Certain urological surgeries may reduce the number of sperm, or prevent having sperm in your ejaculate completely. These surgeries include vasectomy, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. The same result can come from certain medications – Testosterone replacement therapy, long-term anabolic steroid use, some ulcer drugs, some arthritis drugs and certain other medications can impair sperm production and decrease male fertility. In some cases, surgery, radiation or chemotherapy to treat tumors can also affect male fertility.
Split Ejaculate
The whole semen sample is composed of multiple secretions from various parts of the male reproductive system. As each part contributes a different portion of