Lifestyle Changes, Medical Care & More
Table of Contents
- What is Infertility?
- Possible Causes of Infertility in Men
- Possible Causes of Infertility in Women
- Lifestyle Changes for Both Men & Women Experiencing Infertility
- Lifestyle Changes for Men Experiencing Infertility
- Lifestyle Changes for Women Experiencing Infertility
- How Coryell Health Can Help Treat Infertility
About one in eight couples in the United States have trouble conceiving or staying pregnant, making infertility much more common than people may realize.

It’s also important to remember that infertility is not anyone’s fault. Both men and women experience challenges with fertility, and experiencing difficulty conceiving doesn’t define or decrease your worth as a person.
In many cases, infertility can be treated through medical care, lifestyle changes or a combination of both, and understanding what may be contributing to infertility is often the first step toward identifying possible solutions.
That’s why, during this National Infertility Awareness Week, Coryell Health urologist Dr. David Pinkstaff and Coryell Health gynecologist Dr. Frank Hinds are sharing possible causes of infertility in men and women and ways these issues may be evaluated and treated.
What is Infertility?
According to the World Health Organization, infertility is defined as the inability to conceive after 12 months or more of unprotected sexual intercourse.
Coryell Health recommends consulting your primary care physician, OB/GYN or urologist if you and your partner have been trying to conceive for over a year, or after six months if you and your partner are over age 35.
Possible Causes of Infertility
Possible Causes of Infertility in Men
Factors that may negatively impact male fertility include:
- Conditions affecting the hypothalamus or pituitary gland
- Conditions affecting the testicles
- Prolonged exposure to high heat, radiation or toxins that negatively affect sperm movement (motility)
- Varicocele (swollen veins in the scrotum)
“When we evaluate fertility in men, we typically look at sperm quantity, how well the sperm move (what we call motility) and their shape,” says Coryell Health urologist Dr. David Pinkstaff. “Hormonal signals from the hypothalamus and pituitary gland help regulate testosterone and sperm production, so conditions that affect those glands or the testicles themselves can lower the amount of testosterone and sperm in the body. Age can also play a role, since sperm’s motility tends to decrease with age, especially after age 50.”
Possible Causes of Infertility in Women
Factors that may negatively impact female fertility include:
- Endometriosis
- Fallopian tube damage or blockage
- Having trouble ovulating
- Irregular periods
- Pelvic or uterine adhesions (bands of scar tissue that bind organs together)
- Polycystic ovarian syndrome (PCOS)
“Hormone levels, ovulation patterns and the overall health of reproductive organs are factors we look into when evaluating female fertility,” says Coryell Health gynecologist Dr. Frank Hinds. “Conditions like PCOS can disrupt ovulation, while endometriosis, uterine growths like polyps or fibroids and fallopian tube damage can interfere with egg movement. Additionally, when a woman approaches her 40s, she loses eggs more quickly.”
Lifestyle Changes for Infertility
Making various lifestyle changes may help improve your fertility. Here are some lifestyle changes Coryell Health recommends for men, women and both genders.
Lifestyle Changes for Both Men & Women Experiencing Infertility
- Avoid certain medications*, including:
- ANTIDEPRESSANTS
- ANTIPSYCHOTICS
- BETA-BLOCKERS
- CALCIUM CHANNEL BLOCKERS
- CHEMOTHERAPY AND RADIATION TREATMENTS**
- CHEMOTHERAPY DRUGS
- NSAIDS (IBUPROFEN, NAPROXEN)
- STEROIDS & ANABOLIC STEROIDS
- Avoid toxins like pesticides, lead, and dry-cleaning solvents
- Limit caffeine to less than 200 mg per day
- Limit or avoid alcohol
- Limit strenuous exercise to less than 60 minutes a day
- Maintain a healthy weight*** through moderate exercise
- Quit smoking
- Reduce stress by maintaining your hobbies and social life
*Consult your doctor before stopping any medications you’re currently taking.
**If you require cancer treatment, talk to your doctor about storing your sperm or eggs before treatment.
***If you’re having trouble maintaining a healthy weight, bariatric surgery can be a viable option to help improve fertility in both men and women.
Lifestyle Changes for Men Experiencing Infertility
- Wear loose-fitting underwear and avoid saunas
- Use vegetable oil, canola oil or mineral oil as alternative forms of lubricant
“Although these suggestions may seem silly, there are very real benefits behind them,” Dr. David Pinkstaff says. “When your scrotum is overheated, it can disrupt sperm production and reduce motility, so it’s important to keep your body cool. Additionally, many commercial lubricants have a pH that’s different from cervical mucus, which can dehydrate, immobilize or even kill sperm. Vegetable oil and canola oil are natural alternatives that don’t contain silicone, which can form a barrier that makes it more difficult for sperm to travel.”
Lifestyle Changes for Women Experiencing Infertility
- Stop taking GLP-1 medications 2-3 months before trying to conceive
- Track your cycle through any of the following methods:
“When trying to conceive, it’s important for women to stop taking GLP-1 medications due to our limited knowledge of how they affect the health of women and fetuses,” Dr. Frank Hinds says. “It’s also important to track your menstrual cycle to know when you ovulate. This allows you and your partner to time intercourse effectively—ideally from three to four days before you ovulate to one day through one day after ovulation. Working together to monitor your cycle can increase your chances of conceiving and help you feel more in control of the process.”
How Coryell Health Can Help Treat Infertility
Coryell Health specializes in the following areas for men experiencing infertility:
- Brain MRI (checks for noncancerous tumors on the pituitary gland that may be affecting fertility)
- Hormone testing
- Scrotal ultrasound (checks for varicocele and other causes of low sperm count)
- Semen testing
- Testicular biopsy
Coryell Health specializes in the following areas for women experiencing infertility:
- Cancers of the reproductive system
- Endometriosis
- Heavy bleeding during period
- Ovarian cysts
- Pelvic ultrasound (checks for diseases in the uterus or ovaries)
- Polycystic ovarian syndrome
- Uterine fibroids
Experiencing infertility can feel overwhelming, but many couples face similar challenges and effective help is available. At Coryell Health, our providers are committed to helping patients navigate infertility with compassionate care and personalized treatment options. To schedule an appointment in Gatesville with Dr. Hinds or Dr. Pinkstaff to discuss your options, please call us at (254) 865-2166.
Meet the Doctors


Resources
- How Many People Have Infertility? (RESOLVE: The National Infertility and Family Building Association)
- Infertility (World Health Organization)
- Infertility: Diagnosis & Treatment (Mayo Clinic)
- Healthy sperm: Improving your fertility (Mayo Clinic)
- Female fertility: Why lifestyle choices count (Mayo Clinic)
- How to get pregnant (Mayo Clinic)
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