Understanding Male Infertility:

Straight answers. Personalized support. A path forward.

Trying to start a family can be one of life’s most meaningful goals—but when it doesn’t happen on your timeline, frustration and self-doubt can start to settle in. You’re not alone. Fertility issues affect people of all genders, and in up to 40% of cases, sperm-related factors play a role.

At Fertility Specialists of Texas (FST), we’re here to help you find answers—with respect, clarity, and support that meets you where you are.

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What Causes Sperm-Related Fertility Challenges?

Fertility is complex, and issues can arise from many different sources—some that are physical, some that are hormonal, and some that aren’t obvious at all without testing. Many people are surprised to learn just how common these challenges are, and how often they go undetected until someone starts trying to conceive.

Possible factors may include:

  • Sperm production and function issues
  • Hormonal imbalances (including testosterone and other reproductive hormones)
  • Past trauma, surgery, or infections affecting the testicles
  • Substance use (like tobacco, alcohol, or certain medications)
  • Sexual performance concerns including erectile difficulties or low libido

You don’t need to wait until something feels “wrong.” If it’s been difficult to conceive, fertility testing for the sperm producing partner is necessary to provide answers and peace of mind.

Male Infertility Causes Retrograde Ejaculation

What to Expect from Testing

At your first visit, we’ll sit down and talk through your medical history, lifestyle factors, and any concerns you’ve noticed. From there, the most common next step is a semen analysis, a lab test that evaluates sperm count, motility (movement), shape, and overall health.

Depending on the results, we may identify specific conditions such as:

  •  Azoospermia – No sperm present
  •  Oligozoospermia – Low sperm count
  •  Asthenozoospermia – Reduced motility
  • Teratozoospermia – Abnormal sperm morphology

These results don’t define you—but they do give us the clarity we need to move forward with real solutions. We’ll walk you through every option and help you make a plan that supports your goals.

Azoospermia Low Sperm Count

Treatment Options and Next Steps

Roughly one-third of fertility challenges involve sperm-related factors. That’s why your health and perspective matter just as much as your partner’s. While we don’t provide direct medical treatment for sperm-related infertility, we do offer advanced fertility care and assisted reproductive technologies that can help bridge the gap.

Treatment strategies may include:

  • Intrauterine insemination (IUI) or in vitro fertilization (IVF)
  • Pre-treatment planning to optimize sperm quality
  • Sperm retrieval procedures or referrals for surgical interventions
  • Donor sperm options
  • Guidance for lifestyle changes to support reproductive health
  • Discreet, judgment-free support for sexual performance concerns

Fertility struggles can place a heavy burden on your confidence, your relationships, and your sense of control. We get it—and we’re here to offer a path forward that’s rooted in expertise, compassion, and respect for the effort it takes to keep showing up.

Testosterone Therapy

We’re Ready When You Are and Here to Help

You don’t need to have all the answers. You just need a place to start—and people you can trust to walk with you through the process. If you’re ready to take the next step in understanding your fertility, Fertility Specialists of Texas is here to help.

Let’s talk about what’s next—together.