Manual The Male Infertility

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  1. What is Male Infertility?
  2. Health.vic
  3. ‘It tears every part of your life away’: the truth about male infertility
  4. Infertility in men - Better Health Channel

Studies in athletes or strength-trained men with normal to high testosterone levels found that D-AA didn't increase its levels further and even reduced them at high doses 6 , 7. Taken together, the current evidence indicates that D-AA supplements may improve fertility in men with low testosterone levels, while they don't consistently provide additional benefits in men with normal to high levels.

What is Male Infertility?

Further studies need to investigate the potential long-term risks and benefits of D-AA supplements in humans. Exercising not only improves your confidence and physical performance — it may also raise your testosterone levels. Studies show that men who exercise regularly have higher testosterone levels and better semen quality than men who are inactive 8 , 9 , However, you should avoid too much exercise, as it may have the opposite effect and potentially reduce testosterone levels.

Adequate zinc intake can minimize this risk 11 , 12 , If you rarely exercise but want to improve your fertility, becoming more physically active should be one of your top priorities. Oxidative stress is when levels of reactive oxygen species ROS reach harmful levels in the body. It happens when the body's own antioxidant defenses are overwhelmed because of disease, old age, an unhealthy lifestyle or environmental pollutants 14 , 15 , ROS are constantly being produced in the body, but their levels are kept in check in healthy people. High levels of ROS may promote tissue injury and inflammation, increasing the risk of chronic disease There is also some evidence that oxidative stress and excessively high levels of ROS may lead to infertility in men 18 , Adequate intake of antioxidants , such as vitamin C, may help counteract some of these harmful effects.

There is also some evidence that vitamin C supplements may improve semen quality. Another observational study in Indian industrial workers suggested that taking 1, mg of vitamin C five times a week for three months may protect against DNA damage caused by ROS in sperm cells. Vitamin C supplements also significantly improved sperm count and motility, while reducing the numbers of deformed sperm cells Taken together, these findings suggest that vitamin C may help improve fertility in infertile men suffering from oxidative stress.

Stress may reduce your sexual satisfaction and impair your fertility 22 , 23 , Prolonged stress raises levels of cortisol, which has strong negative effects on testosterone. When cortisol goes up, testosterone levels tend to go down 25 , While severe, unexplained anxiety is typically treated with medication, milder forms of stress can be alleviated by numerous relaxation techniques.

Stress management can be as simple as taking a walk in nature, meditating, exercising or spending time with friends. Vitamin D is another nutrient that may boost your testosterone levels. One observational study showed that vitamin D-deficient men were more likely to have low testosterone levels A controlled study in 65 men with low testosterone levels and vitamin D deficiency supported these findings. Additionally, high vitamin D levels are linked to greater sperm motility, but the evidence is conflicting 29 , Tribulus terrestris , also known as puncturevine, is a medicinal herb frequently used to enhance male fertility.

One study in men with low sperm counts showed that taking 6 grams of tribulus root daily for two months improved erectile function and libido While Tribulus terrestris does not raise testosterone levels, research indicates that it may possibly enhance the libido-promoting effects of testosterone 32 , 33 , However, further studies need to confirm its aphrodisiac properties and evaluate the long-term risks and benefits of supplementing with it.

Fenugreek Trigonella foenum-graecum is a popular culinary and medicinal herb. One study in 30 men who strength-trained four times a week analyzed the effects of taking mg of fenugreek extract daily. The men experienced significantly increased testosterone levels, strength and fat loss, compared to a placebo Another study in 60 healthy men showed that taking mg of Testofen, a supplement made from fenugreek seed extract and minerals, daily for six weeks improved libido, sexual performance and strength These findings were confirmed by another, larger study in healthy men.

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Taking mg of Testofen every day for three months improved self-reported erectile function and the frequency of sexual activity. Also, the supplement significantly increased testosterone levels Keep in mind that all of these studies examined fenugreek extracts. It is unlikely that whole fenugreek, which is used in cooking and herbal tea, is as effective.

Zinc is an essential mineral found in high amounts in animal foods, such as meat, fish, eggs and shellfish. Observational studies show that low zinc status or deficiency is associated with low testosterone levels, poor sperm quality and an increased risk of male infertility Also, taking zinc supplements increases testosterone levels and sperm count in those who are low in zinc 39 , 40 , Furthermore, zinc supplements may reduce the decrease in testosterone levels that's associated with excessive amounts of high-intensity exercise 12 , Ashwagandha Withania somnifera is a medicinal herb that has been used in India since ancient times.

Studies suggest that ashwagandha may improve male fertility by boosting testosterone levels. These include tobacco use, heavy alcohol use, use of marijuana or steroids, or exposure to toxins. Genetic diseases, such as cystic fibrosis or hemochromatosis Structural problems Anything that blocks the genital tract can stop the flow of semen. Other factors Other factors may include erectile dysfunction or premature ejaculation.

Who is at risk for male infertility?


You may be more likely to have male infertility if you have had: Past inflammation of the prostate or past genital infections Injury to or twisting torsion of the testicles Early or late puberty Exposure of the genitals to high temperatures Hernia repair Undescended testicles You may also be at risk if you take certain prescription medicines. What are the symptoms of male infertility? Your healthcare provider will test both you and your partner to find the cause of infertility. How is male infertility diagnosed? Other tests for male infertility may include: Sperm count semen analysis.

At least 2 semen samples are taken on separate days. Your provider will check the semen and sperm for many things. These include how much semen you make, how uniform it is, and how acidic it is.

What is clomiphene citrate?

He or she will also look at how many sperm you make, how well they move, and what shape they are. Blood tests. Your provider may use blood tests to check hormone levels and rule out other problems. Other tests.

Your provider does these tests to find the cause of sperm defects or health problems of the male reproductive system. For instance, imaging tests like an ultrasound may be used to look at your testicles, blood vessels, and structures inside the scrotum. Testicular biopsy. If semen analysis shows that you have only a few sperm or no sperm, your provider may remove a small piece of tissue biopsy from each testicle.

The sample will be checked under a microscope.

How is male infertility treated? Treatment depends on what is causing your infertility. Fertility help This treatment involves helping your partner get pregnant. This may be through: Artificial insemination. This method puts many healthy sperm at the entrance of the cervix or right into the partner's uterus. The sperm can then make their way to the fallopian tubes.

Your provider collects your sperm. Intracytoplasmic sperm injection ICSI. Your provider injects a single sperm into an egg.

Fertilization then takes place under a microscope. Medicine Hormone treatment may help you if you have a hormone disorder causing your infertility.

‘It tears every part of your life away’: the truth about male infertility

Surgery Your provider may use surgery to fix problems that keep sperm from being made, matured, or ejaculated. Key points about male factor infertility Male infertility means a man is not able to start a pregnancy with his female partner. Male infertility can have many causes.

You may not make enough sperm or healthy sperm. You may have a genetic problem like cystic fibrosis. You may have a blockage in your genital tract.

Infertility in men - Better Health Channel

You may be more likely to have male infertility if you have had genital infections, injury to your testicles, or early or late puberty. Treatments include artificial insemination, medicines, and surgery. Next steps Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen. Before your visit, write down questions you want answered. Bring someone with you to help you ask questions and remember what your provider tells you.

At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you.