WHEN it comes to infertility, there’s a lot of misinformation floating around. These topics are often misunderstood, whether it’s whispers at the braai, late-night Google searches, or well-meaning but outdated advice from an uncle. The result? Stigma, silence, and isolation for men who are struggling with their reproductive health.

Although fatherhood is an important part of family life in South Africa, a study done by Lamelle Pharmaceuticals shows that 40% of South African couples struggling to conceive is due to male infertility factor, with poor sperm quality being a leading cause. This reality doesn’t just affect individuals, it shapes families and communities as a whole. For many men, the pressure of not being able to father a child can take a heavy emotional toll. The truth is, infertility isn’t just a “woman’s issue.”

To clear up the confusion and help more men face the issue head-on, Dr Bradley Wagemaker, medical director at Lamelle Pharmaceuticals, looks at some of the myths and shares expert insights on male reproductive health.

A report by the World Health Organisation showed that one in six people is affected by infertility globally and infertility does not discriminate. In South Africa, cultural stigmas often place undue blame on women, but male factors contribute to infertility in about half of all cases.

Wagemaker added that the journey of trying to conceive is a shared experience for couples, and any challenges faced along the way should not be attributed to one partner alone. Instead, couples should focus on mutual support, open communication, and a collaborative approach to navigating potential difficulties.

Just like athletes have a "prime age" for their performance, men also experience a biological clock when it comes to fertility. Men’s fertility tends to take a dip around the age of 40. Studies show that conception becomes 30% less likely for men over 40 compared to those under 30.

As men age, sperm quality can also decline. The shape and structure of sperm may become less ideal, making it harder for fertilisation to happen. There’s also a higher chance of sperm DNA damage, which can affect embryo development and increase the risk of pregnancy complications. While age is a factor, healthy lifestyle choices like a balanced diet, managing stress, and staying active can help slow down these changes and support fertility.

Avoiding discussions about male infertility due to fear or stigma only reinforces harmful silence and prevents men from seeking the medical and emotional support they need. Open conversations about male infertility are not just beneficial for couples but for society as a whole.

“Normalising these discussions in our communities can drive better healthcare policies, improve access to medical treatment and challenge societal norms that place the burden of infertility solely on women. By breaking the stigma, we create a culture where reproductive health is seen as a shared issue, strengthening families and communities.” Wagemaker said.

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The truth about male infertility in SA