In this article, the head of the Queens Clinic, Dr. Ahmed Ismail talks about the environmental factors and wrong practices that affect a man’s ability to have children, and the responsibility of parents to spare their children from future infertility cases.


What are the external factors affecting male fertility?
There are many factors affecting a man’s fertility, including practising certain types of sports such as weightlifting and bodybuilding, taking medications that cause the body to inflate, or sports that cause intense friction and continuous bruising in the testicular area, or receiving severe and repeated blows to the testicular area, which leads to to the formation of a blood pool around it, or exposure to high heat, as is the case with workers in factories, or men who are exposed to atomic radiation that distorts sperm. A man should avoid having sexual contact with his partner if she has a disease in the genital area or has abnormal secretions, as she may transmit an infection that could affect the sperm.

Does smoking affect male fertility?
Surely, many neglect the factor that smoking harms sperm. It should be noted that the negative results of smoking do not appear directly, but rather in long term and that the more months and years of smoking, the greater the damage to sperm. A man may have his first child while he smokes, and the second also while he continues to smoke, but he may not succeed in having a third child because the level of functional frustration of the sperm-producing cells increases with the increasing age of smoking.

What is the role of alcohol abuse in male infertility?
Alcohol of all kinds reduces the percentage of oxygen that reaches the tissues that produce sperm, as well as the use of sleeping pills or sedatives and all the chemicals that some men may resort to because of their direct impact on the decline in the function of the testicles and the cells that produce sperm. The man must also be aware of the impact of psychological stress and daily problems on the ability to produce sperm.

Are there cases of secondary infertility impossible to treat?
Science has found a solution to every problem, as long as there are sperms that we can work on, regardless of their number, type or ability to move. In this context, there are drug and surgical treatments, IVF and ICSI techniques. A man should not believe those who tell him it is impossible to have children because his sperm is less mobile! I confirm through my experiences as a medical professional that a man can have children as long as he produces sperm. As for the absence of sperm at all (primary infertility), the future science is working hard and persistently in order to come up with a medical technology to produce cells from the man’s body that can perform the task of sperm and carry all the genetic characteristics and fertilize egg according to special scientific techniques.

What is the golden advice for parents to prevent their children from infertility in the future?
Parents should be keen to conduct the initial examination of the child, at the place of birth or on the day of birth, and if this is not possible, the child can be taken to the paediatrician quickly after birth in order to detect any congenital defects that he may suffer from, taking the doctor’s advice about the time appropriate to repair it. If there is an undescended testicle, it must be descended at an early age in order to preserve the functional state of the testicle and prevent cancer that may affect the testicle. The same applies to the cases of hernia and the presence of water around the testicle. The doctor must be competent and experienced enough not to harm the ducts that lead to the sperm and cause infertility problems in the child when he is older, and to initiate the appropriate surgical operation to prevent the testicle from being damaged.
Parents should also keep the child away from parotid diseases as much as possible, and not encourage him to practice some types of sports that cause friction and bruising in the testicle.