IN a patriarchal society like Pakistan, discussions about having children and reproductive health remain mostly focussed on women. There are many wrong ideas, and people avoid discussing male infertility or other reproductive issues related to men. In families, the ability to have children holds significant impor-

tance, and it is a shared desire. However, often, only women are questioned if there are difficulties. Men’s challenges related to fertility tend to remain concealed.

In our culture, a woman’s ability to conceive is a major concern, and families invest a lot of time and resources to help women become pregnant. Unfortunately, we do not often talk about how men can also face issues that affect fertility.

The cultural narrative, which ties masculinity to fatherhood, makes it uncomfortable and even embarrassing for men to acknowledge that they, too, might be facing reproductive health issues. Besides, the societal pressure on men causes reluctance in seeking medical help, reinforcing the harmful notion that inf-ertility is only a woman’s problem.

It is time to change this perspective. Seeking assistance for reproductive health challenges should not be seen as diminishing a man’s masculinity; rather, it reflects strength, responsibility, and care for one’s family and future. The stigma around male infertility prevents open conversations, leaving many men in the dark about their health. A lack of awar-

eness is compounded by the limited number of specialised doctors focussing on male reproductive health in Pakistan, further isolating men who might need help.

To address this, we need more male reproductive health doctors in Pakistan. These doctors can provide valuable support. They can create a safe space for men to discuss their problems and ask questions. They can educate men about their bodies, and assist them if they are facing fertility challenges. This approach will improve men’s wellbeing and foster a more open and understanding society.

It is rather essential to shift the way we approach conversations about reproductive health and having children. We should openly discuss men’s challenges without shame. By having more doctors who can support men, we can ensure that everyone has access to accurate information and guidance. This will contribute to happier and healthier families and society at large.

Sana Sultan
Karachi

Published in Dawn, September 27th, 2024