12 Major causes of fertility problems in men

If you've had regular, unprotected sex for more than a year (or six months if you're older than 35) without conceiving, see your doctor. About 65 percent of couples that get treatment for a fertility problem are eventually able to have a successful pregnancy, according to Resolve, the national infertility association.

Lifestyle factors and medical history

Certain lifestyle choices as well as your medical history can affect your reproductive system and fertility. You may be more likely to have trouble conceiving if you:
  1. smoke tobacco or marijuana
  2. have three or more alcoholic drinks per day
  3. use illegal drugs
  4. take anabolic steroids
  5. take certain medications, including testosterone replacement therapy, or drugs used to treat arthritis, high blood pressure, depression, cancer, infection, or a digestive disorder
  6. have a chronic illness, such as diabetes, cancer, or thyroid disease
  7. have poor nutrition
  8. are significantly overweight
  9. are exposed to toxins, such as pesticides or lead
  10. had one or two undescended testicles when you were a baby or child
  11. have a hernia in your groin
  12. have had a sexually transmitted infection, such as chlamydia or gonorrhea

If you have any of these risk factors, tell your doctor and discuss what you can do to improve your chances of having a healthy pregnancy.

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