There is a body of evidence suggesting that marijuana causes infertility. However, even more concerning is relatively recent research that suggests that fertility, especially in males — may be declining overall.
Does Marijuana Cause Infertility?
In fact, according to currently available statistics, upwards of 8% of non-pregnant reproductive-aged women use cannabis on a relatively consistent basis. As authors of the above publication observe, “prenatal marijuana exposure [can be] associated with poor offspring outcomes,” including an increased prevalence of conditions like low birth weight and impaired brain development.
What About Male Fertility? Does Cannabis Reduce Sperm Count?
The answer may shock you!…
The 2002 study found that sperm cells would bind to the agonist CP-55,940, demonstrating the presence of CB1-receptors. The study also concluded that the presence of THC and a synthetic anandamide analogue, AM-356, both reduced sperm motility in vitro. Interestingly, it was found that AM-356 exerted a biphasic dose-dependent effect on sperm motility, causing inhibition at high doses but hyperactivity at low doses.
Some studies on the effect of cannabis use on male fertility have indicated that regular use may reduce spermatogenesis (the production of sperm in the testes) and testosterone levels.
The endocannabinoid system and male fertility
Past research has indicated that cannabis use may disrupt the menstrual cycle, suppress oogenesis (production of eggs in the ovaries) and impair embryo implantation and development. Chronic use of cannabis has also been repeatedly associated with lower birth weight (as much as a 50% increased risk), decreased birth weight and early (spontaneous) termination of pregnancy.
In a 1994 study, it was found that mammalian sperm, including that of humans, is actually incapable of fertilizing oocytes (eggs) immediately after leaving the testes. It requires a period of exposure to certain crucial hormones, enzymes and proteins on its journey through the vas deferens and ejaculatory ducts of the male reproductive system (as well as the reproductive fluids of the female vagina and oviducts) before becoming “capacitated” and able to fertilize an egg.
Clearly, the endocannabinoid system has a role to play in the regulation of processes critical to male reproductive health, such as sperm count, testosterone levels, and levels of other key hormones such as LH.