Understanding Male Fertility and Sperm Health

Male fertility is a topic that often takes a backseat in discussions about fertility treatments. When it comes to fertility, it takes two to tango – so let’s explore male fertility and sperm health.
What Is Male Fertility?
Put simply, male fertility refers to a man’s ability to impregnate a woman successfully. But behind this definition is a complex relationship between factors that contribute to a man’s reproductive health.
Male reproductive success depends on making healthy sperm and the ability to have an erection or ejaculate. Difficulties with either of these may suggest infertility.
Similar to female infertility, male infertility is a term used when a couple can’t get pregnant after 12 months of regular, unprotected sex.
When couples struggle to fall pregnant, most of the focus tends to be on female fertility. But both female and male factors account for 30% of fertility challenges experienced by couples. About 1 in 20 men experience male infertility problems and have low numbers of sperm. 1 in 100 men have no sperm count at all.
What Is Sperm Health?
At the heart of male fertility lies sperm – those tiny, resilient cells that hold the key to conception. Sperm production occurs within the testes and is regulated by a balance of hormones.
Healthy sperm depends on several factors, including movement, shape, and quantity. Each of these plays a vital role in fertilisation.
Let’s explore these factors in more detail:
- Movement (motility): to reach and fertilise an egg, sperm must move (swim) through a female cervix, uterus, and fallopian tubes. The more movement the better as any less than 40% movement reduces the chances of pregnancy.
- Shape: typical sperm have oval heads and long tails, which work together to drive them.
- Quantity: too little sperm in an ejaculation can make it more difficult to fall pregnant as there are fewer options available to fertilise the egg.

What Causes Male Fertility Issues?
1. Lifestyle Choices:
Things like diet, exercise, and substance use can impact sperm quality. For example, smoking or excessive alcohol consumption have been linked to decreased sperm count and movement. On the other hand, maintaining a healthy weight and staying active can boost fertility.
2. Environmental Factors:
Some environmental factors can come into play. Exposure to toxins, pesticides, and even excessive heat can harm sperm production. These factors can interrupt the hormonal balance that drives sperm production.
3. Medical Conditions:
Some common medical issues that lead to male infertility include:
- Genetic abnormalities.
- Sexual dysfunction.
- Injury.
- Endocrine disorders.
- Testicular disease.
- Inflammatory conditions and infections.
4. Age:
Fertility health declines as men age. The older a man gets, the less sperm he is able to ejaculate. So, there are less options available to fertilise the egg. The quality of sperm also declines with age, making conception harder.
Tips For Improving Sperm Quality and Fertility
While there’s nothing you can do about age, there are some things you can do to improve your fertility and sperm health.
The most valuable thing you can do is to adopt a healthy lifestyle. What does this mean? Quit smoking, lay off alcohol, exercise regularly, eat a balanced diet, and maintain a healthy weight. It’s definitely easier said than done, but it’s well worth the effort for your fertility and overall health.
A few other lifestyle choices to consider include:
- Wearing protective gear while playing sport to avoid injuries to your groin.
- Staying cool – avoid hot baths, saunas, and tight-fitting underwear, and keep your laptop off your lap.
- Decreasing and managing stress.
- Consider taking supplements to support fertility, like folic acid, zinc, vitamin c, selenium, Coenzyme Q10, or omega-3 fatty acids. Talk to your doctor about which supplements are best for your needs.
Understanding the prevalence of male infertility isn’t about assigning blame. It’s about equipping yourself with the knowledge needed to take proactive steps. Fertility challenges can feel isolating, but knowing others share the same experiences can create a sense of community and support.
Remember, male fertility is not set in stone. With the right lifestyle choices, medical interventions, and support, many men can overcome fertility challenges and fulfil their dreams of starting a family.