Inflammation of the prostate (prostatitis) can affect sperm motility, i.e. the way sperms move around, and fertility problems might result. Inflammation of the prostate can also cause bladder problems that lead to retrograde ejaculation, which is when semen enters the bladder rather than leaving the body.

Can a man with enlarged prostate get a woman pregnant?

As the prostate continues to grow, it compresses on the urethra, causing obstruction of not only urine, but the ejaculatory fluids as well. This could potentially cause issues with fertility, especially if the male is 45+ years of age, when prostate enlargement begins in earnest.

Can prostate problems cause low sperm count?

Conditions such as cancer of the testicle or prostate, diabetes, high blood pressure and peripheral vascular disease can cause a man to have a low sperm count. Lifesaving cancer treatment either surgery, chemotherapy, or radiation therapy can destroy sperm cells, and greatly decrease a man's sperm count.