Causes of Male Infertility

Dr. Dan French Evaluates Causes of Male Infertility with Experience and Expertise

Approximately half of the cases of infertility involve male factors. When you suspect male infertility, it is essential that you find the right doctor to help identify the cause and to find the best treatment possible. Dr. Dan French is a urologist with fellowship training in male infertility, devoting a considerable percentage of his practice to finding and correcting the underlying causes that prevent men from becoming fathers.

Explaining the Causes of Male Infertility

While some warning signs are obvious, other problems are subtle. Either way, the causes of male infertility fall into one of five categories:

Sperm Production Disorders
The body needs to produce a good quantity of healthy, motile sperm, and be able to transport it through the male reproductive tract. Problems like oligospermia and azoospermia can be caused by a number of factors, including a varicocele, steroid or testosterone use, hormonal imbalances or genetic diseases.

Hormonal Imbalances
The pituitary and hypothalamus glands signal the body to produce testosterone and other hormones essential to sperm production, erection and ejaculation. Without appropriate production of hormones, including follicle stimulating hormone and luteinizing hormone, the male reproductive system falters.

You should know that treatments for low testosterone can interfere with sperm production. It’s important to work with a male fertility specialist if you need treatment for low testosterone but want to maintain your fertility.

Anatomical Abnormalities
To achieve pregnancy, at least one testicle must function. Some anatomical concerns are: varicoceles, which are swollen veins in the spermatic cord that can interfere with sperm production; ejaculatory disorders, including retrograde ejaculation, that may result from physical conditions such as spinal cord injuries, diabetes, tumors or pelvic surgeries. Lastly, obstruction of the genital tract can prevent sperm from reaching the semen.

Lifestyle and Environmental Factors
Adopting a healthy lifestyle by abstaining from illegal substances, moderating alcohol use and avoiding cigarettes are healthy steps one can take to help overcome male factor infertility. Dr. French will help identify any lifestyle factors you should eliminate or adopt to maximize your chances at fertility.

Sexual Dysfunction
Finally, some men may experience erectile dysfunction while trying to conceive. This is a common problem that can be easily overcome.

Dealing with infertility can cause couples a great deal of stress. Dr. French understands this and desires to help his patients navigate their options so they can enjoy the blessings of fatherhood. Seeking answers and learning about your options is the first step.

As a board certified urologist and male fertility specialist, Dr. French can provide comprehensive services to find the causes of male factor infertility. Having a physical exam and getting the appropriate testing right from the start can expedite the process from diagnosis and treatment to successful pregnancy. Upon your first visit with Dr. French, he will spend time asking about your health history and lifestyle, as well as perform a physical exam. This will help identify lifestyle factors, genetic conditions, or anatomic abnormalities that can lead to male infertility.

We will also schedule a semen analysis to evaluate semen quality, and discover possible challenges such as low sperm count (oligospermia), or the complete absence of sperm in the ejaculate, azoospermia. Other more subtle findings on semen analysis may include decreased sperm motility or inflammatory cells in the semen (leukocytospermia).

Additional testing may include blood hormone levels, genetic testing, anti-sperm antibody testing or sperm DNA damage testing, as appropriate.

When you feel ready to take action contact Dr. French at the Dallas Center for Pelvic Medicine.

Phone: (214) 360-1535
Fax: (214)360-1534
Address: 10501 N. Central Expressway, Suite 200.
Dallas, TX 75231 (located in the CHASE Bank building)

Potential Causes of Male Infertility

  • Sperm production 
  • Sperm delivery 
  • Sperm counts 
  • Oligospermia
  • Azoospermia 
  • Semen abnormalities 
  • Poor sperm motility 
  • Abnormal sperm morphology 
  • Varicoceles
  • Infections
  • Enlarged prostate (BPH)
  • Trauma 
  • Anti Sperm antibodies 
  • Hormonal imbalance 
  • Low-T treatments 
  • Sperm delivery Issues 
  • Retrograde ejaculation
  • Erectile dysfunction 
  • Other genital tract obstructions
  • Peyronie's disease
  • Age and Infertility 
  • Undescended testicles
  • Environmental factors
  • Problems with sexual intercourse
  • Genetic factors
  • Congenital absence of Vas Deferens
  • Sexual dysfunction 
  • Medication 
  • Spinal Cord Injury
  • Infertility after cancer 
  • Environmental causes
  • Industrial chemicals
  • Heavy metal exposure
  • Radiation or X-rays
  • Overheating the testicles
  • Lifestyle factors
  • Smoking 
  • Illegal drug use
  • Anabolic steroids
  • Alcohol use
  • Occupation
  • Emotional stress
  • Weight