Infertility is the
failure of conception by a couple despite one or more years of unprotected
copulation. According to data from the All India Institute of Medical Sciences
(AIIMS), more than 12–18 million Indian couples are diagnosed with infertility
every year. Of these, 50% of the cases are due to male factors. However, most
men are hesitant to consult a doctor as they attribute infertility to women
only.
It is essential to
ascertain the primary cause of infertility before looking for remedies for
infertility. Treatment strategies must be customized based on the couple’s
family histories, factors contributing to failure in conception, and treatment
affordability. Couple counseling also plays an important role.
Hurdles to accepting
treatment and counseling must also be addressed while planning management.
Among males, obstacles to treatment include social stigma and false ideation of
manhood. Men should be made to understand that undergoing a fertility
test/treatment does not hamper their manliness. Infertile men may also be able
to have sexual intercourse and may produce normal-looking. semen
Lifestyle is an
important factor that affects fertility in men and women. Deleterious habits
gravely impact sperm quality. Advanced age and obesity also affect sperm
quality. All these factors can be reversed, and appropriate infertility
treatment may enable a couple to conceive safely.
The partner’s support is vital during infertility treatment. Patients
should be advised to confide in their partners before undergoing infertility
treatment. Educating men regarding reproduction, fertility, and problems
associated with conception is essential to create awareness regarding
infertility and the available therapies. Myths, such as female orgasm is
necessary for conception and masturbation affects future fertility, must be
busted.
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