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Before an egg becomes fertilized, a sperm must
make a long journey. A man must have a normal number of motile
sperms a man can produce and of these, he transports them through
the epididymus and vas deferens. He has an erection and
ejaculation in order to deposit sperm in the vagina of a healthy
fertile woman. A healthy sperm should be capable of swimming
through the cervical mucus and travel through the Fallopian tubes
at reaches a newly ovulated egg at the end. But work does not stop
here. The sperm needs to recognize the egg and stick to the
surface to release enzymes and penetrate into the shell of the egg
and fertilize it. For the embryo to develop, the sperm DNA must be
normal. That’s what a fertile male can do to ensure the right
environment for a successful conception.
With a process so complex right from the start,
anything can go wrong. Male infertility can result from any of the
different stages from abnormal formation of sperm to failure of
sperm – egg interactions. Medically, the definition of infertility
is the inability to conceive a child after twelve months of active
or regular unprotected sex.
Myths About Sex and the Sperm
Many myths surrounding male fertility included
‘if you have more sex, you will exhaust your sperm supply’ or ‘if
men masturbate, they will have less sperm’. This is not true. The
frequency of sex or number of times a man ejaculates does not
decrease the amount of sperm, or sperm count. In fact, a man may
lose all sensations and sexual functions due to a spinal cord
injury but he still has a normal sperm count.
Other myths:
- ‘Rear entry position has better chances to
get your partner pregnant’ - The position you select holds
no ground on the ability to conceive. Positions merely add
variety and better stimulation for the deed.
- ‘You can’t impregnate your partner if you
have a low sperm count’ - This is contrary to popular
believe as a low sperm count may have better quality sperms
adequate for the final stage – getting through the egg. Some men
with higher sperm counts may not fertilize an egg. Possibly the
sperms may be found to have two heads or two tails; even a sperm
that’s got a big head.
- ‘If a couple still hasn’t got a kid, the
woman’s infertile' - You would have probably heard this more
than often when couples can’t conceive. It is sometimes the man
that is infertile. 30 percent of couples seeking help, at least
30 couples have a problem and its due to male causes for
sub-fertility.
- ‘viagra increases sperm count’ -
Viagra does not increase sperm count but helps a man maintain or
get an erection.
- traditional Chinese medicine, Qigong and
TongKat Ali makes a man more potent’ - Traditional Chinese
medicine and other Asian fertility enhancing herbs may boost
male fertility but may not be a complimentary treatment for some
people.
- ‘the bigger your penis, the more sperms’
- Size of the penis has nothing to do with sperm count or
fertility.
- ‘wear your pants too tight and you will
kill the sperms' - This one is not a myth, so it is true.
Temperature affects the sperm’s well being and it thrives in an
environment that’s between 74 – 7 degrees cooler than our body
temperature. Sperm motility declines when the environment is not
conducive. Men in tropical climate, compared to their male
counterparts in cooler climates, have a lower sperm count on
average. A normal count is about 20 million sperms or more.
The truth
One sperm takes about 100 days to make and a
poor health, diet or uncontrolled environment can easily damage
the quality or itself.
Male infertility can be caused by any of the
following:
- too much heat around the testicles (affecting
sperm count)
- high levels of free radicals (example, men
who smoke in excess)
- taking excessive alcohol
- too much smoking
- stress
- childhood infections like mumps that may
affect the testes and sperm count
- undescended testes where the testes is in a
abnormal position – stays too high in the groin area
- genetic abnormalities
- obesity, causing testosterone/ ostrogen
imbalance
- impotence
- medical history with prolonged illness like
liver or kidney failure
- some drugs and medication may affect the
hormones and formation of sperm
- trauma to the groin due to accidents or
sports injury
- varicceles – a congestions of veins on top of
the testes (increases temperature of the testes, affecting sperm
count)
- blocked epididymes caused by scarring like
after infection with Chlamydia or gonorrhea
- untreated low grade infection with inflamed
cells in the semen
- prostate cancer
- anti-cancer chemotherapy
- immoderacy sperm antibodies
- retrograde ejaculation where the sperm flow
backwards into the bladder instead of being ejaculated from the
penis during an orgasm and they would be lost of discharged next
time the bladder is emptied
Men who are unable to conceive are usually found
to have one or some of these problems that result a low sperm
count, total absence of sperm, more male antibodies to sperm or
lack of satisfactory sexual intercourse.
Hot tip: Look for normal semen that’s cloudy and
sticky, usually with a particular smell and not runny and clear.
Next time you hear someone say that if you don’t
wash your scrotum, your sperm will eat its way out of it and die,
you know that its not exactly untrue but a little misinterpreted.
Your scrotum just need to be cool to keep those little ‘dudes’
happy to encourage motility, count and quality. What are you
waiting for, let your ‘balls’ hang out for that breath of fresh
cooling air!
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