Aim: Studies focusing of male infertility and cardio-metabolic disorders is insufficient and controversial. The aim of this study was to evaluate the association between male infertility and cardiometabolic disturbances in a population based Tehran lipid and glucose study. Material and methods: For the purpose of the present study, we used data collected in 3rd follow up visit of Tehran Lipid and Glucose Study, which included comprehensive data on reproductive status of participants. All those who were never married, were unwillingness to have a child, had documented female infertility were excluded from the study. A total of 1611 remaining participants were further classified as two groups: men who had documented male infertility as infertile group (n = 88) and those had at least one live birth and did not have a history of primary infertility as the fertile group (n = 1523). Generalized Linear Regression model (GLM) with logit link were applied to assess the to explore the association between male infertility and cardiometabolic disturbances including diabetes mellitus, pre-diabetes, hypertension, metabolic syndrome, dyslipidemia, obesity, central obesity and chronic kidney disease after further adjustment for age and BMI.Results: Compared to fertile controls, infertile men were more likely to be older, [58 (13.3) versus 53 (10.2) years (P = 0.003)]. The results of unadjusted model revealed that infertility were significantly associated with hypertension and CKD, OR = 1.8 (95%CI: 1.2, 2.9, P-value = 0.006) and OR = 1.9 (95%CI: 1.1, 3.6, P-value = 0.033), respectively. However, the significant association, which were found in crude analyses, were disappeared after adjusting for potential confounders of age and BMI. Moreover, infertility did not have any association with other cardiometabolic disturbances including diabetes and pre-diabetes, metabolic syndrome, dyslipidemia, obesity and central obesity in unadjusted and adjusted analysis. Conclusion: Our study revealed that there were not any association between male infertility and cardiometabolic disturbances in a population based setting. This study is an incentive to initiate more explicit surveys concerning this topic in order to provide more accurate data on male infertility. More population-based studies with large sample size are still warranted to confirm these findings.