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How can a man tell if he has low fertility?

Signs and Symptoms of Infertility in Men Problems obtaining and maintaining an erection. Trouble ejaculating – either no ejaculation or reduced volume of semen. Loss of libido or sexual desire / arousal. Pain or discomfort in the testicles or area surrounding the testicles. Growth of breast tissue in men (gynecomastia) More items... •

charlottemenshealth.com - Signs of Infertility in Men - Urologist
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Signs of Infertility in Men

Infertility problems in men are more common than you might think. Among couples who are having trouble starting a family, one-third of the time those troubles can be linked to male fertility issues, one-third to female fertility issues, and the final one-third to fertility issues with both partners. More than 10 percent of couples trying to conceive bump into fertility issues. Often, men first suspect problems with infertility after failing to impregnate their partner. Technically, a man is considered infertile if he is unable to make a fertile woman pregnant after one year of unprotected intercourse with her.

Signs and Symptoms of Infertility in Men

While there may be no other obvious signs of infertility, there are a few warning flags to look out for. These include:

Problems obtaining and maintaining an erection

Trouble ejaculating – either no ejaculation or reduced volume of semen

Loss of libido or sexual desire / arousal

Pain or discomfort in the testicles or area surrounding the testicles

Growth of breast tissue in men (gynecomastia)

Signs of hormonal imbalance, such as loss of facial or body hair

Unusual loss of or reduction in the sense of smell

Lumps in the testicles, or unusually small and hard testicles

Tests for Infertility in Men

Because most causes of male infertility are related to sperm, the first test a urological health care provider will perform is a sperm count and analysis. Too low of a sperm count, misshapen sperm, and “lazy” or less-active-than-normal sperm can all lead to fertility issues. If all appears normal with a man’s sperm, further investigations may be conducted into possible issues with hormone balance, physical trauma to the genital area, and genetic issues. Occasionally, certain medications can cause infertility problems. Beginning a family is important for many couples, and infertility problems can cause a lot of worry and stress. Ironically, stress itself can negatively contribute to a couple’s infertility due to its harmful impact on intimate relations – which is why it’s important to seek professional, expert advice early on. Often, infertility problems can be addressed and just understanding what the issue is can be the first step in improving a couple’s ability to conceive. For proper care, it’s vital to discuss any fertility issues you may have with a board-certified urologist. Contact Dr. Richard Natale at Carolina Urology Partners in Concord, North Carolina for the compassionate and discreet urological care you deserve. Call our office today at (704) 786-5131 to schedule your appointment, or fill out our online appointment request form. We look forward to helping you.

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What causes high DHT?

Increased DHT (dihydrotestosterone) can be caused by conditions such as benign prostatic hyperplasia (BPH), prostate cancer, male pattern hair loss (androgenic alopecia), and excessive male-pattern hair growth in females (hirsutism).

Increased DHT (dihydrotestosterone) can be caused by conditions such as benign prostatic hyperplasia (BPH), prostate cancer, male pattern hair loss (androgenic alopecia), and excessive male-pattern hair growth in females (hirsutism). DHT (dihydrotestosterone) is a type of androgen, a male sex hormone, that stimulates the development of masculine characteristics such as body hair, muscle growth, and a deep voice. About 10% of an adult’s testosterone is converted into dihydrotestosterone by the testes and prostate (in men), the ovaries (in women), and the skin and other parts of the body. Increased DHT production is believed to be responsible for the beginning of puberty in boys, causing development of the penis, testes, and scrotum, and pubic and body hair growth. DHT is also necessary for prostate growth in men, and it is thought to combine with testosterone to cause the expression of male sexual behavior and to maintain a sex drive in men.

DHT also plays a major role in male-pattern baldness.

In females, DHT causes body and pubic hair growth seen in girls after puberty. Excess testosterone production can cause DHT to increase. Conditions that exhibit increased DHT activity include:

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