How to increase the activity of sperm in men with folk remedies? Recovery of low sperm motility

Instruction

The speed of sperm movement depends on many factors. A decrease in their activity can be caused by inflammation of the genital organs, prostatitis, various injuries, complications after infections suffered in childhood. If you have not encountered such diseases, then the decrease may be due to poor environmental conditions, eating harmful products and , smoking, addiction, high .

It is considered normal if 30-35 percent of the total number of spermatozoa taken for analysis are actively moving. In order for your performance to become close to ideal, you should make changes to the existing lifestyle. To begin with, you need to carefully monitor the diet, include in it everything you need for healthy eating products: milk, fruits, vegetables, cereals, Special attention tedious to give meat and nuts. In addition, meals should be regular and complete. In addition to nutrition, try to normalize sleep and rest, set a daily routine and stick to it.

Vitamin C affects sperm motility, and vitamin E affects the quality of the sex glands. Therefore, make sure that your menu includes foods rich in them: pepper, black currant, rosehip, herbs, liver, potatoes, vegetable, olive, butter, as well as the aforementioned nuts and meat.

Related videos

Sources:

• how to increase sperm speed

The speed of movement is one of the main characteristics that allows the sperm to reach the egg without any problems, moving in the acidic environment of the vagina that is detrimental to it. This indicator is influenced by many factors, eliminating or, conversely, increasing the influence of which, you can achieve spermatozoa.

Instruction

Follow the correct daily routine, ensuring healthy sleep. Eat right and regularly. Introduce honey and nuts into your diet, eat more fruits and vegetables rich in antioxidants, which have a positive effect on. Provide the body with enough.

Counteract stress that reduces sexual attraction and sperm quality. Improve reproductive health through regular exercise. Make sure that your body weight is within the normal range. In this case, the body will maintain normal hormonal balance which ensures the presence of healthy sperm in the ejaculate.

Beware of toxic substances that affect sperm quality. Limit your alcohol intake. Quit smoking, which makes you less mobile. Do not take drugs, in particular those that reduce sperm motility.

Stop using lubricants during sex or replace them based on vegetable oils. Reduce the amount of hormones taken that affect the condition of the sex glands. Don't take hot baths or go to the sauna, because spending more than 30 minutes in water that is over 40 degrees Celsius lowers your healthy sperm count.

Sources:

• how to increase sperm motility

According to studies conducted by renowned endocrinologist Nils Skakebak, over the past half century, men different countries the number decreased by about 50%. The exact reason for this trend has not yet been established. But there are many secondary reasons, it can be both tight underwear and chemical pollution air.

What threatens a small amount of spermatozoa

Not a large number of is the main reason why married couple cannot conceive on its own. This problem is becoming more and more common. According to World Health, every tenth couple is unable to conceive a child, and this is twice as many as a few decades ago. A small number of spermatozoa is not a problem, since a man is still able to conceive a child in this case, since even one spermatozoon is enough for this. But the smaller their number, the less.

The conception is also influenced by the factor of quality and motility of spermatozoa.

Methods to increase sperm count

You need to have more and more sex. This is the easiest way to increase sperm count. Their number, with daily sex, will increase by an average of 50-90 million. Also, not only their quantity will increase, but also their quality, which will thereby increase the likelihood of conception.

Always stay cool. At elevated sperm rather quickly weaken, their performance slows down dramatically. Also, doctors advise not to use tight underwear, not to wear tight trousers, to stop using water beds and electric blankets.

At least once a day, you need to engage in physical exercises, massage, shaking the testicles or kneading the lower back area. All these procedures improve blood circulation in the genital area, which will contribute to the production of spermatozoa and increase their mobility. Excessive activity during the day never hurts.

You can't keep your laptop on your lap. The radiation and heat generated by the computer, combined with tight knees, interfere with proper sperm production.

According to recent scientists, mobile phone, which has lain in one pants pocket for more than 4 hours, can also negatively affect sperm production.

Proper nutrition

Scientists advise to eat right, do not abuse, do not smoke, and also lead an active lifestyle. You need to be able to determine your life priorities so that you don’t have to regret some actions later. Following these simple rules, any man can almost completely forget about the loss of sperm functionality. You need to include more vegetables and fruits in your diet. More strongly, nutritionists advise eating vegetables that contain glutathione, a special antioxidant that improves the quality and quantity of sperm. These vegetables include broccoli, Brussels sprouts, and asparagus. Also on sale there are special dietary supplements, a complex of minerals and vitamins in which is ideally suited for men's health.

Related videos

A healthy man and woman, without protection, can conceive a child in about six months. In about 30% of cases, pregnancy occurs within a year. But if planning is already taking longer, but there is no result, spouses are advised to check their reproductive health.

In about 40% of cases, the reason for the lack of pregnancy lies in low mobility spermatozoa. How it is determined and whether it can be improved, we will tell in this material.

What it is?

Due to such a property as mobility, male germ cells can move along the female genital tract to the egg, which “waits” for them after leaving the follicle in the fallopian tube.

Ovulation Calculator

Cycle duration

duration of menstruation

• Menstruation
• Ovulation
• High probability conception

Enter the first day of your last menstrual period

This path on a cellular scale is quite long and difficult. Only the most enduring and mobile sperm reach the destination.

Mobility depends on many factors: on the density of seminal fluid, on morphological properties the sperm itself. A cell with a normal structure is more likely to be fast and agile than a cell with deformations of the tail or head, violations of the thickness of the neck of the spermatozoon. By itself, the tail of the spermatozoon does not move; without external influence, the cell will not move anywhere.

The tail coating represents proton channels. As soon as the ejaculate enters the vagina, the environment in which, it should be noted, is quite aggressive, the channels open and protons are released. Their task is to reduce the acidity of the vaginal secretion. By itself, the release gives the sex cell a certain acceleration and makes the tail move.

The spermatozoon “knows” for sure that it needs to swim to where the acidity is lower, that is, inside the uterus. Special system acidity analyzers that sperm have at their disposal “suggests” the right direction.

It should be noted that proton channels were discovered quite recently. Enough for a long time doctors believed that the tail was mobile by itself, by nature.

It is possible to establish the mobility of a man's germ cells only in laboratory conditions when conducting a special analysis - a spermogram. All spermatozoa, being inside the gonads, are completely immobile. When ejaculation occurs, they (under the action of a special protein) are released from the dense environment and gain freedom of movement.

The more active sperm a man has, the more likely he is to become a dad.

Types of spermatozoa and prognosis of conception

The ability of male germ cells to move is evaluated according to strict criteria. Depending on them, all spermatozoa are divided into four large groups.

• Group A. These are the most active cells, best suited for the fertilization of the female egg. They only move straight ahead at up to 25 micrometers per second. In the classification of physicians, they are called progressive or actively mobile.
• Group B. These are also quite mobile and active spermatozoa, which differ from the representatives of group A only in that their speed is slightly lower. However, they also move straight ahead. Such sperm are also suitable for conception.
• Group C. Such sex cells do not move at all in the way that is necessary for successful conception. They either move, remaining in place, or “travel” along a circular path, or move along a broken line, in a zigzag. The classification refers them to non-progressive-mobile. Conception involving such cells is unlikely.
• Group D. TO last group include spermatozoa that do not move at all. They are called non-progressive-fixed. The chances of conception with the participation of D sperm are zero.

A man's sperm is considered suitable for fertilization if it contains at least 25% of group A cells. If during the spermogram there are fewer such mobile and active cells, they are added to group B cells. It is quite enough for conception if the spermatozoa of groups A and B in total amount to at least 50% of the total number of germ cells in the ejaculate.

The notorious human factor and laboratory errors are excluded, because it is not a person who does the counting, but powerful sperm analyzers that give the finished result with microscopic accuracy.

The less cell motility, the more difficult it is to get pregnant. The probability of conception is calculated depending on the exact proportions.

If the ejaculate contains 60% of group C cells, then the probability of spontaneous conception is about 3%. If the number of cells of group D exceeds 70% - conception naturally becomes almost impossible.

In most laboratories, the number of sperm of groups C and D is not counted at all, being limited to the allocation of the percentage of cells A and B. If it deviates from the norm, a man is diagnosed with asthenozoospermia. This is one of the forms of male infertility and it definitely needs treatment.

Causes of inactivity

The MAP test allows you to establish the cause of the low mobility of male germ cells. It is by its results that one can judge the fertility abilities of a certain man. It should be noted that sedentary and immobile sperm are present in everyone. The only question is their mass fraction.

In a man who is faced with sperm dyskinesia, the question naturally arises why this happened to him. The reasons that cause a decrease in the activity of germ cells are conventionally divided into three types:

• pathological, caused by diseases;
• external;
• natural (physiological).

natural causes decrease in the activity of male reproductive cells are temporary and do not need treatment. Most often, spermatozoa become inactive and less active in the spring. During the day, the mobility of germ cells is also not the same: in the morning, spermatozoa are less active than in the evening. Much depends on the frequency of sexual intercourse or masturbation. If a man leads an active sexual life, the composition of his sperm is updated more often, which means that sperm will be more active. Men who abstain for a long time cannot boast of mobile and active spermatozoa. These causes are easily correctable, they are not considered pathological.

Pathological causes are most often associated with diseases of the reproductive system: prostatitis, varicocele. Often true reason low mobility lies in bacteria, for example, in coli if it is found in the ejaculate. Bacteria lead to agglutination (gluing cells together), as a result, mobility is lost. The problem may lie in the seminal ducts, especially if there is a blockage of the seminal vesicles.

Inflammatory processes in the organs of the male reproductive system almost always lead to a decrease in sperm activity. Epididymitis is considered the most dangerous from this point of view. Inflammatory ailments of the epididymis directly affect spermatozoa, which are “stored” in a certain part of this epididymis, the epididymis, before ejaculation. Sexual infections are also dangerous for men's health, including ailments, the course of which is sometimes imperceptible: chlamydia, ureaplasma and the like.

Sperm motility may decrease due to autoimmune processes. If there was an injury, even a minor one (for example, a blow to the groin during a fight), it can start immune process, at which antisperm antibodies will begin to be produced, which will suppress and destroy living and active spermatozoa, "confusing" them with foreign cells. It can also be detrimental hormonal imbalance, problems with the thyroid gland, adrenal cortex, as well as overweight.

Rarely enough, congenital pathologies are found in men, for example, the “9 + 0” syndrome, in which a pair of microtubules is initially absent at the genetic level in the tail of sperm, as well as mutations in sperm DNA. In most cases, when genetic pathologies the sex cells are completely immobile, and the man is completely barren. In this case, only artificial insemination wife using donor sperm.

External causes of a decrease in the activity of male germ cells most often lie in common male mistakes. If the representative of the stronger sex is very fond of visiting the bath and basking in a hot bath for a long time, his testicles overheat, which leads to the appearance of a large number of sedentary or immobile spermatozoa.

Fans of driving in a car on a warm seat with electric heating also run the risk of problems when conceiving offspring. Overheating of the testicles occurs when high temperature if, for example, a man is ill with the flu or SARS. After the cure, it takes about three months for the sperm to renew its composition, and the dead cells to be replaced by living and active ones.

Bad habits, smoking and alcohol, even in small quantities, but with a systematic intake, have a devastating effect on the germ cells. Not only their mobility is disturbed, but also their morphology, which not only reduces the ability to fertilize, but also increases the likelihood of conceiving a child with chromosomal disorders.

Similarly, drugs also affect sperm. Marijuana is famous for its paralyzing effect on the sperm flagellum. Therefore, an experienced smoker may experience difficulties in reproducing offspring.

Reduce the activity of spermatozoa and antibiotics, and anticonvulsants. Hormones have the most detrimental effect on them, it is for this reason that young and strong athletes are often infertile - the passion for steroid hormones cannot pass without a trace for reproductive health.

At risk for asthenozoospermia are also those who like to dine in a chain of restaurants. fast food. Any fast food, soda, canned food contain a large amount of preservatives and dyes that destroy the structure of spermatozoa. The composition of seminal fluid is also negatively affected by the habit of drinking a lot of coffee.

Reduced sperm activity may be in men who work in hazardous industries, have constant or prolonged contact with salts heavy metals, varnishes and paints, radioactive radiation. Also, asthenozoospermia "traps" men who are very nervous, are in a state of chronic stress.

How to increase mobility

To increase the chances of conception will help timely and proper treatment. Fortunately, in most cases (both pathological and external origin), the mobility of germ cells can be restored or at least improved. To date, there are several ways to activate sperm.

traditional medicine

With a slight decrease in mobility, doctors try not to prescribe serious therapy, limiting themselves to recommendations for correcting lifestyle and nutrition. Sometimes it is enough to eat normally for a month or two, avoiding fast food and alcohol, lead an active lifestyle, sleep at least 8 hours a day, change your “harmful” job to a safer one. Repeated spermogram (in most cases) shows a noticeable improvement, pregnancy occurs in the very near future.

As soon as a man eliminates the external negative influences that were listed above, his reproductive health will improve and the sex cells will become much more active.

To improve sperm motility, men are prescribed drugs to increase the intensity of spermatogenesis processes. These include vitamins A, E, C, D, zinc, selenium, iron, and folic acid. These drugs can be taken separately, or as part of a balanced complex designed specifically for men. Additionally, tablets and capsules are recommended, which are dietary supplements and antioxidants and have a positive effect on the composition of the ejaculate. These drugs include "Spermaktiv", "Spermaplant", "Profertil" and others.

If the reason for the immobility of spermatozoa lies in the infection, a course of antibiotic treatment is first prescribed, after which maintenance therapy with vitamins and agents that allow the activation of spermatogenesis is prescribed. For varicocele, surgery, after which the cause of the pathology is considered eliminated, and the composition of the sperm improves within a month.

Autoimmune asthenozoospermia is the most difficult to correct. A man sometimes needs long-term treatment drugs that suppress the activity of the immune system. In some cases, the result cannot be achieved and this is an indication for the use of assisted reproductive technologies - ICSI, IVF.

It is impossible to cure the immobility of sperm of a genetic nature. Also impossible to fix birth defects structures of the organs of the reproductive system. In this case, the couple is offered to resort to IVF with their own or donor sperm.

One of the quality indicators of sperm, which is checked during evaluation, is sperm motility. Sedentary and sluggish male reproductive cells simply cannot reach the egg and die already in the early stages. IN medical literature this problem is called. Consider its main causes and what can be done in such situations.

Causes of asthenozoospermia

It is impossible to reliably identify the cause of a decrease in sperm motility. There are a number of factors that can affect male sex gametes:

• infectious- inflammatory diseases urogenital tract, both acute and chronic;
• diabetes and autoimmune pathology;
• overweight;
• age-related changes in the genitals;
• congenital and acquired disorders of the structure of the reproductive system;
• genital trauma;
• action of high temperatures;
• varicocele;
• Not balanced diet;
• bad habits and lifestyle of a man.

Important! Sperm motility progressively decreases with prolonged sexual abstinence.

There are many factors that cause spermatozoa to become slow and lethargic. In some cases, it is not possible to know the exact cause and the patient is diagnosed with idiopathic (for an unclear reason) asthenozoospermia.

One of the factors that reduce sperm motility can be a harmful working environment.

How is this disease classified?

There are several degrees of asthenozoospermia. Depending on this degree, they choose the tactics of treatment, drugs, or recommend immediately taking advantage of the achievements of assisted reproduction:

1. First degree. class A and B more than 40%. In this situation, the man is offered to adjust the diet, refuse bad habits and recommend the intake of natural series medicines.
2. Second. Quantity active sperm about 30-39%.
3. Third. Their number is less than 30%. In these cases, the patient may be advised to use assistive technology conception, since the chances of a natural pregnancy are very low.

How to check the mobility of male germ cells

A decrease in sperm motility can be found by performing a spermogram. This is the simplest study that allows you to evaluate quality characteristics sperm, including sperm motility.

There are four classes of mobility of male sex gametes:

• A - actively mobile cells;
• B - slowly progressively mobile;
• C - incorrectly moving, inactive;
• D - motionless.

Only spermatozoa of the first two classes can fertilize an egg. Normally, their number should be more than 50% of the total number of all sex gametes.

Important! Low sperm motility is not a reason to immediately take medication and try to improve it. Before treatment, the analysis is repeated several times to make sure that the problem is taking place.

How to increase sperm motility?

The question of how to increase sperm motility is very important for couples suffering from male infertility. In order for treatment to take place in several directions:

1. Lifestyle changes, a balanced diet, giving up bad habits and regular sex.
2. Therapy of infectious and inflammatory diseases of the reproductive organs;
3. Surgical treatment of structural anomalies and strictures of the vas deferens.
4. Taking pharmacologically safe and effective drugs.
5. Prostate massage to improve the blood supply to this area;
6. Physiotherapy.

Consider drugs that are actively used to improve the quality of sperm and the mobility of male sex gametes:

1. Spermactin. Food supplement which contains fructose, carnitine and citric acid. Improves the quality and quantity of sperm. It is applied in complex treatment male infertility, are recommended for asthenozoospermia, as well as at the stage of preparation for IVF and sperm donation. average cost- 2500-3000 rubles. The course of treatment is from 3 months.
2. Profitil. Contains carnitine, arginine, zinc, vitamin E and folic acid. This drug is also a bioactive food supplement. It is recommended to take in the treatment regimen for idiopathic male infertility, with a decrease in sperm quality and other disorders reproductive function at the man. The course of treatment is from a month. The cost is within 8500 rubles. for 180 capsules.
3. Speman. Combined herbal preparation based medicinal herbs(orchid, lettuce, beans, argyrea, etc.). Recommend for inflammatory diseases prostate and deterioration of sperm activity. The cost is about 300 rubles. for 100 tablets. The course of admission within six months.

With a lack of testosterone, a man can be prescribed hormonal preparations. Besides, good effect gives reception complex vitamins and antioxidants.

From folk ways beekeeping, ginseng, garlic, walnuts and oysters are considered effective in the treatment of asthenozoospermia.

Questions to the doctor

Question: How to increase sperm motility in a husband after exposure to radiation?

Answer: after exposure to radiation is very difficult. It all depends on the degree of damage to the testicles and the dose of radiation. Before attempting treatment, sperm counts should be checked so that your attempts and medications are not in vain.

Q: Can drinking beer affect sperm motility?

Answer: Yes, it can. If a man is in good reproductive health, then a bottle of beer will not affect sperm fertility. And when there are problems, drinking alcohol, even in small doses, can impair sperm quality.

Many factors can affect the normal mobility of male germ cells. If a man has problems, then first of all he should normalize his lifestyle and nutrition, get rid of bad habits and, if necessary, drink a course of medications.

), which consists in the study of the entire ejaculate obtained to determine the quantitative, qualitative and morphological characteristics sperm.

As a rule, a spermogram is prescribed in conjunction with other tests to identify the cause of infertility in marriage, as well as in case of male infertility and the presence of inflammatory or hormonal diseases of the male reproductive organs.

In addition, a spermogram is mandatory before IVF and artificial insemination.

Preparation for the delivery of ejaculate

In order for sperm indicators to be reliable, it is necessary to prepare for its delivery:

• abstinence from 2 to 7 days (optimally 3-5 days);
• refusal to drink alcohol, strong tea, coffee and drugs during the entire period of abstinence;
• refusal to visit the bath, sauna, reception hot bath and shower, a ban on the solarium and sunbathing for the above period of time.

Sperm is given directly in the laboratory (special room) by masturbation. It is possible to bring coitus interruptus ejaculate from home into a medical condom, but the delivery time should be no more than three hours, and the temperature of the delivered semen should be around 36°C (armpit). It should be borne in mind that ejaculate obtained outside the laboratory may spill on the way to it, which will affect sperm counts.

Spermogram norms

Volume

The norm of ejaculate is 3-5 ml. Reduced (less than 2 ml) indicates either a violation of the delivery of sperm to the laboratory, or a lack of functions of the gonads (prostate, seminal vesicles, and others). An increase in the amount of sperm indicates the presence of an inflammatory process in the genitals.

Color

Normally, the color of the ejaculate is whitish, grayish or with a hint of yellow. The red or brown color of the semen indicates either an injury to the genitals, or stones in the prostate or chronic vesiculitis (the red tint is due to the admixture of red blood cells).

Acidity

The normal pH of sperm is 7.2-7.8 (alkaline). Deviations in one direction or another indicate the inflammatory process of the sex glands.

Liquefaction time

The time of semen liquefaction should not exceed 60 minutes. If the liquefaction time is prolonged, the sperm cells in the acidic environment of the vagina waste their energy and lose activity, which significantly reduces their ability to fertilize the egg. More often long time liquefaction is observed in chronic prostatitis and / or vesiculitis.

Viscosity of semen

To determine the viscosity of the ejaculate, measure the length of the thread flowing down from the end of the pipette. Normally, it is no more than 0.5 cm.

An elongated thread (increased viscosity) indicates either chronic prostatitis or vesiculitis. Thick and viscous sperm significantly reduces the chances of conception, so it is difficult for the sperm to move into the vagina, which further enhances negative impact they have an acidic environment.

The number of spermatozoa in 1 ml of ejaculate

Normally, 1 ml of semen should contain more than 20 million. spermatozoa.

A decrease in sperm density is called oligozoospermia, which indicates the inefficient work of the testicles (decrease in androgens, inflammatory process testicles, toxic damage to the spermatogenic epithelium of the testicles in history, weakened immunity, metabolic disorders, etc.).

Reduced concentration reduces the chances of fertilization. An increase in sperm density or polyzoospermia (more than 120 million in 1 ml) precedes oligozoospermia.

Total sperm count

The total number of spermatozoa in the studied ejaculate must be more than 60 million. The decrease in density is associated with the same factors as the decrease in the concentration of spermatozoa in 1 ml of semen.

Sperm motility

The chances of fertilization depend on sperm motility. There are 4 groups of sperm:

• group A - active motile spermatozoa with rectilinear movement;
• group B - sedentary spermatozoa with rectilinear movement;
• group C - sedentary spermatozoa, whose movements are oscillatory or rotational;
• group D - spermatozoa are immobile.

Normally, there should be more than 25% of sperm from group A or 50% of sperm from groups A and B.

Reduced sperm motility is called asthenozoosperia and indicates inflammatory processes of the genital organs, toxic lesions and thermal effects on the male gonads (testicles).

Morphology

With the help of this indicator, the number of normal spermatozoa is determined.

Normally, unchanged spermatozoa should be more than 20%. Teratozoospermia is said to be when the number of normal sperm is less than 20%.

Influence the morphology of spermatozoa toxic and radiation injury, inflammatory and infectious processes as well as ecology.

Live spermatozoa

This indicator estimates the percentage of live sperm in the ejaculate. The smaller it is, the lower the chance of conception. Normally, live spermatozoa should be more than 50%.

They speak of necrospermia with a decrease in the described indicator, which may be a temporary phenomenon during intoxication, infectious disease, stress. Permanent nercospermia occurs when the testicles are damaged by radiation, toxic substances, or thermal exposure.

spermatogenesis cells

The number of desquamated cells of the spermatogenic epithelium of the seminiferous tubules should be no more than 2%.

Agglutination and aggregation

Normally, there is no gluing of spermatozoa (agglutination) and accumulation of spermatozoa in clots.

Leukocytes and erythrocytes

Normally, there are no erythrocytes in the ejaculate, and the number of leukocytes does not exceed 3-4 per field of view. If there are more leukocytes, this indicates an inflammatory process in the male genital organs.

Slime

Normally, there is no mucus in the semen or it is in a small amount. Detection significant amount mucus speaks of the inflammatory process of the prostate and seminal vesicles.

Deviations from the norm

• oligozoospermia - low sperm concentration;
• asthenozoospermia - low mobility spermatozoa;
• teratozoospermia - a reduced number of morphologically normal forms;
• azoospermia - no sperm in the ejaculate;
• aspermia - no ejaculate;
• oligospermia - the amount of sperm is less than 2 ml;
• leukospermia - increased number leukocytes;
• akinospermia - all spermatozoa are motionless;
• cryptospermia - very low maintenance spermatozoa, which are determined only after centrifugation of the ejaculate.

Methods for improving sperm quality

In addition to eliminating inflammation and endocrine diseases, the treatment of which is prescribed by a doctor (antibiotics and hormones), to improve the quality of sperm, you must follow simple rules:

Temperature regime

The testicles are the only organ that is outside abdominal cavity. Therefore, heating the testicles contributes to the deterioration of sperm quality: the activity of spermatozoa decreases and pathological morphological forms appear.

Accordingly, it is worth refusing to take frequent hot baths / showers, visit the bathhouse and sauna less often, and give up the pleasure of soaking up in the jacuzzi.

In addition, clothing (underwear and trousers) should be loose, not squeezing the testicles or overheating them. It is recommended to abandon tight-fitting underpants, tight jeans.

avoid stress

Stressful situations “hit” not only the nerves, but also the spermatozoa. If possible, conflicts, overwork, and nervous tension should be avoided.

sex life

Not less than important role as sperm plays the rhythm of sexual life. Too rare sexual intercourse leads to a decrease in sperm motility, and, on the contrary, frequent intimate contacts make the sperm "liquid", that is, the content of spermatozoa in it is significantly reduced.

The optimal rhythm of sexual life is 4-6 times a week.

Weight and sport

Excess body weight is the accumulation of excess subcutaneous fat, which produces estrogen, which also negatively affects sperm activity.

Normalization of weight will help balanced diet and regular (2-3 times a week moderate physical exercise). Especially useful physical exercise aimed at strengthening the muscles of the pelvic floor and abdominals.

Balanced diet

It is necessary to abandon semi-finished products and products that contain preservatives and flavor enhancers.

The food should contain foods that contain large amounts of vitamins E, groups B, C, and trace elements selenium and zinc.

Biologically listed active substances beneficial effect on sperm quality.

The list of products should include seafood, greens (dill, parsley, cilantro, celery), carrots, pumpkin, garlic, asparagus, tomatoes, pomegranates, apples, bananas and avocados.

Also, the diet must include milk and dairy products, beef and veal, fish, nuts in large quantities, mushrooms, buckwheat, oatmeal, liver and legumes.

Bad habits

Bad habits have a very negative effect on the number and activity of spermatozoa. It is necessary to stop smoking and drinking alcohol (or at least reduce the amount), especially beer, which contains a lot of phytoestrogens.

And definitely complete failure from drugs. The same goes for overuse strong tea and natural coffee. These drinks are best replaced with freshly squeezed juices and mineral water.

Environmental factors

It is not possible for one person to normalize the environment around, but it is possible to minimize the impact harmful factors. You should not keep the laptop on your knees (overheating of the testicles), try to reduce contact with toxic substances (varnishes, paints, household chemicals and other "harmfulness"), breathe fresh air more often.

Spermogram deviations from the norm and IVF

Almost 50% of men have certain deviations from normal indicators spermograms. Some of them are enough to establish a day and rest regimen, rationalize nutrition, give up bad habits - this improves sperm quality and increases fertility (the ability to fertilize).

But in some cases, only IVF will help to conceive a child, the procedure of which includes a selection of active and without pathological abnormalities from sperm morphology.

With pathological results of the spermogram (the presence of azoospermia, teratospermia, necrospermia, asthenozoospermia, and others), the IVF procedure is extended, one of the stages of which is ICSI.

ICSI is an assistive technology and consists of several stages:

• obtaining viable sperm from the testicle using microsurgical operation;
• spermatozoa cultivation;
• selection of the best and most active sperm;
• implantation of the spermatozoon with the help of intracytoplasmic injection into the egg;
• freezing the remaining viable spermatozoa for the future.

In addition to deviations from the norm of sperm analysis, ICSI is performed in the presence of antisperm antibodies, both in women and in men.

Forecasts

The prognosis after the IVF procedure in conjunction with ICSI depends on two factors. First, the chances of egg fertilization increase when active, viable spermatozoa are obtained from the testicle or ejaculate. And secondly, the higher the quality of the eggs received from a woman, the higher the percentage of their fertilization.

During ICSI, fertilization of eggs occurs in 60-70% of cases, which is significantly higher (by 30%) during the standard IVF procedure.

In addition, 90-95% of fertilized eggs develop into an embryo.

If the morphology of spermatozoa is disturbed, then the man may experience serious problems with reproductive abilities, and his partner increases the risk of miscarriages, miscarriage, pregnancy with a fetus with chromosomal abnormalities.

What to do if the spermogram showed morphological disorders, how to improve the quality of germ cells, increase the chances of conception and bearing healthy child, we will tell in this material.

What it is?

Sperm morphology is the features of its structure. The male sex cells consist of the head, neck, middle part and flagellum, which is also called the tail. During the spermogram, the assessment of morphological features of sperm is part of an extended study.

The laboratory determines not only appearance and the number of living and active cells that are theoretically fit for fertilization, but also their appearance. Pretty fast to start healthy baby only completely healthy, without anomalies, spermatozoa can do it.

For conception, only one reference sperm is needed, healthy and active, which will be the first to reach the egg. However, if the percentage of such healthy and in all respects perfect cells is high enough in the sperm of a particular man, then the chances of conception increase significantly.

For evaluation, the image of the standard is used - in medicine, the ideal spermatozoon is described in sufficient detail:

• It has an oval and symmetrical head in the singular, in it the right way all intracellular structures carrying important information are presented;
• The size of the head of such a spermatozoon is 2.5-3.5 microns in width and 4-5.5 microns in length;

• The neck of the sperm must be at least 1 micron, even, strong, properly fixed in relation to the head.
• 9/10 of the entire length of the sperm should be occupied by the flagellum. In the reference germ cell, it is even, without nodules and tubercles, without thickening, slightly thinning towards the end.
• The tail should be attached at a right angle and be fairly straight, not broken, twisted, not shortened. And, of course, it should be in a single copy.

It is customary to evaluate sperm cells according to the strict Kruger criteria, this is the WHO recommendation. According to them, any spermatozoon that does not meet the standard at least in some way or its parameters are in the lower limit of the norm is rejected.

A good result of a spermogram is an indicator of at least 15% of morphologically correct cells. If their number decreases, the chances of fertilization also decrease.

A value of 4% is considered critical. With such a low content of morphologically healthy cells, the chances of conception are negligible, a man is diagnosed with “male infertility”.

Reasons for violation

Pathological changes in the morphology of germ cells are called "teratozoospermia" in medicine. This includes various pathologies cell heads, changes in its shape, structure, the presence of several heads in one cell:

• The neck may be too thin, not providing a normal attachment of the flagellum.
• The tail itself is twisted, short or excessively long, due to which its mobility is reduced.

If the test results are disappointing, doctors will try to find the cause of teratozoospermia.

The inflammatory diseases suffered by men often lead to a violation of the morphology of germ cells. Leading in this list are sexually transmitted infections. By the way, many of them are asymptomatic, and therefore a man may not even guess that he has ureaplasma, mycoplasma or chlamydia. Therefore, with a poor spermogram, a blood test for latent infections and venereal diseases is mandatory.

Morphological features of spermatozoa are violated under the influence of radiation, unfavorable ecology, toxins. If a man works in a hazardous industry where such exposure takes place, teratozoospermia may not be the only one. pathological change in semen.

The structure of germ cells is also affected by lifestyle. It can mutate if a man works at night, sleeps little, is nervous a lot, consumes large amounts of alcohol, takes drugs and psychotropic substances and is also a heavy chronic smoker.

Mutations and abnormalities in spermatozoa can occur against the background of hormonal failure. Most often, the reason lies in the insufficient production of the male sex hormone testosterone. Sometimes the culprit is thyroid hormones.

Teratospermia is often observed in men who play sports and use steroid hormones to achieve impressive sports results.

Changes in the morphology of spermatozoa can become a complication of inflammatory and non-inflammatory diseases. genitourinary system- such as prostatitis, prostate adenoma, varicocele, orthitis, vesiculitis.

Often, the quality of sperm deteriorates against the background of diseases such as diabetes, oncological problems. That is why it is important to find and eliminate the true cause so that the quality of the ejaculate returns.

Congenital causes of sperm mutation are rare and are genetic character. In the body of a man, several stages of spermatogenesis are violated, while germ cells are most often produced defective.

Unfortunately, such cases are not subject to medical correction, and the fertilization of a woman with donor sperm can save the family.

Treatment of teratozoospermia

There are many ways to improve the quality of sperm while increasing its quantity. But any treatment always begins with additional examination, since it depends solely on what kind of reason has become the key in violating the morphology of the spermogram.

Infections and sexually transmitted diseases are treated with antibiotics a wide range actions. A specific drug is prescribed according to the results of bakposev, bacteriological examination of semen, blood tests for infections.

If, in addition to poor morphology, the results of the spermogram show the presence of leukocytes, macrophages, then a urological examination is prescribed, the purpose of which is to identify pathologies prostate, seminal vesicles. In this case, treatment depends on the specific diagnosis.

If a blood test for hormones shows certain abnormalities, a man needs a consultation with an endocrinologist and treatment with hormonal drugs and improving and normalizing hormonal background. This is usually enough to improve sperm quality.

If inflammation, infections and hormonal disruptions not identified, a so-called MAP test and a study of ejaculate with DNA fragmentation can be prescribed to a man.

The first analysis allows us to establish immune factor infertility, in which the human body produces antibodies to spermatozoa, and is quite healthy and morphologically normal cells perish under their destructive influence. DNA fragmentation makes it possible to evaluate the genetic component of the ejaculate.

Whatever the true cause of the violation of the morphology of germ cells, a man is recommended to change his lifestyle, give up alcohol, nicotine, and overeating habits.

In order to increase reproductive opportunities, men should sleep at least 8-9 hours a day, and therefore they are strongly advised to refuse to work at night, change their work schedule.

Get pregnant at poor performance spermogram is quite problematic, but if pregnancy occurs, then there is a high probability of miscarriage or non-developing pregnancy, and therefore, for the duration of the treatment of teratospermia, it is recommended to take care of contraceptive measures until recovery.

A man is not recommended to overheat, visit a bathhouse, sauna, sunbathe and visit a solarium, use car seat heating, wear tight underwear. It is better for him to spend his free time for outdoor activities - swimming, light jogging, cycling, skiing.

The diet also needs to be reviewed. A special diet is not needed, it will be enough if the menu includes foods rich in animal proteins, such as meat, fish, milk, cottage cheese. The vitamins necessary for the reproductive health of the stronger sex can be found in fresh herbs, wheat grains, spinach, oranges, currants, and lemons.

Men who want to improve their sperm counts should, in consultation with their doctor, if there are indications, take vitamin complexes, designed specifically to increase fertility, as well as drugs to improve the quality of sperm. We have prepared a short overview of these funds.

Preparations to improve sperm quality

"SpermaPlant"

This herbal preparation has a positive effect on the process of producing germ cells and the amount of seminal fluid. The tool belongs to the category of dietary supplements (BAA) and is often used to improve sperm motility.

The agent cannot affect cells with impaired morphology, but it contributes to the formation of more healthy cells at the next stage of spermatogenesis. The course of treatment is 1 month.

The herbs included in the composition are not addictive, and therefore, if necessary, treatment can be continued on the recommendation of a doctor.

"Vitaprost"

This medicine will help if problems with sperm morphology are caused by diseases of the prostate gland. The drug for natural basis available in the form of candles for rectal application, tablets. Candles are used to remove the inflammatory process in the prostate, reduce it in size and normalize the blood supply to the gland. To improve spermatogenesis take pills.

Medicine should not be taken without doctor's permission because it contains antibacterial ingredients. The tool is often combined with vitamin preparations in a single treatment regimen. The dosage and duration of administration is determined by the doctor.

"Speroton"

This combined remedy, created specifically to increase male fertility. The remedy is prescribed specifically for morphological pathologies in the spermogram, however, in addition to improving the quality of cells, it increases the volume of ejaculate, stimulates the mobility of germ cells.

As part of the drug - only the most necessary for the reproductive health of men, more precisely, the minimum set: L-carnitine, vitamin E, folic acid, selenium and zinc in large dosages.

The agent is available in the form of a powder for dissolution. A drink is prepared from it, which is taken after a meal. The drug is allowed to be taken for three months, then a short break is required.

"Speman"

This is an Ayurvedic preparation that combines medicinal herbs and minerals necessary for men's health according to the principles of Ayurveda. The drug has an anti-inflammatory effect, stimulates the production of germ cells.

In addition, manufacturers claim that the drug in tablets has a positive effect on erectile function, and also helps with premature ejaculation.

Dosage and duration of administration should be discussed with your doctor. side effects and the remedy has practically no contraindications, except for an individual allergic reaction to herbal remedies included in it.

In addition, a man can be prescribed such means as Afala, Lespeflan, Prostagerb, Prostanorm, Samprost, Tentenks, Uroprost. All these funds are usually not independent therapeutic, they are included in the complex treatment.

Vitamins and dietary supplements

"Alphabet for Men"

This vitamin complex contains 9 minerals and 13 vitamins necessary for a man's health, including his reproductive abilities. In addition, the composition of the drug includes Siberian ginseng - a recognized means of improving the quality of sperm.

Manufacturers have made sure that the components of the complex are better absorbed and bring maximum benefit - minerals are taken separately from vitamins, they are simply included in the composition of tablets of different colors.

"Viardot" and "Viardot Forte"

These funds are well-known and widely popular dietary supplements. The release form is capsules, but Viardo Forte is much more practical to use, since one capsule of the drug can replace 3 Viardot capsules.

The course of treatment can take up to a month, the continuation of the course is discussed with the attending doctor. If he sees no contraindications, then taking the capsules can be continued.

"Duovit for men"

The combined vitamin complex contains 11 vitamins and 7 minerals. Useful material divided for better assimilation in different tablets, some are taken in the morning and others in the evening.

"Spermastrong"

This dietary supplement contains not only herbal ingredients that have a positive effect on the prostate and spermatogenesis processes, but also essential vitamins and minerals.

The course of treatment is usually three weeks. But addiction to the drug was not noticed, so after a short break, taking the capsules is allowed to continue. All vitamin complexes and dietary supplements must be prescribed by a doctor. Unauthorized and uncontrolled reception can only harm.

It is advisable to repeat the spermogram a month after the start of treatment to make sure that the treatment helps and the seminal fluid indicators are getting better.

Folk remedies

Alternative medicine offers a wide variety of recipes to improve sperm quality. People's love is enjoyed by a drink from the root of nine-sil, for which a spoonful of chopped grass is brewed with a glass of hot water.

For the treatment of pathologies identified by spermogram, rose hips are often used. They can be given to a man in kind, boil a decoction of them and take it half a cup three times a day.

At home, you can prepare a nutritious and very healthy mixture of dried fruits, nuts, figs and honey. All ingredients are passed through a meat grinder and given to the husband in a tablespoon 2-3 times a day.

The real "healer" of the stronger sex is the most common nettle. It is crushed, brewed with boiling water and drunk as green tea several times a day. Useful and herbal teas with great content oregano and sage. They can be purchased at a pharmacy or made independently from plant materials.

There is no need to remind that home treatment you should beware of the advice to "steam your husband in a bathhouse", make him hot bath with decoction medicinal plants- overheating of the genital organs in case of deviations from normal values ​​in the spermogram is unacceptable.

You should also avoid the uncontrolled use of medicinal plants after taking antibiotics and antidepressants, which enhance the effect of many biologically active substances.