As a man, I have noticed that conversations about fertility often centre around women. It’s time we acknowledge that making a baby is a two-player game, and sometimes the glitch is on our side. Yes, gentlemen, I am talking about male infertility, a topic that deserves as much attention as its female counterpart.

When couples struggle to conceive, societal whispers often point fingers at the woman. However, medical science tells a different story. According to the World Health Organization (WHO), male infertility accounts for about 50% of all infertility cases worldwide. That’s right! half. It’s not just her; sometimes, it’s us.

Understanding Male Infertility

Male infertility primarily stems from issues with sperm production, function, or delivery. Common problems include low sperm count, poor sperm motility (that’s how well they swim), and abnormal sperm morphology (shape). Lifestyle factors, medical conditions, and environmental exposures can all play a role.

Numbers That Might Surprise You

 Sperm Count Decline: A comprehensive study published in Human Reproduction Update in 2017 found that sperm counts among men in Western countries have plummeted by nearly 60% between 1973 and 2011. That is a staggering drop, suggesting that male reproductive health is facing a crisis.

Global Impact: The same study indicates that this isn’t just a Western problem; emerging data suggest similar trends worldwide. Factors like pollution, stress, and lifestyle changes are contributing globally.

What’s Behind the Decline?

Several culprits are in the lineup:

Lifestyle Factors: Smoking, excessive alcohol consumption, drug use, and obesity can negatively affect sperm quality. A study in the British Journal of Sports Medicine found that men who watched over 20 hours of TV a week had a 44% lower sperm count than those who watched almost none.

Environmental Exposures: Pesticides, heavy metals, and endocrine-disrupting chemicals found in plastics can harm sperm production. Research from the University of Copenhagen linked exposure to phthalates (found in many consumer products) to reduced sperm quality.

Heat Exposure: Frequent use of hot tubs, saunas, or even placing laptops on laps can raise scrotal temperatures, impairing sperm production. Medical Conditions: Varicoceles (enlarged veins in the scrotum), infections, and hormonal imbalances can also be culprits.

Breaking the Stigma

Why don’t we hear more about male infertility? Perhaps because admitting to fertility issues can feel like a blow to masculinity. But let’s get one thing straight: fertility doesn’t define manhood. By staying silent, we do a disservice to ourselves and our partners.

Open communication is crucial. If conception isn’t happening after a year of regular, unprotected intercourse (or six months if she’s over 35), it’s time for both partners to get checked. A simple semen analysis can provide valuable insights.

Steps Towards Improvement

The good news is that many causes of male infertility are treatable or reversible. Here are some practical steps:

Healthy Lifestyle Choices: Quit smoking, limit alcohol, and maintain a balanced diet rich in antioxidants. Foods like walnuts, berries, and leafy greens can promote sperm health.

Exercise Wisely: Regular physical activity boosts overall health, but avoid overdoing it. Extreme exercise can negatively impact testosterone levels.

Mind the Heat: Keep things cool down there. Opt for loose-fitting underwear and avoid placing electronic devices on your lap.

Check Medications: Some prescriptions can affect fertility. Speak with a doctor about possible side effects. Environmental Awareness: Reduce exposure to toxins by using natural cleaning products and avoiding plastics labeled with recycling codes 3 or 7, which may contain harmful chemicals.

A Joint Journey: Time to Talk About It

Fertility challenges affect both partners emotionally and physically. By acknowledging that male infertility is a significant piece of the puzzle, couples can approach the issue as a team. Shared understanding fosters stronger relationships and more effective problem-solving.

It is high time we normalised discussions about male fertility. By shedding the stigma and opening up, we not only help ourselves but also support the women in our lives. After all, raising awareness is the first step towards finding solutions.

So, to all the men out there: let’s step up, get informed, and be proactive about our reproductive health. Fertility is not just a women’s issue, it is a human issue, and it takes two to tango