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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Spermiogram Result Indicate?

Dear Mr doctor, we are having unprotected sex for over a year, about six months with intense sexual activities, without desired result. I did a spermiogramm, and results are: 60% of motile sperm, 0% of rapid proggresive, 40% proggresive motile, 40% nonprogressive motile, 20% inmotile. Morphology is 45% normal. Are those worrying results (Firstly I am thinking about 0% od proggresive motile)? Is this normal result? Best regards
Wed, 5 Apr 2017
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General & Family Physician 's  Response
Hello Dear. Totally the sperm motility should be 40% or more. In your case it is somewhat in the borderline. You can think of options like IVF (in vitro fertilization) for conceiving.

Some tips to imrove sperm count and motility

1. Getting plenty of fresh fruits, vegetables, whole grains and legumes can help boost fertility. Also avoid tobacco, refined carbohydrates, coffee, tea, alcohol and foods with artificial additives.

Maintain your ideal weight. Food deprivation in men leads to a loss of sex drive and structural changes to reproductive tissue leading to infertility.

Obesity, on the other hand, can be associated with a low sperm count and impotence, possibly because of higher temperatures caused by excess fat near the testes.

2. According to the American Society of Reproductive Medicine, regular exercise (five times a week for at least 45 minutes) and a healthy diet enhance fertility by keeping body weight at normal levels and relieving stress and anxiety.

Excessive amounts of exercise (marathon running and associated training) can be a cause of infertility because it can lead to amenorrhea (absence of menstruation) in women and a lowered sperm count in men.

If you are not sure what type of exercise is best for you, get yourself a personal trainer. He or she can give you an exercise program to bring your weight and fitness levels into the ideal range.

3.For men, the most important supplemental nutrients to enhance fertility are vitamin C and zinc. Vitamin C (2,000 to 6,000 milligrams daily) helps prevent sperm from clumping or sticking together, thus improving the chances for fertility.

Zinc supplementation (100 to 200 mg daily) has been shown to increase testosterone levels, sperm count and sperm motility. High zinc sources include oysters, organ meats, lean beef, turkey, lamb, herring, wheat germ, legumes and nuts.

Arginine is an amino acid the body produces from the digestion of protein. It is found in high amounts in the head of the sperm. Although not available as a supplement in Canada, arginine has been shown to help low sperm counts and poor motility. In high doses, arginine is also a potent dilator of arteries, leading to better erections. Food sources of arginine include nuts, chocolate, meat, poultry, fish and dairy.

Other nutrients that have been shown to improve sperm counts include essential fatty acids (9 to 12 grams daily), chromium (1,000 mcg daily), selenium (200 mcg daily), copper (2 mg daily), vitamin E (800 IU daily), coenzyme Q10 (400 mg daily) and B-complex vitamins (50 mg daily), especially vitamin B12 (1,000 mcg daily).

4. The herbs listed below may be effective for improving erections, sexual desire, blood flow to the sexual organs and general sexual health with virtually no side-effects:

i. panax ginseng (Korean ginseng): 500 milligrams, 1 to 3 capsules daily
ii. saw palmetto berry: 80 mg, 1 to 2 capsules daily
iii. muira puama: 500 mg, 3 to 6 capsules daily
iv. ginkgo biloba extract: 250 mg, 1 to 3 capsules daily
v. rhodiola rosea: 500 mg, 1 to 3 capsules daily
vi. nutmeg: 500 mg, 1 capsule daily
vii. horny goat weed: 500 mg, 1 capsule daily
viii. elk antler velvet: 500 mg, 1 to 3 capsules daily
ix. Tribulus terrestris: 500 mg, 1 to 3 capsules daily

Since sperm formation takes almost three months, it will take at least this amount of time before experiencing the benefits of a nutrient supplementation program.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini

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What Does This Spermiogram Result Indicate?

Hello Dear. Totally the sperm motility should be 40% or more. In your case it is somewhat in the borderline. You can think of options like IVF (in vitro fertilization) for conceiving. Some tips to imrove sperm count and motility 1. Getting plenty of fresh fruits, vegetables, whole grains and legumes can help boost fertility. Also avoid tobacco, refined carbohydrates, coffee, tea, alcohol and foods with artificial additives. Maintain your ideal weight. Food deprivation in men leads to a loss of sex drive and structural changes to reproductive tissue leading to infertility. Obesity, on the other hand, can be associated with a low sperm count and impotence, possibly because of higher temperatures caused by excess fat near the testes. 2. According to the American Society of Reproductive Medicine, regular exercise (five times a week for at least 45 minutes) and a healthy diet enhance fertility by keeping body weight at normal levels and relieving stress and anxiety. Excessive amounts of exercise (marathon running and associated training) can be a cause of infertility because it can lead to amenorrhea (absence of menstruation) in women and a lowered sperm count in men. If you are not sure what type of exercise is best for you, get yourself a personal trainer. He or she can give you an exercise program to bring your weight and fitness levels into the ideal range. 3.For men, the most important supplemental nutrients to enhance fertility are vitamin C and zinc. Vitamin C (2,000 to 6,000 milligrams daily) helps prevent sperm from clumping or sticking together, thus improving the chances for fertility. Zinc supplementation (100 to 200 mg daily) has been shown to increase testosterone levels, sperm count and sperm motility. High zinc sources include oysters, organ meats, lean beef, turkey, lamb, herring, wheat germ, legumes and nuts. Arginine is an amino acid the body produces from the digestion of protein. It is found in high amounts in the head of the sperm. Although not available as a supplement in Canada, arginine has been shown to help low sperm counts and poor motility. In high doses, arginine is also a potent dilator of arteries, leading to better erections. Food sources of arginine include nuts, chocolate, meat, poultry, fish and dairy. Other nutrients that have been shown to improve sperm counts include essential fatty acids (9 to 12 grams daily), chromium (1,000 mcg daily), selenium (200 mcg daily), copper (2 mg daily), vitamin E (800 IU daily), coenzyme Q10 (400 mg daily) and B-complex vitamins (50 mg daily), especially vitamin B12 (1,000 mcg daily). 4. The herbs listed below may be effective for improving erections, sexual desire, blood flow to the sexual organs and general sexual health with virtually no side-effects: i. panax ginseng (Korean ginseng): 500 milligrams, 1 to 3 capsules daily ii. saw palmetto berry: 80 mg, 1 to 2 capsules daily iii. muira puama: 500 mg, 3 to 6 capsules daily iv. ginkgo biloba extract: 250 mg, 1 to 3 capsules daily v. rhodiola rosea: 500 mg, 1 to 3 capsules daily vi. nutmeg: 500 mg, 1 capsule daily vii. horny goat weed: 500 mg, 1 capsule daily viii. elk antler velvet: 500 mg, 1 to 3 capsules daily ix. Tribulus terrestris: 500 mg, 1 to 3 capsules daily Since sperm formation takes almost three months, it will take at least this amount of time before experiencing the benefits of a nutrient supplementation program. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini