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10 Factors Which Can Affect Male Fertility - Demystifying Male Infertility
By Becky Waldman R.N.
The heartache of infertility affects everyone. Both men and women
suffer when the dream of trying to conceive a child, doesn’t
seem to be coming true. While this occurs, many women will find
themselves in many a specialist’s office, in efforts to determine
exactly where the problem lies.
How about the guys? It
has been shown that 40 to 50 % of couples experiencing infertility
will have a male factor, that is a problem with the quality, quantity
or movement (also known as motility) of the sperm. Low sperm counts,
infection, erectile dysfunction, and other health problems should
be evaluated by a physician early in the fertility work up to identify
and correct simple problems or identify more serious problems. What
is certain however is that male factor can significantly effect
decisions couples make regarding their family planning.
If you and your partner
have been trying to conceive for six months or more without success,
both of you need to be fully evaluated to determine if and where
problems exist. If you and your partner have suffered multiple miscarriages
or previously failed In Vitro Fertilization (IVF) cycles, the problem
can also be male related.
Failure of implantation
(the normal growth of the placenta early in the pregnancy) can result
form poor embryo quality, such as a genetic problem. When fertilization
occurs when the egg from the female combines with the sperm of the
male partner. The sizes are different and the sperm DNA need to
swell and then shrink to match up with the DNA of the egg. When
this process is successful an embryo can form. If there is a problem
with the DNA of either the sperm or the egg, the DNA of the resulting
embryo can fail, causing failure of implantation or early miscarriage.
(1).
The following are a list
of the ‘Top 10’ factors which can affect male fertility.
#1 - Do you smoke? Or
use smokeless tobacco?
We all know that smoking
and chewing tobacco is unhealthy for a variety of reasons. Now,
here’s one more! These products contain nicotine and other
harmful substances. Smoking causes vasoconstrictriction which makes
blood vessels smaller. This can reduce the amount of blood flow
to vital organs and decrease the amount of oxygen and nutrients
delivered to them. Stopping these products can improve factors in
as little as 3 months.
#2 - How much alcohol
do you consume in 1 week?
Be honest. More than
3 to 5 drinks per week can be unhealthy, especially if you are trying
to have a baby. Binge drinking can also be unhealthy, which is more
than 5 drinks in a day. That may not sound like much, but binge
drinking can be considered alcohol abuse and can be a sign of depression.
If you are concerned about the amount of alcohol you consume, please
discuss this candidly with your health care provider.
#3 - Are you overweight?
Along with the
known health risks of being overweight (risk of high blood pressure,
heart disease or stroke) being overweight can also effect sperm
production. Adipose tissue (fat) can store excess amounts of the
female hormone Estrogen. This hormone can be responsible for hormone
imbalances causing a decrease in the production of testosterone,
the primary male hormone needed for sperm production. Excess amounts
of estrogen can give the appearance of man breasts and also interfere
with the arousal phase required for erection and ejaculation. If
you have any concerns about these problems be sure to address them
with your physician.
#4 - Have you had an
injury to the groin area? Have you had surgery to the groin area?
Undescended testicles,
hernias or varcoceles are conditions that can affect sperm production
or sperm transportation. If you have been treated by a urologist
in the past it is very important to inform your fertility specialist.
#5 – Do you have
health problems that warrant the need for medications?
High blood pressure,
diabetes, high cholesterol, thyroid problems, arthritis, alcoholism,
and drug addiction are some commonly identified problems. The medications
to treat these conditions, alone, can be harmful to sperm production.
Check with your physician or pharmacist to see if your medication
could be decreasing your fertility potential.
#6 – Have you experienced
a fever or illness within the last 3 months?
In order for a sperm
cell to be mature enough to fertilize an egg it take about 3 months
to develop. A fever or illness can affect newly developing sperm.
Also, medications such as antibiotics can interfere with sperm production.
Tell your physician all of the medications you have taken in the
last 3-month, that includes over the counter medications.
#7 - What is your occupation?
Some jobs, by their nature
can affect fertility potential. If you are exposed to chemicals
or toxins on a regular basis, you may need a male fertility workup
with advanced testing to see if these chemical or toxins have affected
the DNA in your sperm. Avoiding exposure to known toxins would be
important while you are trying to have a baby. Prolonged sitting
or jobs that generate a lot of body heat can cause the groin area
to be subjected to higher temperatures and be potentially harmful
to developing sperm. The scrotum is design to keep the testes protected
from extreme temperatures, hot or cold, allowing the testes to be
moved closer or further from the body depending on the temperature.
#8 - What are your hobbies
or activities?
Some hobbies involve
solvents or chemicals. Others such as bicycling or excessive exercising
can increase your body’s core temperature. Discuss your hobbies
and activities at your fertility consultation.
#9 - Do you use recreational
drugs?
Marijuana, cocaine, Methamphetamines
or any recreational drug are unhealthy and potentially dangerous.
Drug use can also be a sign of excess stress and inappropriate coping.
If you are using drugs, stop. If you are having problems with stress,
anxiety or depression, talk to your doctor. It is better to take
care of yourself now so that you will be healthy, and sober when
the new baby arrives.
# 10 - How often do you
use hot tubs or take hot baths?
Excessive heat to the
groin area has been linked to poor sperm quality. Keep the temperature
comfortable. Avoid excessive heat while you are tying to conceive.
Loose comfortable clothing (yes, Boxers) can allow the groin area
to be less heated.
Remember, this information
is being provided to help with Pre-Conception planning. It is intended
to offer education but is not designed to replace the assessment
of a health care professional.
Feel free to contact
Women’s Specialty Health Centers, P.C., Center for Reproductive
Loss, Becky Waldman, R.N. at (317) 774-1200 for further assistance.
Visit Infertility Treatment Center
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