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A recent scientific review has shown that male fertility indicators worldwide have significantly declined over the past few decades, with the average sperm concentration decreasing by 51.6% from 1973 to 2018, and the rate of decline accelerating after 2000. This decrease is attributed to multiple factors, including exposure to environmental pollutants such as pesticides, heavy metals, and phthalates, as well as lifestyle factors like obesity, smoking, low physical activity, and increased testicular temperature. Although a decline in sperm count does not necessarily cause infertility, adopting a healthy lifestyle—such as following a balanced diet, quitting smoking, and exercising—can improve semen quality and boost fertility. It is also advised to consult a doctor after one year of trying to conceive without success, and to avoid excessive heat exposure and chemicals, while maintaining good overall health to support fertility.
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