Across clinics from Lagos to Lahore to Jaipur, a quiet crisis is unfolding: global sperm counts have fallen by more than half since 1973, yet most men never think to ask whether they might be the reason a pregnancy isn't happening. Unlike women, men carry no biological signal that something is wrong, and a deep cultural conflation of sexual vitality with reproductive health keeps them from seeking answers until it may be too late. The tragedy is not only biological but structural — a system that rarely tests men, and men who rarely ask to be tested, together allowing a reversible problem to be
Male infertility 'grossly underreported' as sperm counts plummet globally
Couples face delayed or failed conception attempts due to undiagnosed male infertility, with some men experiencing permanent fertility loss from prolonged steroid use.