Exploring Male Infertility

What is it?

The term “infertility” refers to the phenomenon of a couple being unable to achieve pregnancy, after one year of systematic intercourse without birth control.
When the diagnostic examination of the couple detects a problem in the fertility of the man, then reference is made to “male infertility”.

Frequency

Around 15% of all couples in reproductive age face infertility issues. Around 40% of them is attributed to male related causes, 40% to female and 20% to both partners.

Symptoms

In most cases, male infertility has no obvious symptoms. Apart from certain exceptions, the sexual activity of infertile men is normal and the macroscopic observation of the ejaculate by the naked eye does not indicate any disorder.

Diagnosis

When the couple has failed to achieve pregnancy after a reasonable period of effort, it is recommended to consult a clinical doctor to obtain medical advice based on the couple’s complete medical history.
Afterwards, it is necessary to have laboratory tests performed to both partners. Regarding men, the primary examination includes a thorough assessment of the sperm quality through a Spermiogram.
The detailed sperm analysis is the first step to assess the potential fertilising ability of patients. Under certain circumstances, the conventional semen analysis may provide the basic diagnostic information and indications on the eventual necessity for further specialised analyzes.