Infertility has traditionally been thought of as a woman's problem. But as it turns out, we men don't get off that easily. About one out of every three cases of infertility is due to the man alone, and we're somehow involved in infertility about half the time.
A diagnosis of male infertility can be one of the hardest challenges a man can face. For some, it can be devastating. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree. Not being...
"I don't want there to be a panic, but I think it's safe to say that the father's age should be one of many factors couples should put into the equation when planning a family," says Karine Kleinhaus, MD, PhD, a researcher at Columbia University who recently spearheaded a study on paternal age and miscarriage.
Over the past decade -- and particularly during the last five years -- studies have been mounting indicating that the age of the father may affect the health of the offspring in more ways than one.
Risk of Birth Defects
Associations have been made between paternal age and the risk of birth defects and developmental disorders such as autism and Apert's syndrome, as well as mental illnesses like schizophrenia. Moreover, studies conducted by Kleinhaus and colleagues at Columbia University looked at some 90,000 births and concluded the older a man is when he conceives a child, the more likely his partner is to miscarry -- even when she is young, healthy, and has no other risk factors.
Many believe this is just the beginning of what there is to learn.
"What we know now may be just the tip of the iceberg, particularly regarding birth issues we don't fully understand. We are just beginning to look at the role of a father's age. And as time goes by it's likely we are going to learn a lot more," says Jeremy Silverman, PhD, a professor of psychiatry at Mt. Sinai Medical Center in New York City, and the researcher of a study that associated paternal age with risks of autism.
"First there seems to be some clear changes that happen on a purely chemical level as a man ages. He has lower testosterone levels, lower DHEA, lower estrogen, plus higher levels of FSH and LH, which signal pretty much the same thing in men as in women -- reproductive failure," says Hackensack University embryologist Dave McCulloh, PhD, director of laboratory services at University Reproductive Associates in Hasbrouck Heights, N.J.