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Montgomery Fertility Center

Male Factor Infertility

Infertility is fairly common. Some 15 percent of couples who desire a child are unable to conceive because they are infertile. In a third of these couples, male infertility plays a cause.
Male infertility is due to low sperm production, abnormal sperm function, or blockages that prevent the delivery of sperm. Illnesses, injuries, chronic health problems, lifestyle choices, and other factors can play a role in causing male infertility.
About one in 20 men have low numbers of sperm, causing infertility. However, only about one in every 100 men has no sperm at all.
Not being able to conceive a child can be stressful and frustrating, but a number of male infertility treatments are available.

Causes of Male Infertility

Approximately 66% of infertile men have a problem where they make low numbers of sperm and/or sperm that do not work properly.
About one in five infertile men have other physical problems, including those who have had a vasectomy but now want to have children. Blockages (often called obstructions) in the tubes leading from the testicles to the penis can stop some men from ejaculating sperm.
Other less-common causes of male infertility include sexual problems, low levels of hormones made in the brain, and, sometimes, genetics.
The most common genetic causes of infertility are chromosomal conditions that affect the way sperm is produced. These include Klinefelter syndrome (i.e., a condition where you are born with an extra X chromosome), Y chromosome deletions (i.e., a condition where you have genetic material missing from your Y chromosome that is important for sperm production), and other genetic problems, such as Down Syndrome.

Evaluation of Male Infertility

Evaluation of male infertility involves a history and physical. Sperm assessment, in the form of a semen analysis, is needed. This will check the number, shape, and movement of your sperm. You may also take a blood test to check the levels of hormones that control your sperm production for genetic testing. In some cases, your doctor will test your urine to see if sperm is present, which can occur when there is retrograde ejaculation. Sometimes, an ultrasound, MRI, or testicular biopsy may be recommended.
One in eight infertile men have a treatable condition. After treatment, couples can become pregnant naturally.
In some cases, your doctor will recommend that you and your partner seek assisted reproductive treatment, such as in vitro fertilization (IVF).


Our Physicians

Dr. Yemi Adesanya-Famuyiwa

Dr. Yemi Adesanya-Famuyiwa

Medical Director

Dr. Oluyemisi (Yemi) Famuyiwa is the founder of the Montgomery Fertility Center in Rockville, MD. Dr. Famuyiwa is also the Associate Clinical Professor of Obstetrics and Gynecology at George Washington University…
Dr. Jinping Liu

Dr. Jinping Liu

Laboratory Director

Dr. Liu became part of the Montgomery Fertility Center team in 2015. She graced us with extensive experience in the field of assisted reproductive technology, human embryology, and andrology. Dr….


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