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Infertility affects men and women: when to seek help

Dr Lusanda Shimange-Matsose, a South African reproductive endocrinology and infertility specialist, discusses how widely infertility affects couples and why both partners need assessment.

Newzroom AfrikaMale FertilityTrying to ConceiveFertility Referral and InvestigationsAll learning videos

The most useful thing in this interview is the correction of a common assumption: infertility is not a woman's problem. Male factors are an important cause or contributor in a substantial share of couples, sometimes alone and often alongside a female factor, and a semen analysis is one of the simplest and cheapest early tests there is. Percentages quoted in interviews and headlines come from particular populations and study definitions, so treat any single figure as an indication rather than a fixed truth — the practical message is that both partners should usually be assessed at the same time. The interview also touches on how common infertility is worldwide and on the stigma that keeps people, particularly men, from seeking help early. As a general guide, seek assessment after twelve months of trying, or after six months if the female partner is over 35, or sooner where there is a known problem such as irregular or absent periods, previous pelvic surgery or infection, or a known sperm or testicular problem.

A 2025 news interview rather than clinical guidance. Single percentages about male-factor infertility vary between populations and studies; the reliable point is that both partners should normally be assessed.

Key takeaways

  • Infertility affects men and women — a male factor is an important cause or contributor in a large share of couples.
  • A semen analysis is one of the simplest, cheapest and earliest tests, and should not be left until later.
  • Both partners should usually be assessed at the same time.
  • Seek help after twelve months of trying, six months if the female partner is over 35, or sooner where there is a known problem.

Related Antega guides

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Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG)

Infertility, culture and stigma in South Africa

Filmmaker Molatelo Mainetje-Bossman speaks about the social and cultural side of infertility in African communities, including silence, stigma and family expectations.

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References

  • Newzroom Afrika — https://www.youtube.com/watch?v=AS7ygbxr8q8
  • World Health Organization — infertility — https://www.who.int/news-room/fact-sheets/detail/infertility
  • Southern African Society of Reproductive Medicine and Gynaecological Endoscopy — https://sasreg.co.za

This video was produced by Newzroom Afrika and is shared for education only. It is not medical advice and does not replace guidance from your own doctor or fertility clinic. Naming an organisation does not imply a partnership with Antega.