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Infertility treatment can turn sex into a task with timing, testing and pressure attached to it. For many men, that pressure shows up in the most frustrating way, difficulty getting or keeping an erection when it matters most. Erectile dysfunction during fertility treatment is common enough that clinics should ask about it openly. Yet many men stay silent because they feel embarrassed, guilty or afraid it will be seen as another “problem” to fix. That silence can make anxiety

Unexplained fatigue, a fading sex drive, low mood, and poorer exercise recovery can feel vague at first. Many people blame stress, age, or a busy schedule. Sometimes that is part of the picture. But these symptoms can also point to a hormone problem, and body weight is often one of the quiet drivers behind it.

That next step is where ICSI becomes central. Surgical sperm retrieval can collect sperm directly from the testicle or epididymis, but the sperm often cannot fertilise an egg through standard IVF on its own. In the laboratory, ICSI allows an embryologist to inject a single selected sperm into a mature egg. This can turn a small retrieved sample into a real chance of embryo development.

A small change in the testicles can be easy to miss during everyday life. In the shower, getting dressed, or exercising, most people are not checking for subtle differences. A monthly testicular self-exam gives you a simple way to learn what feels normal for your body and spot changes early.