When a couple struggles to conceive, the conversation almost always starts with the wife. Tests, scans, hormones, cycles. The husband often gets a semen analysis done as an afterthought, sometimes months into the workup. Here is what the data consistently shows: male infertility accounts for roughly half of all infertility cases. In many couples, it is the primary or contributing reason they are not conceiving. Yet it remains the least openly discussed part of the fertility conversation, particularly in cities like Jabalpur, where cultural pressure on women to be 'the problem' is still very real.