Male Fertility
A couple’s inability to become pregnant cannot be attributed to the female alone. The male can also play a role. There are several things
that could be the cause of impotence in males. These include abnormal sperm parameters, azoospermia, and anti-sperm antibodies.
Abnormal sperm parameters (in other words, a low sperm count) is primarily due to a deficiency in sperm production by the testicles. While the exact cause of this is normally unknown, it can be linked to previous surgeries or infections as well as excessive drinking. Certain drugs, radiotherapy and radiation may also have a injurious effect on sperm production.
Azoospermia is the absence of sperm in the ejaculate. This may be testicular failure (i.e. failure to produce sperm). This can be caused by some previous infection such as mumps. Azoospermia can also be caused by an obstruction in the vas deferens, the epididymis or even the testes.
The semen may contain anti-sperm antibodies that attach to the sperm and prevent the mobility as well as their ability to penetrate and fertilise an egg. These antibodies can occur after the reversal of a vasectomy or other surgery that has been performed on the male genitalia. Previous infections or injury to the area can also cause the production of these antibodies.
Impotence and infertility while connected are not the same thing. Impotence refers to the inability of the man to complete the sexual act, while infertility is the inability to impregnate a woman.
Male impotence can have psychological roots. Things like stress, fear, anger, depression, a lack of intercourse or a lack of interest in the current sexual partner can all lead to a male finding himself to be impotent.
Medical reasons for male impotence can include illnesses like diabetes or kidney and heart diseases or a previous injury to the groin resulting in nerve damage. Other causes include overuse or abuse of illegal drugs, tobacco, and alcohol. A lessening of the blood flow to the penis can also cause impotence. This is common in men who have hardening of the arteries. It can also be a side effect of some medications including those used to treat heart disease, high blood pressure, depression, and epilepsy.
The older a man gets, the more likely it is that erectile dysfunction, better known as impotence may occur.
Occasional impotence, while embarrassing is not seen as a serious problem, but when it continues for some time, it can be stressful for both the male and his partner.
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