You can't tell if a man's infertile just by looking at him, but it happens more frequently than you might think. Male infertility accounts for about half of the total infertility cases, reports the American Pregnancy Association, and yet people still think of infertility as a woman's problem. In order to tell if your man can't have babies, he'll need to submit to a few simple medical tests and be honest with you about factors in his life that may affect his fertility.
Common Signs of Infertility in Men
1. Changes in sexual desire
A man’s fertility is also linked with his hormone health. Changes in virility, often governed by hormones, could indicate issues with fertility.
2. Testicle pain or swelling
There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility.
3. Problems maintaining erection
A man’s ability to maintain an erection is often linked to his hormone levels. Reduced hormones may result, which could potentially translate into trouble conceiving.
4. Issues with ejaculation
Similarly, an inability to ejaculate is a sign that it might be time to visit a doctor.
5. Small, firm testicles
The testes house a man’s sperm, so testicle health is paramount to male fertility. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner.
Steps to Take……
Ask him if he's had a vasectomy. A vasectomy is a male sterilization procedure that is sometimes reversible. If he's had a vasectomy, it will need to be reversed before he can have children naturally.
Ask him to make an appointment with a urologist for a full fertility and medical history review and a physical exam, An initial physical exam can provide clues as to why he may be infertile.
Ask him to schedule a semen analysis. A semen analysis entails checking his semen for amount, number of sperm and the sperm's ability to move and swim. The specialist may also test his sperm's ability to penetrate your egg, according to Planned Parenthood.
Have his hormone levels tested. If the urologist or fertility specialist finds problems with his semen, he might want to see if hormone levels are the culprit. The doctor will take blood samples and check levels of testosterone and other necessary hormones.
Ask him to have his urinary and reproductive tract checked for conditions such as retrograde ejaculation and tubal infections or abnormalities. The doctor may order a testicular biopsy, ultrasound or X-ray if he feels a mass or suspects a "plumbing problem," according to the American Pregnancy Association.
Talk with the doctor after all the evaluations have been completed to determine if your man is infertile or if he has a condition that can be treated with medication or surgery.