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.

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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 6 hours ago

    Dr. Turek has been developing a nationwide curriculum in urology for all U.S. medical students for several years.... http://t.co/Rjl0jvpL

  • about 7 hours ago

    New DrTurek Post: Reversing Vasectomy Reversal Thinking - You had your wings clipped and now you want more chil... http://t.co/1yX1Beh9

  • about 7 hours ago

    New #DrTurek Post: Reversing Vasectomy Reversal Thinking - You had your wings clipped and now you want more children... http://t.co/51VtEr9x

  • May 16, 2012 22:59

    @doctorshep good to hear from you. I use the same scope. Pic of it on FB http://t.co/rq8Udnrp Remember, it’s the magician and not the hat!

  • May 16, 2012 16:25

    Fascinating. A technology considered quite experimental only one year ago is now becoming mainstream. Got to... http://t.co/5i5ZypqO

  • May 15, 2012 22:26

    After a year of research and after hours effort, Dr. Turek's prenatal vitamin for men is out! Get it online at... http://t.co/NFmKDhX0

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