Infertility affects many couples, and while discussions often focus on female fertility, male infertility can be equally significant.
In this Q&A, Alan Copperman, MD, Director of the Division of Reproductive Endocrinology and Infertility and Vice Chair of the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and Reproductive Science at the Mount Sinai Health System, explains male infertility and discusses when to see a medical specialist.
Alan Copperman, MD
“Understanding male infertility and its implications is crucial for couples navigating fertility challenges,” says Dr. Copperman, who is also Managing Director and Chief Executive Officer of RMA of New York. “By addressing these common questions and seeking appropriate medical guidance, men can take proactive steps towards achieving their family planning goals.”
How common is male infertility?
Male infertility contributes to nearly half of infertility cases. There can be structural, hormonal, genetic, and even environmental drivers of male infertility.
What does a semen analysis look at?
A semen analysis is a critical diagnostic tool used to assess various parameters of semen quality. It evaluates aspects such as sperm count, motility (movement), morphology (shape), and other factors that affect fertility such as the presence of infection.
When should I consider making an appointment with a male reproductive specialist or urologist?
If a couple has been trying to conceive for six months without success, it may be advisable for the male partner to be tested, and potentially referred to a reproductive urologist. Additionally, men with specific health conditions or lifestyle factors that could affect fertility should consider seeking expert advice.
What can I expect during an initial meeting with a male reproductive specialist?
During the first appointment, the specialist will typically review your medical history, discuss lifestyle factors, and may recommend further diagnostic tests, including a physical examination and possibly additional semen analyses, hormone tests, and an ultrasound.
Are there lifestyle considerations men should consider to optimize their sperm health?
Several lifestyle factors can affect your sperm health. These include your diet, how much you exercise, your use of tobacco and alcohol, managing stress, and avoiding exposure to environmental toxins. Making positive lifestyle changes can potentially improve sperm quality and overall fertility.