Infertility is frequently viewed as primarily a female concern; however, it is important to recognize that male infertility is responsible for almost 50% of the cases in which couples face challenges in conceiving. Despite this significant statistic, numerous myths continue to circulate, perpetuating stigma and misinformation surrounding the issue. Therefore, it is essential to comprehend the realities of male infertility to promote awareness, facilitate early diagnosis, and ensure effective treatment.

In a discussion with Lifestyle, Dr. Vandana Ramanathan, a Consultant in Reproductive Medicine at Garbhagudi IVF Centre, outlined five prevalent myths and corresponding facts regarding male infertility.

Myth 1: Men who have fathered a child in the past can never have fertility issues

It is a misconception that this statement holds, as semen quality can be influenced by various factors, including age, health issues, and external elements such as environmental toxins and stress. Therefore, it is essential to reassess the male partner, regardless of previous successful pregnancies, whether with the same or a different partner.

Myth 2: Men with good sperm counts have good fertility

It is a fact that sperm count alone does not determine fertility. Additional factors such as motility, sperm quality, and DNA fragmentation index (DFI), which indicates the extent of DNA damage in sperm, are also significant. Furthermore, overall health and lifestyle choices contribute to fertility as well.

Myth 3: There is no medical treatment for azoospermia

Azoospermia is defined as the lack of sperm in the ejaculate. In certain instances, medication may assist. A hormonal assessment can reveal whether medical intervention is feasible. Approximately 50% of men with reduced testosterone levels experience an increase in sperm production following hormone therapy.

Myth 4: Patients with Klinefelter syndrome can never have biological children

Klinefelter syndrome is a genetic disorder; however, research indicates that the likelihood of it being inherited by children is minimal. Men affected by this condition can still father biological children through testicular sperm extraction (TESE) and various assisted reproductive technologies.

Myth 5: Men with ejaculatory issues, erectile dysfunction can never father children

Erectile dysfunction and the inability to ejaculate can be addressed in certain patients by targeting the root cause of the issue. Additionally, in severe cases, surgical sperm retrieval methods may be employed during the IVF process.

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