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What employers should know about male-factor fertility support

Asima Ahmad, MD, MPH, Carrot Co-founder and Chief Medical Officer
image representing male-factor fertility
Jan 28, 2022
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Contrary to popular belief, issues surrounding male-factor fertility are common. About 30–50% of fertility issues in different-sex couples can be attributed to male-fertility factors. As a reproductive endocrinologist (REI), I’ve seen the negative impact of male-factor fertility issues, as well as an all too common lack of awareness around them. Let’s explore different ways to provide comprehensive fertility support for all your employees — regardless of their sex or gender identity.

1. Offer sperm testing and freezing options

Semen analysis can provide valuable information on semen volume, sperm concentration, motility (how well the sperm move), and morphology (size, shape, and appearance). While sperm issues are a common cause of infertility, among different-sex couples experiencing infertility, the male partner does not undergo a fertility evaluation up to 27% of the time. This lack of testing can lead people down an inappropriate treatment path. As an employer, providing access to urologists and andrologists as part of your fertility benefits offering can help raise awareness around the importance of male-factor fertility testing.

While you may have heard about providing employees access to egg freezing, sperm freezing is also important. In some instances, preservation is essential to future fertility. For example, I have advised individuals with a new cancer diagnosis to freeze their sperm before chemotherapy, surgery, or radiation. In addition, transgender women and non-binary people may choose to freeze their sperm before starting hormone therapy or surgery. As an employer, you can support your trans and non-binary employees by providing them with access to affirming providers and clinics.

2. Focus on education

In some cases, problems affecting the reproductive organs may cause an infertility diagnosis. However, many people are unaware of how lifestyle factors and health conditions can impact fertility, too. In one survey of men in Canada, while 88% considered themselves knowledgeable about fertility, respondents could identify only half of the modifiable risk factors that impact male fertility. For example, respondents were less likely to be familiar with how obesity, diabetes, high cholesterol, and alcohol consumption can impact fertility.

I also continue to see individuals come into my fertility clinic who have significantly low sperm counts largely because of their use of testosterone. Some use testosterone intending to increase their libido, build muscle volume, or increase energy levels. However, when they take testosterone supplements, it tricks their body into thinking they already make enough on their own. In response, the signals from the pituitary gland in the brain required for ongoing sperm and testosterone production go down, and the body creates less sperm.

If someone isn’t aware that a certain lifestyle choice or healthcare issue could be a risk factor, they can’t take action to change it. Make sure your fertility benefits include resources — educational content and easy access to fertility experts — to help employees understand lifestyle and healthcare issues that could impact their fertility, and what they can do to address them.

3. Consider diverse family-forming options

While fertility benefits may traditionally focus on different-sex couples, it’s important for inclusive workplaces to support the needs of all employees. To be inclusive of all paths to parenthood, make sure your fertility benefits cover:

  • GC services: People using GC services may contribute their own sperm and eggs or use donor materials. It’s becoming more common for same-sex male couples to pursue this option.

4. Provide care coordination

It can be difficult for people struggling with male-factor infertility to know where to start, especially since most conversations tend to focus on female-factor fertility. Your employees may have questions like:

  • What should my first steps be?
  • What can I do at home to improve my fertility health?
  • What are my treatment options? Is there one that may be more cost-effective but still yield good outcomes?
  • What type of healthcare provider or clinic should I visit?

Fertility benefits that include care navigation support can help employees get answers to their questions and take action based on their personal preferences, circumstances, and goals.

How Carrot can help

At Carrot, we offer our members multiple resources to navigate male-factor fertility issues. When Carrot members first start using their benefit, they receive personalized recommendations on Carrot Experts to talk to, information on finding a clinic, and other resources.

Members also have unlimited access to our Care Team — which is comprised of global benefits experts and fertility specialists — who can provide educational resources, emotional support, and logistical guidance around the topic of male infertility. They can also help employees identify high-quality clinics and agencies, easily book appointments, and guide them toward their next steps.

Male-factor infertility is a topic that needs more awareness. As an employer, you can do your part by making sure your employees have access to guidance, support, and resources they may need to take the next step in their family-forming journeys.

Want to learn how Carrot can support the fertility needs of all of your employees — regardless of their sex, gender identity, or sexual orientation? Get in touch with us.

Any general advice posted on our blog, website, or app is for informational purposes only and is not intended to replace or substitute for any medical advice, diagnosis, or treatment. Carrot Fertility makes no representations or warranties and expressly disclaims any and all liability concerning any treatment, action by, or effect on any person following the general information offered or provided within or through the blog, website, or app.
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