Problems with semen and sperm production can have many causes, including:
- Testosterone and anabolic steroid use, which switch off the brain’s signals to the testes and can stop sperm production.
- Certain medications, such as some chemotherapy drugs, sulfasalazine and colchicine.
- Recreational drugs, particularly regular cannabis use.
- Smoking, which lowers sperm count and motility and increases sperm DNA damage.
- Heavy alcohol use, which reduces sperm production and indirectly affects sexual function by lowering testosterone.
- Genital infections and sexually transmitted infections, which can damage sperm through toxins and the body’s immune reaction, cause testicular atrophy, or block the sperm ducts.
- Obesity, overheating of the testes and varicocele.
Sperm can also have defects that prevent them from moving or fertilizing an egg, such as a missing acrosome (the cap on the sperm head), abnormal head or tail shape, completely non-moving or dead sperm (necrospermia), or semen that is thicker (more viscous) than normal.
Many of these causes are reversible. Because a sperm cycle takes about three months, improvements after stopping a harmful drug or habit usually appear in a semen analysis repeated around three months later.
International Guidelines
In line with global standards, Dr. Sabry follows the latest recommendations from the American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), and Royal College of Obstetricians and Gynaecologists (RCOG). Thus, patients receive care that is safe, ethical, and evidence-based.
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Why Choose Dr. Ashraf Sabry?
Dr. Ashraf Sabry, consultant in obstetrics, gynecology, fertility, and aesthetic gynecology, is recognized among the best OBGYN and fertility specialists in Cairo. With over 20 years of experience, he combines science and compassion to provide world-class care. Book your appointment through the contact page, WhatsApp, or call +201022224442.