- Male infertility refers to a state of infertility in the male reproductive system where a man is unable to cause pregnancy, and is classified under the related category of reproductive system infertility in MONDO.
- Causes may include physical problems of the testes, obstruction of sperm transport pathways, hormonal issues, history of high fever or mumps, genetic factors, lifestyle habits, and environmental factors.
- Male infertility can occur due to factors that affect the production, maturation, motility, ejaculation, or fertilization process of sperm.
- Typically, pregnancy does not occur even after attempting conception without contraception for a certain period, and in many cases, men have no distinct subjective symptoms.
- Individual differences may vary depending on age, past infections/high fever, testicular injury or surgery, exposure to drugs/toxic substances, lifestyle habits, comorbidities, and genetic factors.
- The natural course varies depending on the cause, ranging from temporary decreased sperm production to persistent disorders of sperm production or ejaculation.
- Diagnosis is conducted by combining medical history and physical examination, repeated semen analysis, and, if necessary, hormone tests, ultrasound, and genetic testing, based on the duration of attempts to conceive and fertility assessments of both partners.
- Semen analysis results may vary depending on the timing of the test and collection conditions; therefore, causes or the possibility of pregnancy are not determined by a single result, and the evaluation of the female partner must also be considered.
- Management is carried out by identifying reversible factors and underlying diseases, treating corrigible causes, and reviewing assisted reproductive technologies to aid pregnancy if necessary.
- Treatment varies depending on the cause; whenever possible, medication or surgery is used, and if the cause is unidentified or treatment alone is insufficient, assisted reproductive technology is considered.