Fertility is not just a women’s issue


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Dear Healthy Man: My wife and I have been trying to have a child for seven months, but have no luck. I have an appointment with my wife’s alumnus, but I’m reading about how sperm counts around the world are declining and I suspect that the problem we have in mind is on my side. .. Is that possible?

A: That is definitely possible. But before that, let’s talk about another issue you have raised: decline. sperm Count A 50% reduction in sperm count over the last 50 years or so is a disturbing headline, but experts disagree on whether more sperm are more likely to give birth.

“Normal” sperm count means 15 to 250 million sperms per milliliter of semen. Anything between 10 million and less than 15 million is considered “low”. At least as important as numbers are morphology (sperm shape and size) and motility (the ability of sperm to swim in the right direction). With zero sperm count, there is no doubt that it will be nearly impossible for a man to have a child as a father. Assuming the same morphology and motility, it is also fairly safe that a man with 40 million sperm counts is, in theory, more likely to conceive a partner than a man with 10 million sperm counts. It’s a bet. However, it is not clear whether it will make a complete difference between moving from 40 million to 80 million or from 80 million to 200 million. After all, all that is needed is for one of those little swimmers to reach the egg.

Now, let’s go back to whether the problem that you and your partner are pregnant may be on your side. Again, that’s a certain possibility. Overall, about a quarter of couples are expected to become pregnant within 1-2 months, half are expected to become pregnant within 6 months, and about 85% are pregnant within 1 year. In other words, one in seven couples is infertile. That is, you are not pregnant after 12 months of unprotected sex.

Historically, the “responsibility” for infertility lies with women, but according to the experts I spoke with, about 40% of infertility problems are women, 40% are men, and 20% are unexplained.

Also, low sperm counts often cause infertility on the male side, but other factors include age (the older you are, the more difficult it is to get pregnant).Underwear (sperm should be several degrees below body temperature, but briefs bring the testicles closer to the body and increase body temperature); your weight (overweight or obese can affect sperm production and libido) Giving increases the risk of infertility); the amount you drink (alcohol may decrease) Testosterone levels, Can cause erectile dysfunction and can also reduce sperm quality); And whether you smoke (a recent study by the World Health Organization and the CDC Cigarette smoking It can adversely affect sperm production, quality and motility).

Cannabis affects sperm count and motility in 2nd generation mice

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Quote: Healthy Men: Birth is not just a problem for women (January 17, 2022) January 17, 2022 https://medicalxpress.com/news/2022-01-healthy-men-fertility-women-issue Get from .html

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