Male infertility refers to the man’s incapacity to achieve pregnancy in a female who is fertile. It is commonly due to semen deficiencies, hormonal disturbances and psychological problems.

Fertility among males usually requires the normal functioning of the testes, pituitary gland and hypothalamus. Hence, a range of health conditions can lead to infertility.

Many health care providers evaluate infertility through:

1. Knowing the man’s medical history and previous health are two of the most important factors in evaluating male infertility. A health care provider will start asking about childhood growth and development, as well as sexually-related experiences during adolescence, exposure to specific environmental agents like chemotherapy, radiation, alcohol and fertility testing records.

2. Physical examination including body fat assessment, thorough inspection of hair and skin pattern, height and weight measurement and visual examination of reproductive parts.

3. Semen analysis is the most critical part of the entire infertility evaluation. It comprises of the following tests:

• Laboratory testing – Here, the average sperm count serves as the central part of the whole process. This semen analysis provides necessary information about the shape and motility of the sperm.

• Home testing is often referred to as "over-the-counter" tests wherein the total number of motile sperm can be estimated through user-friendly testing kits like FERTELL. Here, sperm analysis can be performed at the comfort of one’s home but its reliability in predicting a man’s fertility is limited.

• Genetic tests are done to determine if any chromosomal or genetic abnormalities are suspected to be contributory to barrenness. Some men have inherited genes which results in infertility.

• Blood testing may detect hormonal disorders. If the sperm concentration is low, the doctor may suspect that there is a hormonal problem.

• Other tests such as testicular biopsy are often recommended for males with insufficient sperm. This biopsy is done through surgical procedures by opening the testes and inserting a small needle to withdraw tissues essential for sampling.

Among couples not being able to conceive, about half can be attributed to male infertility. This is a significant realization because most infertility evaluations and treatments have traditionally focused on women, who are more open to seeking advice and help.

To make matters worse, many men who are willing to undergo diagnoses and treatment, experience disappointment when conventional infertility treatments fail to address their problems.

This being the case, it is highly recommended that they seek natural and holistic forms of therapy such as the use of Chinese medicine, acupuncture, yoga and relaxation, which are far superior in that they treat the causes and not just the symptoms.

Holistic measures improve general health of both men and women, thus not only improving their chances of conceiving but also enjoying a better quality of life.

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