Often overlooked, male infertility is a silent struggle within our society. Leaving no visible signs, the invisible burden of infertility weighs heavily on couples and individuals yearning to conceive. Infertility affects a significant number of couples, with about 15 per cent of couples worldwide experiencing difficulties conceiving. Therefore, it is important to shed light and unravel the enigma of male infertility, and provide guidance on how one can navigate through it.

Unveiling the Causes

Infertility refers to the inability of a couple conceiving a child after actively trying for 12 months. In about 50 per cent of infertile couples, male infertility is identified as the cause. While some cases remain unexplained with no known cause, other cases may be linked to conditions such as varicoceles (where the veins in the scrotum are enlarged), hypogonadism, and hormonal disorders.

Other possible causes include previous urological or abdominal surgeries, male sexual disorders, testicular conditions, lifestyle choices like substance and alcohol abuse, genetic factors, and chemotherapy. These may affect sperm production, quality, or transport, making conception more challenging.

Hidden Impacts of Male infertility

The desire to start a family is naturally rooted in the human spirit, making the experience of infertility all the more challenging. Men facing infertility may find themselves navigating a complex range of emotions. Societal and cultural pressures play a part as expectations ingrained in society demand that men embody traditional notions of masculinity. Hence, the inability to conceive can deliver a devastating blow to their confidence and self-esteem.

Recognising the multifaceted impact of infertility is paramount in developing effective coping strategies. Embracing open communication, seeking and providing emotional support, and feeling comfortable to reach out for assistance are crucial steps for men to navigate through challenges.

Male infertility

Winning the Wrestle Against Stigma

While there are many reasons that can contribute to the condition, the increase in cases can be attributed to the willingness of individuals coming forward to seek help. The internet, particularly social media, played a significant role in raising awareness and encouraging open discussions about male infertility. The shift in societal attitudes has helped to reduce stigma surrounding the topic of infertility, especially for males, making it easier for people to address their concerns and seek help.

Encouraging Men to Seek Help

Men facing male infertility often find it difficult to seek help. However, it is essential to recognise that they are not alone in this battle. Overcoming the barriers of shame and stigma is crucial, as seeking support and medical evaluation provides both solution and solace.

By promoting awareness, providing accessible resources, and fostering open conversations, we can overcome feelings of embarrassment, normalise seeking help, and empower males to take proactive steps towards addressing their concerns.

Additionally, having the support from their partners play a vital role in motivating and emboldening men. Thus, bringing them one step closer to achieving their goal of conception.

Male seeking help

Resources for Men Facing Infertility

In Singapore, there are resources available for men grappling with infertility. At Raffles Urology Centre, our urologists and allied health professionals strive to provide a holistic and comprehensive care management plan to help patients achieve their health goals. Support groups and counselling services also provide a safe and confidential space for couples and individuals to share their experience, seek emotional support, and gain insights into coping strategies.

Infertility does not diminish one’s ability to be a parent. Exploring alternative paths to parenthood, such as assisted reproductive technologies and adoption, offers hope and a renewed sense of purpose.


All in all, male infertility is a widely underestimated challenge that profoundly impacts couples around the world. By acknowledging the emotional toll it takes and reaching out for support, men can redefine their path to fatherhood, and embark on a journey of resilience and growth.

Remember, seeking help is not a sign of weakness but rather a proactive step towards achieving the dream of parenthood.

This article is contributed by:
Dr Darren Goh, Specialist in Urology and Consultant, Raffles Urology Centre.