For many South African men, being a “real man” is often linked to fatherhood. In many cultures, children are seen as a source of pride and a symbol of respect, making fertility deeply intertwined with manhood. It is therefore understandable, that conversations around fertility challenges can feel sensitive, uncomfortable, or even unwelcome in many male circles.
Male infertility, often tied to factors like low volumes, slow-moving or low-quality sperm, is a common yet under-discussed issue. Dr Bradley Wagemaker, medical director at Lamelle Pharmaceuticals, says that the key to talking about these issues more openly and frequently may lie in creating male-only spaces where men can feel more comfortable expressing vulnerabilities without the fear of judgment or misunderstanding.
A recent WHO study estimates that around 17.5% of couples worldwide face infertility issues, translating to approximately 1 in 6 adults globally. To add to this challenge, research has shown that cultural stigmas and mistrust of healthcare systems further complicate the pursuit of fertility solutions among people of colour due to systemic barriers, including socio-economic inequities and unspoken biases.
“Infertility treatment is often one-sided, and the reality of fertility challenges in men is largely disregarded, when in fact research has shown that the cause of infertility in couples is related to males in about half the cases. This slant in representation is problematic for a number of reasons,” he adds.
Couples need to have open, honest conversations about fertility to create a supportive environment where both partners can navigate the challenges together. By discussing their feelings openly, couples can strengthen their bond, reduce feelings of shame or guilt, and approach the situation as a team.
“The most upsetting, dark and emasculating experience of my life”
Couples who have struggled with conceiving know the pain that comes with it all too well. Pregnancy announcements on social media, having family members or even strangers ask when you’re planning to have children, or simply seeing parents lovingly cuddle their children can be extremely triggering for both men and women.
However, with the lion share of attention, blame and even sympathy afforded to women dealing with fertility challenges, men are often side-tracked, which takes a mental and emotional toll that isn’t spoken about enough.
In a recent survey, it was revealed that most of the respondents (93%) felt that fertility issues impacted their well-being. Responses included comments such as, “it made me feel worthless that I couldn’t have kids”, and that the experience of dealing with male infertility was “the most upsetting, dark and emasculating experience of my life”.
Issues with fertility also cause strain on relationships and can debilitate intimacy with a partner. “Physically speaking, erectile dysfunction, loss of sexual appetite and other difficulties pertaining to intimacy are common in men experiencing fertility challenges,” confirms Wagemaker, adding that its not uncommon for men to feel stressed, anxious, depressed and of lacking in self-esteem at the prospect of being unable to give their partners a child.
Normalise the realities of infertility
Breaking the silence around male infertility is a critical step toward normalising the conversation. Open dialogue, whether in safe, male-only spaces, within partnerships, or in public forums can empower men to confront the issue without shame. It also fosters understanding, reduces feelings of isolation and highlights the importance of shared responsibility in fertility journeys, making it easier for men to access the medical and emotional support they need.
“The fact is that infertility, whether we want to admit it or not, is a reality for both men and women. Cultural perceptions, stigma and shame, and a sheer lack of awareness are key drivers behind many cases of infertility going undiagnosed and untreated, but the important thing to remember is that there are viable treatment options available, and that you are not alone in all of this,” says Wagemaker. “Fortunately, advancements in medical science have introduced supportive treatments and supplements designed to address these challenges.”
Studies on the efficacy of Prelox, for instance, in treating male infertility have shown positive results, with male subjects taking the supplement for just one month showing increased sperm counts by 150%, 55% better sperm motility and 93% more healthy, normally formed sperm.
Above all, the most important takeaway from this is that men are not alone. Creating spaces for more men to open up safely and comfortably is key, as is addressing the lack of resources and attention male infertility receives. This ensures more men and women are able to navigate the struggles of infertility, fostering a more supportive and informed approach to male infertility.
For more information visit: www.preloxrange.co.za
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