal back flow of blood from the
abdomen into the scrotum creating a hostile environment for sperm
development. Varicocoeles may cause reduced sperm count and abnormal
sperm morphology which cause infertility. Variococles can usually be
diagnosed by a physical examination of the scrotum which can be aided by
the Doppler stethoscope and scrotal ultrasound. Varicocoele can be
treated in many ways (see treatment section), but the most successful
treatments involve corrective surgery.
Damaged Sperm Ducts:
Seven percent of infertile men cannot transport sperm from their
testicles to their penis. This pathway may be blocked by a number of
conditions:
· A genetic or developmental mistake may block or cause the absence of
one or both tubes (which transport the sperm from the testes to the
penis).
· Scarring from tuberculosis or some STDs may block the epididymis or tubes.
· An elective or accidental vasectomy may interrupt tube continuity.
Torsion:
Is a common problem affecting fertility that is caused by a
supportive tissue abnormality which allows the testes to twist inside
the scrotum which is characterized by extreme swelling. Torsion pinches
the blood vessels that feed the testes shut which causes testicular
damage. If emergency surgery is not performed to untwist the testes,
torsion can seriously impair fertility and cause permanent infertility
if both testes twist.
Infection and Disease:
Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza,
smallpox, and syphilis can cause testicular atrophy. A low sperm count
and low sperm motility are indicators of this condition. Also, elevated
FSH levels and other hormonal problems are indicative of testicular
damage. Some STDs like gonorrhea and chlamydia can cause infertility by
blocking the epididimis or tubes. These conditions are usually treated
by hormonal replacement therapy and surgery in the case of tubular
blockage.
PSYCHOLOGICAL/BEHAVORIAL PROBLEMS
Several sexual problems exist that can affect male fertility. These
problems are most often both psychological and physical in nature: it
is difficult to separate the physiological and physical components.
Erectile Dysfunction (ED):
Also known as impotence, this condition is common and affects
millions of men worlwide. ED is the result of a single, or more commonly
a combination of multiple factors. In the past, ED was thought to be
the result of psychological problems, but new research indicates that 90
percent of cases are organic in nature. However, most men who suffer
from
ED have a secondary psychological problem that can worsen the
situation like performance anxiety, guilt, and low self-esteem. Many of
the common causes of impotence include:
diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak,
and the side effects of frequently prescribed medications (i.e. Prozac
and other SSRIs, Propecia). Luckily, many treatment options exist for
ED depending on the cause–these will be discussed in the treatment
section.
Premature Ejaculation:
Is defined as an inability to control the ejaculatory response for at
least thirty seconds following penetration. Premature ejaculation
becomes a fertility problem when ejaculation occurs before a man is able
to fully insert his penis into his partner’s vagina. Premature
ejaculation can be overcome by artificial insemination or by using a
behavioral modification technique called the “squeeze technique” which
desensitizes the penis.
Ejaculatory Incompetence:
This rare psychological condition prevents men from ejaculating
during sexual intercourse even though they can ejaculate normally
through masturbation. This condition sometimes responds well to
behavioral therapy; if this technique does not work, artificial
insemination can be employed using an ejaculate from masturbation.
INFERTILITY SYMPTOMS IN MEN
Infertility symptoms in men can be vague. They may go unnoticed until a man tries to have a baby.
Symptoms depend on what is causing the infertility. They can include:
- Changes in hair growth
- Changes in sexual desire
- Pain, lump, or swelling in the testicles
- Problems with erections and ejaculation
- Small, firm testicles
Natural Remedies
Men suffering from this problem can increase their potency by taking an effective
herbal treatment for male infertility such as
Baby capsules.
In addition to this, there are several natural remedies which are very
helpful in enhancing male potency. Dairy food items, oysters,
pomegranate juice, pumpkin seeds, fruits and vegetables should be
included in diet.