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 able to father a child can make a guy feel like he’s failing at one
of his most primal responsibilities.
Dates that end with lovemaking often begin with dining out, so that the meal
itself can be seen as a form of sexual foreplay -- in more ways than one. How
many times has this happened to you: You take your woman out to dinner at a
nice restaurant. The waiter takes your drink orders and tells you of the
specials, a busboy brings you a choice of savory breads, and you get down to
the business of perusing the menu. Your eye is on the right side of the page --
steak? lobster? steak and lobster?...
Unfortunately, some men have to cope with the reality that nothing can be
done about their infertility. But for other men, advances in male infertility
treatment offer real help.
Understanding male infertility: Sex Ed 101
To better understand infertility, here's a refresher course on the birds and
the bees. (Anyone caught giggling will have to stay after class.)
Sperm are made in the testicles. They're then stored inside yards of
“plumbing” called the epididymis, which lies on top of each testicle. Sperm are
nourished by semen, which is made by glands along the way. When the magic
moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of
semen through the penis.
This whole process hinges on there being proper levels of testosterone and
other hormones as well as correct signaling from the nervous system.
Women ovulate — send an egg down into the uterus — once a month. This
happens about 14 days after menstruation. Sex any time in the five days before
ovulation can create a pregnancy. Sex any other time, even the next day after
ovulation, will not result in conception.
“We generally advise couples to seek fertility evaluations if they are
unable to conceive after 12 months of unprotected intercourse,” says Lawrence
Ross, MD, president of the American Urological Association. About 85% of
couples will have had a pregnancy by that point. “If they are over 30, they
should seek evaluation after six months.”