Basics for Improving Male Fertility.

Which steps you take to support and improve your reproductive health will vary according to where you are in terms of your journey and if you have the results of a semen analysis.

Just Starting Your Journey

on your conception journey you will first want to consider:

  • Diet

  • Lifestyle

  • Supplementation
     

You can click each item listed to read a detailed explanation of how to assess your current situation and the steps you may need to take. Alternatively, you can watch this video where I will take you through the basics of male infertility and the initial steps.

If you have a copy of a semen analysis the following videos will take you through how to understand your results and the specific changes you can implement.

Ideal Results of a Semen Analysis

Ejaculate Volume >3.7ml

Sperm concentration >73mil/ml

Motility >61%

Progressive Motility >55%

Morphology >15%

DNA fragmentation <15%

Anti Sperm antibodies negative

Male Fertility FAQ

When and how do I get a semen analysis?

I have pain in my testicles sometimes is that an issue?

I had mumps as a child, could that affet my fertility?

I am on medication is that a problem?

What is a varicoceal?

I have fathered children previously or had children in a previous relationship so I'm not the issue right?

Supplements

If your semen analysis is "normal" and you are leading a healthy lifestyle then the list below applies to you.

 

Basic Male Fertility supporting supplementation:

A good Quality Multivitamin containing:

500mcg folate & B12

50mg B3

100mcg selenium

25mg zinc

3-6mg carotenoids

Omega 3 fats (minimum 500mg DHA)

Vitamin C (minimum 1000mg/day)

If your semen analysis results fall outside of the following ranges then you may need some more targeted supplementation in addition to reviewing your diet and lifestyle.  I would always recommend working with a functional nutritionist who is able to test and review your nutritional status rather than taking large amounts of supplements you may not need.  The information below is intended as a guide so you can learn more about which nutrients may be important for you.

morphology results are less than 7% normal forms:

If your sperm count is less than 140 million per ml

Important nutrients for sperm count:

vitamin C up to 2g daily

Higher dose vitamin D if blood test show less than desirable levels

Zinc up to 50mg daily

NAC 1500mg/day

Important nutrients for motility:

Vitamin C up to 4g daily

Vitamin E 1000iu/day

Higher dose vitamin D if blood test show less than desirable levels

Co Q10 up to 300mg daily

Selenium 150mg daily

L-Carnitine 3g/day

NAC 1500mg/day

Myo-inositol 2g/day (if you have signs of metabolic disease eg. High blood pressure, type II diabetes and Obesity)

Resveratrol 300mg/day

Important nutrients for morphology:

Folate up to 500 mcg/day

B12 up to 500 mcg/day

Co Q10 up to 300mg daily

Lipoic acid 800mg/daily

Selenium 150mg daily

Omega 3 (DHA) > 500mg daily

NAC 1500mg/day

Resveratrol 300mg/day

High DNA fragmentation:

Folate up to 500 mcg/day

B12 up to 500 mcg/day

Co Q10 up to 300mg daily

Lipoic acid up to 800mg/daily

Selenium up to 400mg/daily

NAC 1500mg/day

Myo-inositol 2g/day (if you have signs of metabolic disease eg. High blood pressure, type II diabetes and Obesity)

Resveratrol 300mg/day

Complex Issues in Male Fertility.

If you have a diagnosed issue beyond the semen analysis there are options available that can assist in potentially rectifying the situation or improving it enough for natural conception to occur.  It could be that you are waiting for a referral for treatment and some of the changes listed will either help with natural conception or improve your chances of conception post-treatment. Again I can't emphasise enough the importance of working with a functional nutritionist where possible so appropriate assessment of your hormones and nutritional status can be assessed and monitored.

Varicocele:

Quercitin 400-800mg daily

Errectile dysfunction:

L-Arginine 2800mg/day