Male Infertility: Misconceptions, Causes, and Treatments

Male Infertility

Infertility can be difficult for many couples, and male infertility can add an extra layer of complexity to the equation. Unfortunately, male infertility often carries numerous misconceptions and myths, making it even more difficult for men already dealing with the emotional toll of not being able to conceive naturally. This article will explore some common male fertility myths and misunderstandings and look at possible causes and treatments. 

We’ll also take a closer look at male fertility testing, how smoking affects male fertility, and whether low testosterone levels can cause male infertility. With this information, we hope to give readers a better understanding of male infertility and the symptoms of male infertility so they can make better-informed decisions. 

Let’s get started. 

What is male infertility?

Male infertility is the inability of a male to achieve pregnancy with a female partner. It can be caused by issues with sperm production, blockages, or other issues that affect male reproductive organs, low testosterone, and hormonal imbalances. The causes of male infertility are often complex, and it’s important to seek medical advice if you suspect male fertility problems.

Top 5 misconceptions about male infertility

Myth: All male fertility issues are caused by low sperm count

Fact: Low sperm count is one of several possible causes of male infertility. Other causes include blockages, structural abnormalities, genetic conditions and hormone imbalances. It’s important to seek medical advice to determine the exact cause of male infertility. 

Myth: Men can’t be tested for male fertility until after trying to conceive for a year

Fact: While it is true that male fertility testing is often recommended after a couple has been attempting to conceive for at least one year, there are cases where male fertility tests may be necessary sooner. Discussing male fertility testing with your doctor is important to determine the best course of action

Myth: Smoking does not affect male fertility

Fact: Smoking can significantly affect male fertility, reducing sperm count and causing physical damage to male reproductive organs. Quitting smoking can improve male fertility and increase the chances of conception. Smoking can also cause erectile dysfunction and impact sperm motility. It can also lead to other issues that can cause male infertility, such as low testosterone levels and blockages.

Myth: Low testosterone can’t cause male infertility

Fact: It is often a question, can low testosterone cause infertility that can be confusing for many men? The answer is yes; low testosterone can cause infertility in males. Low testosterone can lead to a decrease in sperm production and can also affect sexual drive or libido. It can also contribute to erectile dysfunction, making it difficult to conceive. Low testosterone can be a serious issue for men trying to conceive. Low testosterone can interfere with sperm production and can reduce the quality of sperm produced.

Myth: Having a male fertility test is embarrassing and shameful

Fact: Male fertility tests are commonplace and can often be done in the comfort of your own home. There’s no shame or embarrassment associated with male fertility testing, just peace of mind that you’re taking proactive steps to address male infertility issues. A male fertility test can provide invaluable insight into the cause of male infertility, enabling men to take appropriate steps toward correcting any issues.

Myth: Low testosterone levels can cause male infertility

Fact: While low testosterone levels can lead to male fertility issues, other factors can also contribute. It’s important to have a male fertility test before beginning any treatment for male infertility to determine the exact cause.

What causes male infertility?

There are various causes of infertility in men, such as:

Sperm production problems

Problems with sperm production are one of the most common causes of male infertility. These can include a low sperm count, poor quality or motility of sperm, and genetic or structural abnormalities in the male reproductive organs.


Blockages that prevent the release of sperm through the male reproductive organs can also cause male infertility. This is usually caused by a sexual injury or abnormality in the male reproductive system, including testicular trauma and varicoceles.

Hormone imbalances

A hormone imbalance can also affect male fertility, as hormones play a key role in sperm development and maturation. Hyperprolactinemia, hypothyroidism, and hyperthyroidism can all contribute to male infertility.


Male fertility declines with age as sperm production decreases, leading to decreased fertility levels in older men. Male partners of any age need to consider male fertility testing if pregnancy is delayed.

Lifestyle factors

Several lifestyle factors can affect male fertility, including smoking, alcohol consumption, drug use, and even stress levels. It’s important to make sure these factors are taken into consideration when assessing male fertility.

These causes of male infertility can be addressed through various treatments and can help improve fertility levels for couples trying to conceive. Male fertility testing can provide invaluable insight into the cause of male infertility, enabling men to take appropriate steps toward correcting any issues. If you’re concerned about your fertility or want to take proactive steps toward conception, don’t hesitate to undergo a male fertility test.

No matter your age or lifestyle, it can help you identify any potential issues and can be the first step in addressing them and improving your chances of having a successful conception.

Male infertility treatments

Male infertility treatment includes the following:

1. Medication

In cases where hormone imbalances cause male infertility, medications can be prescribed to help restore balance and improve sperm production.

2. Surgery

Structural abnormalities can often be repaired through surgery to make it easier for sperm to pass into the reproductive system. This can also be done for blockages or scarring that can affect male fertility.

3. Assisted Reproductive Technologies (ART)

When other treatments are unsuccessful, ART can be used as a last resort to treat male infertility. These can include methods such as intrauterine insemination (IUI) and in-vitro fertilisation (IVF).

4. Nutrition and lifestyle changes

Making changes to your diet can help improve sperm production or increase the levels of testosterone while quitting smoking can help reduce damage to male reproductive organs. Stress can also be managed through relaxation techniques and counselling to improve fertility levels.

5. Treating infections

Male fertility can be improved by treating any underlying infections that may be present, such as prostatitis or epididymitis. Antibiotics can be used to treat these bacterial infections to improve sperm production and quality.

By understanding the causes of male factor infertility and available treatments, men can take proactive steps toward addressing these issues and improving their chances of successful conception. With the right approach and medical advice, male infertility can be addressed effectively.

For male fertility issues and taking action as early as possible, couples can increase their chance of having a family. Additionally, it is important to look for signs of infertility in men. 

If you or your partner are experiencing fertility issues, seeking medical advice can be helpful. Treatment for male infertility can help improve sperm production and increase the success rate of conception. While no treatment can guarantee a successful pregnancy, understanding the causes of male infertility can go a long way in helping couples achieve their dream of starting a family.


Male infertility can be a difficult and complex issue to address. However, by understanding the causes of male infertility and available treatments, couples can take proactive steps toward resolving this issue. 

While treatment can improve the chances of conception, it is important to understand that there are no guarantees when it comes to fertility issues. However, with professional advice from healthcare professionals, couples can take positive steps towards overcoming male infertility and hopefully start a family.

FAQs About Male Infertility

1. What are the signs of male infertility?

The most common reasons for male infertility include low sperm count or motility, abnormal sperm shape and size, poor semen quality, erectile dysfunction, hormonal imbalances (such as low testosterone), and pain or discomfort in the testicles.

2. Can male infertility be treated?

Male infertility can be treated. Depending on the underlying cause, treatments can range from medications to nutritional and lifestyle changes and assisted reproductive technologies (ART).

3. Can low testosterone cause infertility?

Yes, low testosterone can lead to decreased sperm production and can therefore affect fertility levels. Testosterone replacement therapy can help improve fertility levels in men and can also help increase the chances of conception.

4. How low is sperm count in infertile? 

A sperm count of less than 15 million per millilitre can be considered a low sperm count, leading to infertility. To improve fertility levels, male partners must have healthy sperm production and quality.

5. Do medications work to treat male infertility?

Yes, medications can help treat male infertility in some cases. Fertility drugs can be used to increase sperm production, while hormone therapy can also help improve fertility levels. Additionally, other treatments, such as rough relaxation techniques and counselling, can be beneficial for improving fertility levels.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Book a consultation with andSons Singapore’s medical team to learn more about testosterone supplements and other well-being treatments here.

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