Male Factor Infertility
Male Factor Infertility: This Exchange is intended to help couples faced with ... more
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Here's a recent article from February:
"The results also imply that changes in adipose tissue metabolism occasioned by exposure to dietary estrogens, and perhaps other estrogenic agents, possibly contribute to deficiencies in reproductive capacity attributed to these compounds."Toxicol Lett. 2012 Feb 25;209(1):78-85. Epub 2011 Dec 3.Regulation of adiponectin secretion by soy isoflavones has implication for endocrine function of the testis.Pfaehler A , Nanjappa MK , Coleman ES , Mansour M , Wanders D , Plaisance EP , Judd RL , Akingbemi BT .SourceDepartment of Anatomy, Physiology and Pharmacology, Auburn University, Auburn, AL 36849, USA.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
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With that said... a semen analysis does not predict fertility 100%. Statistically you have enough live sperm to natural conception. If you have been trying for 1 year straight and still nothing you should look into starting a fertility blend vitamin to make sure your sperm quality is high and follow a sperm healthy lifestyle (see past post on this topic).
Couples that test normal for both the male and female fertility parameters can still be faced with infertility. This could be a couples factor. The first thing accessed can be checking if you wife's body is having a negative response to your sperm and killing the sperm so they don't have a chance to swim through the cervix into the uterus on their way to the egg for fertilization. When you mention that you wife checks okay was that a full work up with a reproductive endocrinologist or just her ob? A specialist will do a number of more intensive testing to make sure her ovaries release an egg during her LH surge (ovulation) and perform a HSG test to make sure she doesn't have any blockage of her fallopian tubes.
Intrauterine inseminations with timed ovulations can help improve the odds of conception so discuss with her doctor to see if they offer this service.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
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Common assessments for men with no sperm in ejaculate: 1)Fructose assay on ejaculate to check if you have a blockage making it impossible for sperm to pass into the ejaculate. 2) At least 2 semen analyses 3) Blood work to check free and total testosterone, prolactin, estradiol, FSH, LH and TSH 4)testicular ultrasound 5)testicular biopsy to assess if the your testicles have any sperm production 6)DNA testing to see if you carry a genetic cause for being sterile
We would love to hear how you next appointment goes and what you find out.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Make an appointment and have an analysis done to get the process started and hopefully you will quickly have the answers you need.
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Sorry to hear of your recent struggles but remember one choice could effect your entire family and you for the rest of your life. Find a way to spice up your own relationship with your wife to satisfy your needs. Communication is key and don't let your hormones get the best of you.
The grass is not always greener on the other side.
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Background on ME: 100mg Clomid 5-9, produced 9 follies; 5 on the right and 4 on the left. On the right the measurements were 15.44, 26.22, 12.73, 12.26 & 13.53. On the left were 10.76, 10.56, 10.38 & 10.06. My E2 was 1426, LH 8 and just recently my progesterone was >40. I took the ovidrel shot prior to the IUIs and now I am awaiting testing on St. Pattys Day.
Thanks for any help you can give. View Thread
I can imagine your problem. However, i do require knowledge about your sexual nature- like number of affairs you had, and your age, kind of sex you prefer- normal or straight sex, oral, anal. What do you prefer more - love and romance, or physical pleasure?
Also the food that you have mostly eaten. Also whether you feel enthusiastic (or i should rather put it this way- do you find it effortless) for mental activities like reading non-fiction or any mental activity that requires effort. Do you feel physically alert and active?
Anyways, I might be able to help you, but this help cannot give you an oppertunity to indulge more. You do need to have a balanced lifestyle.View Thread
Sit with spine straight, chest out and shoulders. Contract the anus, breathe in through your nose into your chest, breathe out through your mouth (as slow as you could, slower it is, better it is) and HOLD the OUT-BREATH for as long as you comfortably could (if you possibly could). Repeat this exercise 5-10 times, but don't strain it.
Eat a small meal withing 1 hour after this exercise, consisting of complex carbohydrates(a single slice of brown bread), fats (preferably saturated)(a spoon of butter or olive oil), protein. Also have some multi-vitamin pill to complete the nutritional needs.
This exercise won't work without food because it seems to me that there is an injury to the body part that resulted in such a functional disorder and not vice-versa.View Thread
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thanksView Thread
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Underwear type has been debated an number of times on the topic of increasing scrotal temperatures and scientific papers such as
Reprod Toxicol. 2002 May-Jun;16(3):209-14.The relation between daily activities and scrotal temperature.Hjollund NH , Storgaard L , Ernst E , Bonde JP , Olsen J .
This paper states "No effect was found for size or reported tightness of the underwear." when looking at the effects on sperm production.
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
View Thread
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
With the thyroid medications my main concern is that the system in the body that regulates the thyroid is also regulating the hormones needed for fertility and sperm productions. If the thyroid is not functioning correctly this impacts those other hormones as well.
Here's what I found:
Levothyroxine - Reproductive: menstrual irregularities, impaired fertility.
There were no adverse effects on reproductive performance in male and female rats treated with up to 300 mg/kg/day of Lisinopril. This dose is 188 times and 30 times the maximum human dose when based on mg/kg and mg/m2, respectively.
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
hope this helps.View Thread
Male infertility can be treatable so don't give up. Please review my sperm healthy lifestyle guideline post to make sure you are doing things day to day that will help ensure the production of healthy sperm cells but you still need the attention of an urologist since your numbers are so low. It could be as simple as a medication interaction, hormonal imbalance or something on the lines of a varicocele. Your urologist will start with a physical exam to check for the varicocele, review your medical history and order blood work to check hormone levels.
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Take the Poll
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YES0% (0)
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NO25% (1)
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MAYBE50% (2)
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DEFINATLY NOT25% (1)
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DEFINATLY NOT0% (0)
So I think if I can continue to give him those vitamins in a food he will be much happier and hopefully more healthy. But thanks for that. I saw that book the other day and opened it and it said "Congratulations your Pregnant". I was like ooppps not there yet.View Thread
Your husband has a very low sperm count and this should be addressed. Make him an appointment with a local urologist that specializes in male factor infertility. Male factor infertility is often treatable or manageable.
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
AmyView Thread
AmyView Thread
You should look into starting him on a antioxidant rich diet and adding in vitamins to try to help improve his sperm quality or at least try to lessen the impact of the toxic chemicals from smoking.
AmyView Thread
AmyView Thread
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