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MALE
FERTILITY OR INFERTILITY
In about 40% of infertile couples, the cause of the
infertility lies with the males. There are many reasons for male
infertility. For couples who are trying
to conceive, it
only makes sense to have an evaluation done on the males fertility health
when conception hasn't occurred after 6 months.
My husband underwent a
Vasectomy Reversal in December 2000. We conceived 10 months after
the reversal. His sperm
count, motility, mobility, morphology,
etc. were within normal range at 6 months post reversal. We had him on the
supplement stated below.
Should we have intercourse everyday or
every other day?
Source: The
Reproductive Medicine and Fertility Center
There has been a tremendous amount of misinformation about the best way to
time intercourse to increase the chance of conception. Most of this
misinformation has come from physicians who have confused obtaining a
standard semen analysis with promoting conception. It has been clearly
shown, both with normal sperm counts and low sperm counts, that daily
intercourse during the fertile period produces the highest pregnancy
rates. You cannot "save it up" and you cannot have intercourse
too often. The fertile period starts 6 days before ovulation and ends the
day after ovulation.
Quick Fact:
It takes
approximately 72-90 days to produce mature sperm. Sperm is produced 24
hours a day, 7 days a week.
There are many factors that can decrease or
cease sperm production. Here are a few:
Illness
Excessive Caffeine
Stress
Excessive alcohol consumption
"How
HIS Alcohol Consumption Affects
Her Ability to Conceive"
Street and certain Prescription Drugs
Some over the counter medications
Injury to the testicles
Blockage in the Vas Deferens
Excessive Heat to the testicles
Vitamin Deficiencies
Varicocele:a varicose enlargement of the veins of the spermatic cord
that may cause infertility through a significant decrease in the quality
and quantity of the sperm. More Information on correction of Varicocele
Normal semen values as outlined by the World Health Organization
are as follows:
| PARAMETER |
MINIMUM VALUE
|
| Volume (mL) |
2.0
|
| Sperm Concentration
(million/mL) |
20
|
| Motility (%) |
50
|
| Forward Progression (0-4) |
3
|
| Normal Morphology (%) (WHO) |
30
|
| Normal Morphology (%) (Strict) |
14
|
| Total Sperm Count (million) |
40
|
| Total Motile Sperm (million) |
20
|
| Total Functional Sperm (million) |
6
|
Morphology-Normal and Abnormal Forms
| Normal
Forms |
Abnormal
Forms |
 |
|
Improving Male Fertility
There are natural ways to improve male fertility.
There are few common rules to start with.
1. Limit or eliminate caffeine intake.
2. Stop smoking
3. Stop Recreational Drugs
4. Wear Loose Underwear (boxers)
5. Stay out of Hot Tubs
6. Quit drinking alcoholic beverages
Low
Motility?
Guaifenesin (Plain Robitusson-no letter extensions) can improve motility by
thinning out the semen allowing for your guys to swim up stream easier. Vitamin
C and Zinc can also help.
Morphology less
than 30%: Pycnogenol®
for Improving Morphology
Nutritional Supplements ( I find the best prices on nutritional supplements
at PuritansPride.com)
The following natural treatments are widely
recommended for male infertility, but they have not been scientifically proven
effective at this time:
Acetyl-L-Carnitine
L-Carnitine
Researchers have found that L-carnitine
is found in much greater amounts in sperm tissues than other cells.
Preliminary studies suggest that L-carnitine and acetyl-L-carnitine may
be able to stimulate sperm motility in certain situations. The role of
L-carnitine on sperm maturation and sperm quality however, is still
unclear.
Several clinical studies have evaluated the effect of L-carnitine on
men with a low sperm count, a reduction/loss in sperm movement, or men
with both conditions. These studies have evaluated only small numbers of
men who took oral carnitine supplements for varying lengths of time.
Some patients enrolled in these studies experienced increased sperm
counts and/or increased sperm motility, however it is still too early to
determine the benefit of L-carnitine supplementation.~
PRODUCTS THAT MAY ENHANCE
FERTILITY IN MEN
Arginine,
L-Arginine -- studies indicate that this amino
acid may improve sperm motility
Vitamin B12
Zinc
is an essential nutrient for proper sperm production. A deficiency
may result in lowered testosterone levels.. The usual recommended
dosage of zinc is about 15 to 30 mg daily, coupled with 1 mg of
copper for balance. Too much zinc can be toxic. Do not exceed a
dose of 15 to 30 mg daily
This mineral is found in great amounts
in the outer layer of sperm and plays an important role in the production of the
hormone testosterone.
Anti-Oxidants
are necessary for good sperm health.
Pycnogenol®
for Improving Morphology
Vitamin E, Supplementation with this
antioxidant has been shown to increase sperm motility and to enhance the ability
of the sperm to penetrate the egg in test-tube studies.
Dose: 400 IU daily. Talk
to your doctor prior to starting Vitamin E, particularly if you
are currently taking aspirin or other blood thinners.
Vitamin C - research suggests it may prevent
sperm from "clumping" together and that it increases sperm count.
* Superoxide dismutase and glutathione - research
shows that these and other antioxidants may improve sperm quality.
From
AlternativeMedicineChannel.com
Nutrition
The importance of a healthy diet cannot be overstated. To function
properly, the reproductive system requires the proper vitamins and
minerals. Nutritional deficiencies can impair hormone function, inhibit
sperm production, and contribute to the production of abnormal sperm.
- Eat a natural foods diet that focuses on fresh vegetables,
fruits, whole grains, fish, poultry, legumes, nuts, and seeds.
- Drink ½ of body weight in ounces of water daily (e.g., a 150
lb man would drink 75 oz of water).
- Eliminate processed and refined foods (e.g., white flour),
junk food, sugars, alcohol, and caffeine.
- Avoid saturated fats and hydrogenated oils (e.g., margarine);
use olive oil.
- Pumpkin seeds are naturally high in zinc and essential fatty
acids which are vital to healthy functioning of the male reproductive
system. Eat ¼ to ½ cup a day of pumpkin seeds to help maintain a
healthy reproductive system.
Supplements
The following supplements have been shown to increase sperm count and/or
motility. Allow 3-4 months for the supplements to work.
- Arginine—Take 4 gr daily. Needed to produce sperm. If the
sperm count is below 10 million per ml, arginine probably will not
provide any benefit.
- Coenzyme Q10—Take 10 mg daily. Increases sperm count and
motility.
- Flaxseed oil—Take 1 tbsp daily. Is a source of essential
fatty acids.
- L-carnitine—Take 3-4 grams daily. Required for normal sperm
function.
- Multivitamin-mineral—Buy a high-quality product and take
one serving size (differs from brand to brand).
- Selenium—Take 200 mcg daily. Improves sperm motility.
- Vitamin B-12—Take 1000 mcg daily. A B-12 deficiency reduces
sperm motility and sperm count. Even if no deficiency exists, B-12
supplementation may help men with a sperm count of less than 20
million per milliliter or a motility rate of less than 50%
- Vitamin C—Take 500 mg 2 times daily. Is an antioxidant.
- Vitamin E—Take 400 IUs 2 times daily. Is an antioxidant and
improves sperms’ ability to impregnate.
- Zinc—Take 15 mg 2 times daily. Required for a healthy male
reproductive system and sperm production.
I found this on the internet, but have not tried
it:
The
Maca Source® Difference
In
Phase I clinical trials conducted in August 2001 by Universidad Peruana
Cayetano Heredio in Peru, the subjects taking a derivative of the
Peruvian Andes herb "maca" called gelatinized maca
reported
increase
sexual desire:
180%
increase
sperm count:
200%
http://www.macasource.com/
Resources on the Web
The
male factor;Fertilitext
Sperm
Photos
INVF.com:
Male Infertility Overview
How
to Enhance Your Fertility
Intracytoplasmic
Sperm Injection (ICSI) This is where the sperm
IVF
with ICSI - for Men with Azoospermia
Men's
Health
Center
For Male Reproductive Medicine
Varicocele Specialists
PlainSense.com
Dr. Michael
Werner, MD
Vasectomy Reversal
Columbia
University Urology Page
Vasectomy
Reversal Movie Clip
Referral
Service for Vasectomy Reversal Surgeons
New
Beginnings: A Vas Reversal Resource Page
Vasectomy
Reversal
America's Leading Vasectomy Reversal Center
Worldwide center for vasectomy reversals. Offers a free redo if
pregnancy does not occur within 2 years of surgery.
http://www.vasdoctor.com
GLOSSARY OF TERMS
Aspermia: No semen ejaculated
Hematospermia: Blood present in semen
Leucocytospermia: White blood cells present in semen
Azoospermia: No spermatozoa found in semen
Normozoospermia: Normal semen parameters
Oligozoospermia: Low sperm concentration
Asthenozoospermia: Poor motility and/or forward progression
Teratozoospermia: Reduced percentage of morphologicall normal sperm
Necrozoospermia: No live sperm in semen
Globozoospermia: Round headed acrosome-less sperm
This book is a must for
your fertility library!
States
That Mandate Fertility Coverage
Fertility
Products
for Men
What is FertilityBlend for Men?
FertilityBlend for Men is a scientifically
validated herbal/nutritional blend to optimize fertility by improving
sperm quality and motility (spontaneous motion).
This premium combination of herbs, vitamins
and minerals improves overall health and helps treat many of the
deficiencies known to decrease fertility. L-Carnitine is an amino acid
that has been shown to be critical to the formation of healthy, active
sperm. Ferulic acid, an antioxidant found in Dong quai, has also been
shown to improve sperm quality. The antioxidants vitamin C and E, coenzyme
coQ10 and selenium improve overall reproductive health. Zinc and B
Vitamins (B6, B12, and folate) are critical nutrients in the male
reproductive system for proper hormone metabolism, sperm formation and
motility
States
That Mandate Fertility Coverage
Seach Engine links
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