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Can obesity in men cause infertility? Expert opinion
Preventing obesity through lifestyle changes is important for maintaining male fertility and sexual health. A balanced diet rich in fruits, vegetables, lean proteins, and whole grains, combined with regular physical activity can help maintain a healthy weight.

Can obesity in men cause infertility? Expert opines. (Image: iStock)
Obesity has become a global epidemic, affecting millions of people across different age groups. While it has an impact on cardiovascular health, Health and diabetes is well known, but the link between obesity, male infertility and sexual health is less discussed, but just as important.
To understand the link between obesity and male infertility, Times Now Digital spoke to Dr Bhavej Enganti, Consultant Urologist and Andrologist at Asian Institute of Nephrology and Urology, Hyderabad.
Correlation Between Obesity and Male Infertility
Obesity in men Obesity is linked to poor sperm quality, low sperm count and decreased testosterone levels. Excess fat tissue increases the production of estrogen, a female hormone that can interfere with the hormonal balance needed for sperm production. Additionally, obesity is often associated with insulin resistance, which can contribute to metabolic syndrome – a condition that further exacerbates hormonal imbalances and reduces fertility.
Sexual health concerns
Obesity also adversely affects men’s sexual health, leading to erectile dysfunction (ED). Accumulation of fat in the blood vessels can lead to poor blood flow, which is a key factor in achieving and maintaining an erection. In addition, the psychological impact of obesity, which includes decreased self-esteem and body image issues, can also reduce sexual desire and performance.
Preventive measures
Preventing Obesity Lifestyle Change is vital to maintaining male fertility and sexual health. A balanced diet rich in fruits, vegetables, lean proteins, and whole grains, combined with regular physical activity can help maintain a healthy weight. Avoiding excessive alcohol consumption and quitting smoking are also important, as these habits can exacerbate the negative effects of obesity on reproductive health.
Holistic review and treatment options
The link between obesity and male infertility is well-supported by research, yet treatment options are often underutilized. Weight loss has been shown to improve sperm quality and increase testosterone levels, thereby enhancing fertility. In some cases, medical or surgical intervention, such as bariatric surgery, may be necessary to achieve significant weight loss and improve fertility outcomes.
For men experiencing sexual health issues due to obesity, lifestyle changes are the first line of treatment. In more severe cases, medications such as phosphodiesterase inhibitors may be prescribed to manage erectile dysfunction. However, these should be considered alongside weight loss efforts for a comprehensive approach.
The impact of obesity on male infertility and sexual health is undeniable, but it can also be reversed. By adopting a healthy lifestyle, men can significantly improve their reproductive health and overall quality of life. Early intervention and a proactive approach to weight management are key to preventing long-term complications.
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