Award-winning urologist - and pioneer in Men’s Health - Dr. Paul Turek blogs weekly about issues such as infertility, vasectomy and vasectomy reversal, sexual and hormonal dysfunction and more. Keep up with latest in this fascinating field of medicine.

The Man in the Mirror

For best fertility: look in the mirror

For best fertility: look in the mirror

What is the most commonly asked question in my male fertility practice:

“What can I do to improve my sperm count?”

My answer:

“Treat your body like a temple; all things in moderation.”

I’m sure that this is a disappointing answer for many men, but it’s true. There are no tricks here. Here’s why: Unlike food or water, which we need to live from day to day and without which something will break down in our lives, sperm production is different.

The sperm making process, termed spermatogenesis, wants to run hard and fast—and all the time. The body is happiest making 1200 sperm/second in the normal healthy male. It would rather make sperm than not, given the chance. It is similar to the heart that wants to beat or to a self-winding watch.

So all one can really do is to try not to poison the sperm making process by unhealthy living. Fevers, illness, tobacco, hot tubs, obesity and poor eating habits are all examples of toxins or exposures that “sicken” the body and slow down sperm production. Stay healthy and sperm numbers should be just fine, thank you. A good reproductive body is a good healthy body.

Of course there are reasons to have low or no sperm counts that do not involve impaired sperm production, including vasectomy and lifelong or acquired blockages, but these are unusual. In addition, with infertility due to genetic causes, low sperm counts are likely the consequence of being handed fewer than normal numbers of testis stem cells, the cells that produce sperm. But even in cases of genetic infertility, the stem cells that are present are working their hardest to make as many sperm as possible. It just may not be enough sperm to get out of the testicle and into the ejaculate.

And yes, we have good ways of improving the sperm numbers in men with low sperm counts, but with these treatments we generally will not improve sperm counts to numbers that exceed those that the man would naturally have if he were healthy.

So, lifestyle and daily habits matter greatly for sperm production and fertility. I know it’s trite, but Michael Jackson was right: start with the man in the mirror.

Related posts:

  1. Adding Hope to Health
  2. The Quiet After the The Storm of Cancer
  3. Your Oldest Treasure
  4. Weighing Your Options
  5. Metabolomics: The Picture of Fatherhood
Submit your comment

Please enter your name

Your name is required

Please enter a valid email address

An email address is required

Please enter your message

About Dr. Turek

A founder of the male fertility and male sexual healthcare movement, Dr. Paul Turek is also an internationally recognized master microsurgeon who specializes in vasectomy and vasectomy reversal, FNA testicular mapping, sperm retrieval and male erectile and sexual dysfunction.

He is a former Academy of Medical Educators Endowed Chair Professor of Urology, Obstetrics & Gynecology at UCSF and while there, directed a National Institutes of Health (NIH) grant for training new leaders in men's reproductive health. He has authored more than 175 publications on genetic, urological and epidemiological issues in men's reproductive health and regularly consults for the Centers for Disease Control and Prevention (CDC) and the NIH and other branches of the US government and industry on matters relating to men's reproductive health. He currently holds an NIH grant to create a human artificial testicle to make sperm.

He is Past-President of the American Society of Andrology, a Fellow of the American College of Surgeons, the Société Internationale d'Urologie and the Royal Society of Medicine (London). Dr Turek is also Editor of the Reproductive Volume of Netter's Images, 2nd Edition. His hobbies include vintage cars and long board surfing.

Twitter

  • about 4 hours ago

    A testis ‘prosthesis’ (i.e. an implantable device) is not exactly what Dr. Turek had in mind, but there’s LA for... http://t.co/FBQw95HI

  • February 6, 2012 16:35

    New DrTurek Post: The Testosterone Tipping Point - Your car is not running well. It just doesn’t have the pick ... http://t.co/6kx1bIxp

  • February 6, 2012 16:34

    New #DrTurek Post: The Testosterone Tipping Point - Your car is not running well. It just doesn’t have the pick up i... http://t.co/jkfazZSI

  • February 3, 2012 20:57

    Here are some common, basic reasons why men have a lower sex drive and that have nothing to do with testosterone... http://t.co/he94nCCt

  • February 2, 2012 19:01

    Wow. Israel’s IVF rate per citizen is almost 10 times ours in the US! Why? The State pays for it. http://t.co/h3Eh9Com

  • February 1, 2012 23:17

    Happy early Valentine’s Day everyone! Next time, consider the surest form of contraception ever developed- vasectomy! http://t.co/InHZa4yS

Medical Disclaimer

Please note that Information provided on this blog site, and the data and sources to which it refers, is not intended to provide a health diagnosis, treat medical conditions or substitute for medical advice by your health care providers. All content provided on this blog site is for informational purposes only.

If you have or suspect you have a health problem, you should consult a health care provider without delay.

We encourage visitors to confirm the information contained herein with other sources and review it carefully with their health care provider.

While we endeavor to keep the information on this blog site current and accurate, TurekOnMensHealth.com accepts no responsibility for actions taken by individuals in response to what they have read on this Web site, or to pages linked to it through and accessed thru the Internet.

By accessing this blog site you agree TurekOnMensHealth.com or its contributors shall not be held liable for any errors in the information found on this blog site and that TurekOnMensHealth.com or its contributors shall not be held liable for any losses, injuries or damages arising from or relating to the viewing and/or content of the information on this blog site.

Turek On Men's Health © 2012 All Rights Reserved