The process toward conception is often a collaborative process, whether or not both partners are aware of it. In Chinese reproductive medicine, there is a strong suggestion to ‘treat both male and female’, and this suggestion is corroborated by the fact that the quality of the sperm is as important as the quality of the ovum as well as the terrain of the host (the mother-to-be).
We know that sperm count has fallen in the last 50 years. In the 90s, a Danish group of researchers published in the British Medical Journal that there was a 50% fall in global sperm counts from 1940 to 1990. A most recent study used 26,600 French men between 1989 and 2005 as the population — the researchers found a drop from 73.6 to 49.9 million sperm per millilitre!
The most important thing the male partner can do, apart from contributing the sperm for conception to happen, is to at least do a Semen Analysis. Cases where the lady comes regularly for treatment thinking she is ‘the problem’ are not unique. The male just needs to do the test and if numbers are above 20 million/ml, then he knows his contribution is secure. If his numbers are slightly compromised, he can consider using some supplements or herbs too. In most cases, treatment and diagnosis of the male is less complicated than treatment and diagnosis of the female. That said, it is important that he is diagnosed and ‘cleared’.
Below are some articles regarding Male Factor fertility:
- Things to do to improve sperm quantity or quality
- Treatment of varicocele with acupuncture and supplements
- Carlsen, Giwercman, Keiding, Skakkebaek. Evidence for decreasing quality of semen during the past 50 years. BMJ 1992;305:609
- Rolland, Le Moal, Wagner, Royere, De Mouzon. Decline in semen concentration and morphology in a sample of 26609 men close to general population between 1989 and 2005 in France. Hum Reprod (2013) 28 (2): 462-470.