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In the UK, one in seven men have fertility issues. It is more common than people realise. However, there are several ways to improve fertility and sperm quality. Whether that’s through lifestyle changes, medication or fertility treatments, we can provide the advice and guidance to support you.
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Male fertility refers to a male's capacity to produce healthy sperm, which can be fertilised with a female’s egg. Infertility occurs when a man is unable to achieve a naturally conceived pregnancy with his female partner, despite having regular unprotected sexual intercourse.
The primary indicator of male infertility is the inability to cause natural conception. Most often, this is due to issues with the man's sperm, including their number, size and shape, which can affect their ability to penetrate and fertilise the egg.
Sperm parameters include sperm motility, morphology and concentration. All of these are assessed during a semen analysis.
Sperm concentration (also known as sperm count) measures the quantity of sperm in your sample, while sperm motility assesses the sperm’s ability to move and fertilise an egg. If your sperm has poor motility, you may need medical intervention to help.
Finally, sperm morphology examines the shape and size of sperm. Abnormally shaped sperm is a factor that can cause infertility issues.
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Several factors can impact male fertility and influence sperm quantity and quality. Lifestyle choices such as smoking, diet, excessive alcohol intake and caffeine can potentially impact sperm. Medical conditions such as diabetes can also cause ejaculation issues and sexually transmitted infections (STIs) may lead to infertility if untreated.
Other factors, including age and environmental exposures, can also impact sperm quality. If you have any concerns about your lifestyle choices or medical conditions that you may feel are contributing to your infertility, speak to your doctor or fertility clinic.
There are various ways to improve your fertility, concentrating on sperm health.
Maintaining a balanced, varied and healthy diet rich in vitamins and minerals is essential for improving sperm health. Key nutrients include:
Folate – Found in leafy greens, legumes and fortified grains such as cereal and pasta.
Zinc – Present in nuts and seeds, oysters, crab meat, and dark chicken.
Omega-3 fatty acids – Found in oily fish such as salmon, mackerel and sardines.
Vitamin C – Available in citrus fruits, berries, tomatoes, and sprouts.
Selenium – Present in brown rice, Brazil nuts, seafood and fish, dairy and chicken.
Coenzyme Q10 – Found in lean red meat, seafood, dairy, vegetable oils and soy beans.
If you feel you aren’t getting enough of these nutrients from your diet, consider taking supplements. However, make sure you consult your doctor before starting any regular supplements, as taking too much or too little may harm your fertility.
A Mediterranean diet can boost fertility. This diet is rich in healthy fats, antioxidants and fibre, consisting of a variety of fruits and vegetables, olive oil, nuts, seeds, legumes and fish. Consuming these foods can enhance sperm quality.
It is also crucial to consume enough fruits and vegetables for overall health and sperm quality. It is advised to have five portions a day, which can include fresh, frozen and canned options. Carbohydrates, such as wholegrains, oats, brown rice, and pulses, are great sources of fibre, vitamin B, and folic acid.
Lean meats provide the necessary protein to support sperm health, including options such as lean red meat, fish, chicken and turkey. Plant-based proteins, such as low-fat dairy produce, soya, lentils, peas and tofu, are also good choices.
It’s important to avoid foods high in fat and sugar, as these can negatively impact sperm quality. Additionally, excessive alcohol consumption and caffeine can disrupt hormone levels, leading to decreased sperm production and quality.
Moderate exercise such as walking, jogging and cycling can increase testosterone levels. It also enhances blood flow in the testicles and reduces oxidative stress in sperm, which can improve sperm DNA integrity. However, it is best to avoid strenuous endurance training as this can negatively impact fertility. Both exercise and diet can help maintain a healthy weight, which is essential for preventing obesity, a factor that can impact hormone levels.
Getting adequate sleep is essential for male fertility. Poor sleep and disruption can be associated with lower sperm concentration, motility and morphology.
By following these guidelines, it is possible to improve male fertility.
If lifestyle changes haven’t improved your fertility, medical and clinical intervention may be a viable option.
Fertility testing for men - Fertility tests for men typically includes a semen analysis, which evaluates key factors including pH levels, volume, sperm concentration, motility and morphology. Additional tests may be required, including a urine sample, an ultrasound scan of your testes or hormonal blood tests. Your results will be discussed in detail during your consultation, and a treatment plan will be devised.
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Medication - Depending on the cause, some medications can be helpful. For a small proportion of men, hormone therapies such as gonadotropin injections can be used. These injections include follicle-stimulating hormone (FSH) and luteinizing hormone (LH) hormones, which help stimulate sperm production in men who have no production of these hormones in a gland in the brain, called the pituitary. In some cases, retrograde ejaculation may affect fertility. This condition occurs when sperm travels back into the bladder, instead of being released through the urethra, the tube through which urine passes. Specialists can prescribe some medication to allow sperm to be ejected forward rather than into the bladder. For individuals with erectile dysfunction, medicines including sildenafil, tadalafil and alprostadil can be prescribed.
Fertility treatment - Various treatments are commonly used for men with infertility issues.
Intrauterine insemination (IUI) – In carefully selected men with mild issues with their semen analysis, IUI can be offered. IUI involves sperm being prepared so that high-quality sperm is directly introduced into the woman’s uterus around the time of ovulation. This procedure can help enhance the chances of fertilisation and may lead to a successful pregnancy.
Intracytoplasmic sperm injection (ICSI) – This treatment involves an embryologist selecting the healthiest sperm and injecting it directly into an egg to assist with fertilisation. ICSI is particularly beneficial if you have a low sperm concentration or low sperm quality.
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We understand that experiencing fertility issues can be distressing, especially if you and your partner are trying to conceive. While there’s no specific time to seek advice from a fertility expert, it is advisable to contact your doctor or fertility clinic if you experience any symptoms such as pain and problems during ejaculation, swelling in the testicular area or blood in your semen. Additionally, if you are looking for general advice or guidance on fertility, feel free to reach out at any time.
Reviewed by Justin Chu, Medical Director at TFP Oxford Fertility.
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