Infertility is defined as the failure of a couple to become pregnant after one year of regular, unprotected intercourse. In both men and women the fertility process is complex, and, in many cases, infertility is caused by a combination of problems in both partners that conspire to prevent conception. About 10% to 15% of couples experience some form of infertility, and in approximately 40% of these cases, male infertility is the major factor.
Problems with erectile dysfunction, premature ejaculation and painful intercourse are common causes of male factor infertility and typically are independent of the underlying sperm count. In most cases, men have normal sperm counts and treatment can frequently be done simply with intrauterine insemination of the sperm, after sperm processing, around the time of spontaneous ovulation. This helps to reduce the per cycle cost and also lowers the chance of a multiple pregnancy.
It’s important to note that at least 20% of all couples with infertility have more than one cause of infertility and therefore before proceeding on with treatment, a simple female evaluation would be performed including a hysterosalpingogram, ovarian reserve testing and a baseline ultrasound.