Sexual Dysfunction & Male Infertility

March 16, 2022

Male sexual dysfunction is more common than you think, and men of all ages experience it. One of the significant fears of having a sexual dysfunction is infertility. However, people often misunderstand the facts around it, so let’s start with the basics.

What is male infertility?

Male infertility is a medical condition that affects the male reproductive system making it harder (at times impossible) for him to have children.

What is Sexual Dysfunction?

Sexual Dysfunction is an umbrella term for a variety of sexual disorders such as erectile dysfunction and premature ejaculation, that can affect male fertility.

What are the symptoms of male infertility?

  • Ejaculatory problems
  • Erectile Dysfunction
  • Low libido
  • Low sperm count (<15 million/ml of semen or total sperm count <39 million/ejaculate)
  • Gynecomastia (breast enlargement in Men)
  • Persistent/chronic respiratory tract infections
  • Hormonal imbalance

What are the causes of male infertility? Can sexual dysfunction cause male infertility? Is it the other way around?

Simply speaking sexual dysfunction can be a symptom of male infertility. There are health conditions, some related to sexual health, that can lead to male infertility.

  • Sperm abnormalities: Low sperm production and/or disrupted sperm function
  • Medical conditions: Varicocele, infections such as epididymitis and testicles, STDs such as gonorrhea, tumors, undescended testicles, celiac disease, etc
  • Medications: Such as chronic steroid use, chemotherapy, testosterone therapy, etc
  • Environmental deterrents: Metal exposure, radiation, increased heat, chemicals exposure
  • Injuries and past surgeries
  • Unhealthy lifestyle: Drug (cannabis, cocaine), alcohol, and nicotine consumption, increased BMI

Pregnancy requires healthy and viable sperm — and there are many factors that can affect the fertility process. The male reproductive system needs to be ideal in its functioning to be able to produce sperm that could lead to conception.

The testicles, at least one, should be in proper working condition along with the body producing the right amount of testosterone to aid in the maintenance of sperm health and production.

Sperm production occurs in the testicles, and they are ejaculated during a male orgasm mixed with semen. There has to be an ideal amount of sperm to increase the odds of sperm-egg fertilization. Sperm functionality is another factor. If sperm experience abnormal motility, their odds of reaching and fertilizing with the egg are greatly reduced.

What are the complications of male infertility?

  • Interpersonal problems with partners
  • Unable to father biological children
  • Stress and debt due to reproductive procedures
  • Increased risk for cancers such as testicular, colon, and prostate cancer

When to see a doctor?

If you and your partner have been trying to conceive for a while, and have not been successful, you should consult with your doctor. There are various factors that can affect your fertility such as age, history of sexual dysfunction, prostate or testicle abnormalities, or surgery in the groin area (including the testicles, penis, and scrotum). Speaking to a professional will help determine the cause of unsuccessful attempts to conceive.

Sexual health is as important as physical and mental health. In most cases, one consultation can go a long way. Personlised, discreet and judgement free treatment at your fingertips - book an online consultation with one of Allo’s leading experts.

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Erectile Dysfunction
Erectile Dysfunction

Erectile Dysfunction is defined as the inability to sustain an erection sufficient for sexual intercourse. The condition can affect anyone at any age.


Remember - the blood flow (BF), the nerve supply, and the balance of sex hormones - a concern in any of these can lead to Erectile Dysfunction. Erectile Dysfunction can be caused by a physical (a ‘hardware’ problem) or psychological (mental health effects) - mental health can play a huge part.

Fact Check

Did you know that Erectile Dysfunction can be an indication of cardiovascular concerns? Chronic health conditions affecting blood flow can lead to Erectile Dysfunction.

Premature Ejaculation
Premature Ejaculation

If a man lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have Premature Ejaculation.


The causes of Premature Ejaculation include:
(1) Physical Factors: Medical conditions, chronic health conditions, or sexual disorders are some physical causes of Premature Ejaculation.
(2) Psychological Factors: Depression, Anxiety 

Fact Check

Did you know that Erectile Dysfunction can be a cause of Premature Ejaculation?

Premature Ejaculation can lead to other sexual dysfunctions, but that is not a wide-known fact.


Vaginismus is a condition in which the muscles in the vagina tighten up during penetration.


Vaginismus is commonly caused by psychological factors. Women don't have control over the tightening, and it can be uncomfortable. Due to the physical discomfort, the anxiety or fear response gets worse, and this can lead to a cycle of avoidance.

Fact Check

Did you know that there are four types of Vaginismus?

(1) Primary Vaginismus

(2) Secondary Vaginismus

(3) Situational Vaginismus

(4) Global Vaginismus

Low Sexual Desire
Low Sexual Desire

Low sexual desire, commonly referred to as low libido, is a decrease in sex drive.


Individuals that experience low sexual desire due to various causes are impacted physically, mentally, and emotionally by the symptoms the condition can cause.

Fact Check

Like other most common sexual disorders, low sexual desire can be influenced by many aspects, such as hormonal imbalance, increased age, side effects of medications, chronic illnesses, and addictive or compulsive behavior.

Couple Sex Problems
Couple Sex Problems

This would include concerns with infertility and/or conception. Sexual disorders such as Erectile Dysfunction, Premature Ejaculation, and Vaginismus can lead to challenges with pregnancy attempts.


There could be various causes of infertility, such as sexual dysfunctions, chronic illnesses, and mental health conditions leading to low sexual desire and a low sperm count. A sexual health professional should evaluate the causes of failed pregnancy attempts because there can be a variety of causes.

Fact Check
Porn Addiction
Porn Addiction

Porn addiction refers to a person becoming excessively dependent on pornography leading to a disruption in their everyday life. This could include their job, relationships and at times, their day-to-day lifestyle.


The causes behind porn addiction could be:

(1) Negative sexual experiences

(2) Incorrect understanding of porn and its uses

(3) Initially trying to learn about sexual experiences, resulted in dependency

(4) Experiencing mental health disorders such as OCD (an anxiety disorder) or depression

Fact Check

Watching porn isn’t a bad thing, nor should it be associated with any shame. However, compulsive porn watching can have negative effects on your sexual, physical and mental health.

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