Infertility is often spoken about as a women’s issue, but global data tells a very different story. According to the World Health Organization, nearly 50% of all infertility cases are linked to male factors. Drawing attention to men’s well-being, Orchid Fertility Dubai is calling for a shift in perception and encouraging men to recognize early signs, understand risk factors, and seek timely support to protect their fertility.
Dr. Rozh Jalil, Consultant Urologist & Andrologist at Orchid Fertility, explains that many of the factors affecting male fertility develop silently. “Conditions like diabetes, obesity, and hormonal imbalances have a deeper impact on sperm health than most men realise,” he says. “Often the first signs are subtle—changes in libido, weaker erections, fatigue, reduced muscle strength or even mood fluctuations. These may look like general health issues but are closely linked to testosterone levels and reproductive function.”
Diabetes is one of the most significant yet overlooked contributors to male infertility. High blood sugar disrupts the hormonal axis responsible for testosterone production, damages nerves and blood vessels that affect erections, and increases oxidative stress which reduces sperm count, motility, and shape. Elevated glucose levels are also associated with higher sperm DNA fragmentation, leading to lower fertilization rates and weaker embryo quality. Dr. Jalil emphasizes that early management—achieving controlled blood sugar through lifestyle or medication—can significantly improve reproductive outcomes.
But beyond chronic conditions, men often miss critical warning signs related specifically to testicular health. “Testicular cancer, though not common, is the most frequent cancer among young men aged 15 to 40,” Dr. Jalil says. “Early detection saves lives, and it starts with a simple monthly self-check.”
A testicular self-exam takes less than a minute. Men are advised to gently roll each testicle between their thumb and fingers after a warm shower, feeling for lumps, firmness, swelling, or changes in size. A “bag of worms” sensation may point to a varicocele—a common, treatable cause of infertility. “If something feels different or unusual, don’t wait. Early diagnosis means higher survival rates and far better chances of preserving fertility,” he adds.
At Orchid Fertility, the evaluation of male fertility begins with a semen analysis—still the foundation of diagnosis worldwide. Count, motility, and morphology remain the core parameters, and even minor abnormalities can signal deeper hormonal or genetic issues. Beyond the basics, Orchid Fertility also conducts comprehensive hormonal analysis—including testosterone, LH, FSH, prolactin and related hormones—to identify whether sperm production issues originate from the testicles or from the brain’s signaling pathway.
For men with severely low sperm counts, recurrent pregnancy loss, or suspected congenital conditions, Orchid carries out genetic investigations such as karyotyping, Y-chromosome microdeletion testing, and CFTR mutation analysis to uncover underlying genetic causes.
When needed, Orchid performs advanced diagnostics such as CASA (computer-assisted semen analysis), expanded sperm DNA fragmentation testing using advanced assays like SCSA and TUNEL, oxidative stress assessment, high-resolution scrotal Doppler imaging, and comprehensive hormonal panels to understand the full picture.
