Why might iron deficiency lead to male infertility?

Patient's question:

A colleague's friend has infertility, and the doctor said it is caused by iron deficiency. Why can iron deficiency lead to male infertility?

Doctor's answer:

Iron deficiency anemia is a type of anemia that occurs when the body's iron stores are insufficient to support the normal development of red blood cells. It is caused by insufficient iron intake, increased iron absorption, increased iron demand, impaired iron utilization, or excessive iron loss. Morphologically, it is characterized as microcytic hypochromic anemia. Iron deficiency anemia does not cause infertility and is generally not inherited across generations. However, if pregnancy occurs, it may lead to fetal malnutrition. It is recommended to correct the anemia before giving birth. The condition tends to recur, requiring long-term medication.

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