Break gender bias around infertility in men

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.

Therefore, it is understandable that conversations around fertility challenges can feel sensitive, uncomfortable or even unwelcome in many male circles.

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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, the medical director at Lamelle Pharmaceuticals, said the key to more open and frequent discussions about these issues might lie in creating male-only spaces where men could feel more comfortable expressing vulnerabilities without the fear of judgement or misunderstanding.

A recent World Health Organisation study estimates that about 17.5% of couples worldwide face infertility issues, translating to approximately one in six adults globally.

Adding to this, 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 several reasons,” he added.

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Couples need to have open, honest conversations about fertility to create a supportive environment where both 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 to conceive know the pain that comes with it all too well.

Pregnancy announcements on social media, having family or strangers ask when you’re planning to have children, or simply seeing parents lovingly cuddle their children can be extremely triggering for men and women.

However, with the lion’s 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.

A recent survey revealed that most respondents (93%) felt 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”.

Fertility issues also strain relationships and can debilitate intimacy with a partner.

“Physically speaking, erectile dysfunction, loss of sexual appetite and other difficulties about intimacy are common in men experiencing fertility challenges,” confirmed Wagemaker, adding that it is not uncommon for men to feel stressed, anxious, depressed and lacking in self-esteem at the prospect of being unable to give their partners a child.

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Normalise the realities of infertility
Breaking the silence around male infertility is a critical step toward normalising the conversation.
Open dialogues, 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 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.

However, the important thing to remember is that there are viable treatments available and that you are not alone in all of this,” said Wagemaker.

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“Fortunately, advancements in medical science have introduced supportive treatments and supplements designed to address these challenges.”

Above all, the most important takeaway 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 would ensure more men and women could navigate the struggles of infertility, fostering a more supportive and informed approach to male infertility.