Male Infertility

Question 1

What is the lowest number of sperm count that one can have in order to conceive?

Answer 1

Less than 15 million (2010)

Morphology of 4%

Question 2

What is the DNA fragmentation that is normal?

Answer 2

Less than 15%

15-25% is acceptable

25-50% is unsatisfactory

50% means contraception naturally is not likely

Question 3

What are some risks of DNA fragmentation?

Answer 3

Oxidative Stress:
Older men
Variocele
Infection
Smoker
Vitamin D
Adrenal fatigue
Endorphin deficiency

Question 4

What do you do if you have a sub fluid seminal fluid sample?

Answer 4

No cigarettes
Reduce alcohol for 7 units per week
1 caffeine per day
minimum stress
BMI- weight reduction
Exercise too much or too little?
Loose clothing- cotton
Supplementations

Question 5

What is the treatment strategy for a low sperm count?

Answer 5

Antibiotics:
Cipro 250mg BD for 3 weeks
Doxycycline 100mg BD for 3 weeks

Tamoxifen 200mg/ clomiphene 25-50 mg

NSAID

Question 6

What is the treatment strategy for low motility?

Answer 6

Abx: Ciprofloxacin 250mg BD x 3 weeks
Doxycycline 100mg BID x 3 weeks

hydrogen water twice daily

Coenzyme q10 200mg