Male Infertility

Question 1

How long does it take for conception to take place for a normal couple?

Answer 1

6 months

Question 2

How is infertility defined?

Answer 2

1 year of trying without contraceptives

Question 3

How many sperm per mL for efficient pregnancy?

Answer 3

60,000 per mL

less than 20,000 makes it very hard

Question 4

How many mL of volume for each ejaculation?

Answer 4

2.5mL (so 120,000 sperm needed for good odds of pregnancy)

Question 5

What are some functional problems that affect fertility?

Answer 5

• varicose veins
• endocrine system disorder
• inflammation in reproduction organs
• nocturnal emission
• immune disorder
• impotence

Question 6

What is immune infertility?

Answer 6

Antibodies in female egg kill sperm

Question 7

What is the best age for men to have quality sperm? Women?

Answer 7

23 - 35

21 - 32

Question 8

What are the sn/sx of male infertility?

Answer 8

There aren’t really any which is why it goes undiagnosed

Question 9

What are the 3 categories of male infertility?

Answer 9

1. Sexual dysfunction
2. Spermatopathy
3. Congenital/Acquired problems of genitals

Question 10

What are problems of sexual dysfunction?

Answer 10

1. Low Libido
2. Impotence
3. Seminal or Nocturnal Emission
4. Premature Ejaculation or Absence

Question 11

What are the categories of spermatopathy (quality and quantity)?

Answer 11

a) Oligospermia: small amount = number of sperm ↓
b) Azoo Spermia: NO sperm – ejaculation is only liquid. Doesn’t matter how you treat – will not work!
c) Caco Spermia: The diseased sperm have ↑.

Question 12

What are congenital/acquired problems?

Answer 12

Testicles not descending. Often incurable.

Question 13

What are the main organs involved in infertility?

Answer 13

Liver and Kidney

Question 14

Symptoms of male infertility?

Answer 14

→	Depressed 
→	Poor memory
→	Dizziness
→	Tinnitus (Kidney Essence fails to ascend to lift up to fill up the Marrow)
→	Hot flashes
→	Night Sweats
→	Irritability
→	Insomnia
→	Dream-disturbed sleep
→	Slow reaction – not concentrate

Question 15

Secondary Sexual Dysfunction Symptoms

Answer 15

• Impotence, Seminal or Nocturnal Emission, or Premature Ejaculation, or Absence of Ejaculation, or Low Libido
• Frequent urination
• Yellow urine
• Excessive night urine (usually mean Kidney function is weak)
• Dribbling (can’t empty

Question 16

Kidney Essence Xu points

Answer 16

Ren 6, DU 20, KD 3, ST 36

Question 17

KI Qi Xu points

Answer 17

UB 52, 64 (Yuan Source)

Question 18

KI Yin Xu points

Answer 18

(Xu Fire Flares Up → can induce Heart Fire). UB 15, HT 7, KD 3

Question 19

KI yang Xu, Mingmen fire decline points

Answer 19

DU 20, Ren 4, Du 4, MOXA!

Question 20

Liver Qi Stagnation points

Answer 20

→ Fails to ejaculate: LV 3/PC 6 (modified 4 Gates), GB 34

Question 21

Damp heat in LV/GB points

Answer 21

→ Ren 3, LV 5, SP 9

Question 22

Qi and Blood Stagnation points

Answer 22

(injury on testicle, scrotum): LV 3, REN 2, ST 29

Question 23

POT

Answer 23

Tonify KI essence

Question 24

What are the basic points for male infertility?

Answer 24

• UB 23
• DU4
• REN 4
• SP 6
• UB 32

Question 25

Not enough sperm

Answer 25

KD 12, REN 2, 3 – MOXA!

Question 26

Too many dead sperm

Answer 26

Moxa on both St 36, REN 4, REN 6

Question 27

Decreased sperm activity

Answer 27

Needle tonify technique – REN 3, 4, 6, UB 23, MINGMAN DU 4

Question 28

Moxa points

Answer 28

Moxa low abdomen or low back: REN 4, 3, ST 36, SP 6.

Moxa each point about 10 mins until skin turns to bright/fresh red. Moxa box is good here

Question 29

Which condition is moxa especially good for?

Answer 29

Oligospermia - improves quality and quantity of sperm

Question 30

Education

Answer 30

1. Regulate sexual activity – not excessive. Only small period of time that can get pregnant. Save the quality.
2. Get active treatments
3. Regulate Emotions – too eager = too stressed. Need to relax. High expectations make the Liver suffer = Liver Qi Stagnation. Later on when expectation dropped will often get pregnant.