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MALE INFERTILITY: CAUSES & MANAGEMENT

Introduction

Male infertility refers to the inability of a couple to achieve conception after one year of unprotected sexual intercourse. Studies have shown that 40% of infertility is caused by man. The semen is the milky fluid, which is released from a man’s penis during orgasm. It consists of sperm and fluid. Most causes of infertility in men are due to sperm issues.

Causes

Infertility in men can have numerous causes but with the right help, a couple can still achieve conception. The patient’s medical history will first be reviewed by a fertility doctor to see what is the cause of the problem. Causes of poor sperm quality include:

  • Sperm abnormalities: low sperm count, poor sperm motility or abnormally shaped sperm can reduce the ability of the sperm to fertilize an egg. W.H.O. ranges for average sperm count is 15 million sperm cells per milliliter of ejaculate or 39 million in the entire sample (1.5 - 6ml average volume).

  • Hormonal causes: if you have a condition, which has lowered your luteinizing hormone (LH) or FSH levels, this can result in low or no sperm production and low testosterone levels. This can be corrected by lifestyle modifications e.g., regular exercise of at least 30 mins daily, getting enough sleep 6 – 8 hours, and taking the right supplements (antioxidants).

  • Age: men above 40 years of age tend to have reduced testosterone level, which leads to poor semen quality and subsequent fertility issues or delay in achieving conception,

  • Anatomical issues: any trauma, illness or infection and subsequent treatment, including surgery may have blocked either the testes, the vas deferens (tube through which the semen is delivered) or other primary structures within the male anatomy can cause infertility.

  • Smoking/alcohol consumption: can cause low sperm count or low motility.

  • Steroid consumption: has a negative effect on the testes and can prevent production of testosterone (male sex hormone) leading to disruption of the spermatogenesis (sperm production) process.

  • Excess weight: being obese (more than 30kg/m2) can reduce the male body’s ability to produce testosterone or it can convert it to oestrogen, which will adversely affect sperm production leading to low sperm count, low motility, and malformed sperm cells.

  • Retrograde ejaculation: this refers to when the semen produced is being discharged backwards into the bladder.

  • Environmental causes: this includes heat or even radiation from mobile devices. Heat can destroy sperm. Exposure to high temperature such as placing a laptop on your legs for long, staying in hot tubs or having steam baths often, wearing tight boxer shorts or pants, as well as frequent cycling are common causes of increased testicular temperature (normal temperature of the testes is 35OC), causing low sperm count or low motility or sperm cell death.

Assessment

Infertility in men is usually confirmed by doing a semen fluid analysis (SFA) test and the result interpreted by the doctor. The doctor may also consider a urinalysis test to rule out the possibility of bacterial infection or STIs.


It is important to know that some miscarriages in women occur as a result of a man’s poor semen quality. Sperm count, motility, and the morphology/shape as well as the DNA structure are some of the key factors to be considered for a healthy pregnancy and taking the right supplement can help boost sperm quality and improve chances of conception.


Management

This includes:

  • Surgery,

  • Assisted reproductive technology (ART)

  • Drug therapy, including supplementation

  • Lifestyle modification e.g., avoiding herbal concoction, smoking/alcohol cessation, proper management of hypertension, diabetes, or any other chronic disease, as well as avoiding wearing tight shorts or pants.


Introducing Wellman Conception



Contains a proprietary blend of pine bark extract, Peruvian maca, Siberian ginseng, L-Arginine, Inositol, and Co-Q10.

Over 30 nutrients, including:

  • Selenium contributes to normal spermatogenesis and zinc contributes to normal fertility and reproduction

  • Zinc contributes to the maintenance of normal testosterone levels in the blood

  • Includes L-arginine and inositol which both play important roles in male reproduction and the health of sperm

  • Peruvian MACA Extract, sourced from the Peruvian herbaceous plant, this organic source Maca contains important nutrients including amino acids and fatty acids, which are essential for male reproductive health.

  • Co-Enzyme Q10 acts as an antioxidant and energy-releasing agent and is thought to stabilize the integrity of the sperm flagella.

  • Folic Acid, studies suggest that supplementation of folic acid along with zinc supports sperm health.

  • Vitamin D and E have been shown to improve sperm motility

  • L –Carnitine can boost sperm count, motility and straight swimming ability and L-Carnitine transports fats to the mitochondria to produce energy.

  • Pine Bark Extract may play a role in protecting sperm. Free radicals (responsible for oxidative cell damage) are said to be responsible for 40 percent of sperm damage.

  • Wellman Conception is suitable for vegetarians

All Vitabiotics products have been developed using the latest research and contain effective levels of vitamins and minerals, while avoiding any excessive amounts, in accordance with official upper safe limits for vitamins and minerals.



Summary

It is important for every man to know the things to avoid in order to have optimum sperm quality such as living a healthy lifestyle and taking supplements to boost their diet knowing that in Nigeria, we eat a lot of junk food. Wellman conception contains a potent blend of antioxidants, vitamins and minerals that help to improve male reproductive health, supporting conception.


References

  • https://www.institutobernabeu.com/en/blog/semen-quality-parameters-according-to -the-world-health-organization-who/

  • https://www.androcarefertility-org/articles/causes-of-infertility

  • http://www.lifeextension.com/magazine/2012/12/reversing-male-infertility/

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