Silent Struggle: Male Infertility Gains Focus as Barriers to Care Emerge

NEW YORK, NY – November 20, 2025

A Shifting Conversation

For decades, the narrative surrounding infertility has been overwhelmingly focused on women. But a growing body of evidence, coupled with recent research from Progyny, is challenging that long-held assumption. The study reveals that while a significant majority of men (75%) now view fertility as a shared responsibility, less than half (46%) of those facing issues actually seek support. This disconnect highlights a critical gap in care and a deeply ingrained reluctance among men to address their reproductive health, often stemming from societal expectations, personal anxieties, and systemic barriers.

“There’s a lot of pressure on men to be ‘strong’ and to not show vulnerability,” said one expert in reproductive urology. “Asking for help with fertility feels like admitting a failure, and that’s a difficult hurdle for many to overcome.” This pressure is further exacerbated by a cultural tendency to frame fertility as a ‘woman’s issue,’ leaving men feeling excluded from the conversation and uncertain about where to turn for support.

Unpacking the Barriers to Care

The Progyny research identified three primary barriers preventing men from seeking fertility care: fear of diagnosis (64%), financial stress (56%), and embarrassment (48%). The fear of receiving a negative diagnosis is often rooted in anxieties about masculinity and the ability to father children. Financial concerns are also significant, as fertility treatments can be expensive and may not be fully covered by insurance. The sense of embarrassment, meanwhile, stems from the stigma surrounding male infertility and the fear of appearing inadequate.

“Many men worry that seeking help will be seen as a sign of weakness,” said one mental health professional specializing in reproductive health. “They fear judgment from their partners, friends, and even healthcare providers. This fear can be paralyzing, preventing them from taking the first step.” This silence, in turn, perpetuates the stigma and reinforces the belief that male infertility is something to be ashamed of.

Beyond these emotional and psychological barriers, access to care remains a significant challenge. While awareness of male infertility is growing, many primary care physicians lack specialized training in this area, leading to misdiagnosis or delayed referrals. Finding qualified andrologists or reproductive urologists can also be difficult, particularly in rural or underserved communities.

The Business Case for Inclusive Benefits

The rising prevalence of male infertility, coupled with the increasing demand for family-building benefits, is creating a compelling business case for employers to expand their coverage. Several companies, including Carrot Fertility and WINFertility, are already leading the charge, offering comprehensive packages that include male fertility testing, counseling, and treatment options.

Offering inclusive benefits isn't just the right thing to do; it’s also a smart business decision. Research indicates that a substantial majority of employees (88%) would consider changing jobs for better fertility benefits, making it a key differentiator in a competitive job market. Furthermore, providing support for male infertility can improve employee morale, reduce absenteeism, and increase productivity.

“The old model of focusing solely on female fertility is no longer sustainable,” said one benefits consultant. “Employers need to recognize that infertility affects both men and women, and that providing comprehensive support is essential for attracting and retaining top talent.” This support should include not only financial coverage but also access to mental health resources and educational materials that address the stigma surrounding male infertility.

Beyond Biology: A Changing Landscape

The growing focus on male infertility is part of a broader shift in societal norms surrounding gender roles and family building. Men are increasingly expected to be actively involved in all aspects of parenting, from conception to childcare. This growing involvement is challenging traditional notions of masculinity and creating space for men to openly discuss their reproductive health concerns.

However, this shift is not without its challenges. Many men still feel pressure to conform to traditional gender roles, making it difficult for them to seek help or express their emotions. Addressing this requires a concerted effort to dismantle harmful stereotypes and create a more supportive and inclusive environment for men. Experts emphasize that the current trend points to a greater need for early diagnosis and care, as well as a holistic approach to reproductive health – encompassing emotional, lifestyle, and physical wellbeing. Several advancements, such as at-home testing kits and telehealth services, are making care more accessible, but education and destigmatization remain critical.

“We need to create a culture where men feel comfortable talking about their reproductive health without fear of judgment,” said a professor of reproductive biology. “That requires open communication, education, and a willingness to challenge traditional gender norms.”