June is dedicated to Men’s Health Month, offering a significant chance to focus on various health concerns unique to men, including a frequently overlooked topic: male fertility. As a fellowship-trained urologist specializing in sexual medicine and male fertility, I’ve noticed that male reproductive health often gets sidelined in discussions about family-building. It’s essential to elevate this dialogue.
According to the World Health Organization, one in six couples experiences infertility issues, with male factors involved in almost half of these cases. In 20 to 30 percent of the occurrences, male infertility is the foremost cause. Nevertheless, men often find themselves excluded from the fertility assessment and treatment process. This is a situation that requires change. Male infertility is not a personal failing but a medical condition that can suggest other health issues, including hormonal imbalances, testicular concerns, or chronic illnesses. Tackling male infertility can improve both fertility and overall health.
A comprehensive strategy for addressing male fertility includes pre-conception counseling and various procedures such as microscopic varicocelectomy, vasectomy reversal, and sperm retrieval methods like microTESE. Hormonal therapies are vital for restoring equilibrium and safeguarding fertility. These interventions can greatly influence men’s capacity to create families while supporting their physical, emotional, and relational well-being.
Moreover, conversations around erectile dysfunction, testosterone use, and the stress of conceiving can impact confidence and intimacy. Many patients are often surprised to discover that testosterone therapy may lower sperm production or that erectile issues can stem from anxiety, stress, hormonal disruptions, or undiagnosed conditions. These discussions should occur in evidence-based, non-stigmatizing environments.
Lifestyle elements like nutrition, exercise, sleep, and stress management are pivotal in maintaining hormonal balance and sperm health. Approaching fertility requires a holistic perspective and partnership with patients to facilitate significant changes.
Men’s Health Month is the perfect time to start dialogues about male fertility. Recognizing fertility and sexual function as integral parts of health enables men to participate more actively in their care. The growing conversation surrounding men’s health is encouraging. Progress begins with candid dialogue—so let’s keep talking and listening.
Dr. Charles Loeb is a urologist focused on sexual medicine and male fertility at Hoag, a nonprofit regional healthcare network in Orange County, California, committed to comprehensive care and community assistance.