vf_discs_0006_flat-bottom-plantMale Factor Infertility

Infertility is a condition affecting both partners and each should be thoroughly evaluated.  In fact, no treatment of the female should begin until the semen analysis has been completed.  There is some degree of male factor infertility in 47% of infertile couples. Treatment of the female will not result in pregnancy if sperm are not capable of reaching and fertilizing an egg.

Sperm must be ejaculated into the vagina, swim through the cervical mucus, enter the uterus, and fertilize an egg at the end of the fallopian tube. There are many measures of sperm quality including the number ejaculated (volume, concentration), their shape (morphology), their ability to swim in a straight line (mobility/motility) and others.

Sperm are produced in the testicles under the influence of the hormones testosterone, FSH and LH and low levels of these hormones impair sperm function. Rarely, there are diseases of the pituitary gland that cause reduced levels of FSH and LH. LH stimulates the Leydig cells to produce testosterone and low levels impair sperm production.

One cause of male subfertility is prolonged elevated scrotal temperature.  The scrotum expands and contracts adjusting the testicles proximity to the body thus regulating temperature. Tight clothing or prolonged sitting, as seen in long distance truck drivers, can interfere with the scrotums cooling functions. Regular prolonged sitting in hot tubes may also negatively effect sperm production.

A varicocele is an abnormal mass of varicose veins in the scrotum which causes an increase in testicular temperature and can cause pain and wasting of the testicles. It most often occurs on the left side and can usually be repaired by surgery.  Improvements in sperm count and function will not be seen for three months since this is the time required for sperm production. It is unclear whether varicocele surgery leads to an increase in pregnancy rates.

A man may produce antisperm antibodies which can incapacitate his sperm.  The body naturally produces antibodies to foreign bodies such as bacteria, viruses, or allergens.  These antibodies are essential to protect the body from infection. Antisperm antibodies usually result because the immune system has been sensitized by contact between blood cells and sperm. This can occur as a result of testicular trauma.

Retrograde ejaculation is when sperm are ejaculated “backwards” into the bladder rather than through the urethra and men with this condition have reduced semen volume. Normally the muscle around the bladder contracts to cause the sperm to enter the urethra and be propelled out the penis.  Retrograde ejaculation can be caused by diabetes, some medications, and as a side effect of prostate surgery.

Sperm quantity can also be diminished by a blockage of the vas deferens, which is the tube that transports the sperm from the testicles to the urethra.  If the blockage cannot be repaired surgically, IVF/ICSI is the treatment of choice.

Other factors that affect sperm “quality” are smoking, certain medications, infection, excessive alcohol, exposure to toxins such as heavy metals, heredity, and others. Changing negative behaviors can often improve sperm counts within three months.

Infections can be effectively treated with antibiotic therapy and specific hormonal disorders, such as hypogonadotropic hypogonadism (rare 5%) can be treated with injectable hormones. Other medications, such as Clomid and hCG have been tried with little success. One limitation is that medications must be given for three months and they are very expensive.

Intrauterine insemination is a first line treatment for mild male factor infertility.  Sperm are provided by masturbation, washed and concentrated in special solutions, and inserted directly into the uterus. This procedure is also effective when cervical mucus problems are present.

Moderate to severe male factor infertility may require in vitro fertilization with intracytoplasmic sperm injection (ICSI), if the couple desires a child genetically related to both parents. Special procedures such as testicular sperm aspiration can be used to obtain sperm directly from the reproductive tract when there is none in the ejaculate. Otherwise, a sperm donor can be used.

 
Please visit http://VailFertility.com for more fertility information.

What our patients say:

Golfer’s Elbow and More

When I first met Kellie I had a very sore right elbow from playing golf. I play 4-5 times per week and the soreness really took its toll, not only on my scoring but also on my enjoyment of playing.
I had two acupuncture treatments from Kellie over the next two weeks. During these two weeks the pain began subsiding and was gone in a span of only three weeks. And all this time I continued to play golf.
During my second treatment Kellie asked me about the dryness of my skin. I shaved every day, but was using nothing on my face afterward. Kellie recommended I apply Pearl Cream after shaving. I tried it and it began working wonders. My skin is much smoother and my family and friends say I look 5-10 years younger after using Pearl Cream for just a couple of months.

Dave T., Palm Desert, CA

2016-12-16T21:30:54+00:00

Dave T., Palm Desert, CA

When I first met Kellie I had a very sore right elbow from playing golf. I play 4-5 times per week and the soreness really took its toll, not only on my scoring but also on my enjoyment of playing. I had two acupuncture treatments from Kellie over the next two weeks. During these two weeks the pain began subsiding and was gone in a span of only three weeks. And all this time I continued to play golf. During my second treatment Kellie asked me about the dryness of my skin. I shaved every day, but was using nothing on my face afterward. Kellie recommended I apply Pearl Cream after shaving. I tried it and it began working wonders. My skin is much smoother and my family and friends say I look 5-10 years younger after using Pearl Cream for just a couple of months.

Carpal Tunnel pain

I had been having Carpal Tunnel symptoms in my left hand and forearm for about 4 months. I had already seen my other doctor and tried many “traditional” methods, but nothing worked until I tried acupuncture. After just one treatment, Kellie was able to get rid of all the pain and numbness that had traveled up my arm. That was almost 4 years ago, and the pain has never come back.

Mark, Dallas, TX

2016-12-16T21:34:33+00:00

Mark, Dallas, TX

I had been having Carpal Tunnel symptoms in my left hand and forearm for about 4 months. I had already seen my other doctor and tried many “traditional” methods, but nothing worked until I tried acupuncture. After just one treatment, Kellie was able to get rid of all the pain and numbness that had traveled up my arm. That was almost 4 years ago, and the pain has never come back.

Anxiety Relief

Under Kellie’s care, my anxiety has gone away and I am able to refocus on life. She takes care of me as a whole person – working on my physical conditions as well as the emotional, internal issues. She listens and provides insight into my body through thorough descriptions and explanations. I feel very comfortable and safe with Kellie and her treatments. Thank you!

Cindy, Edwards, CO.

2016-12-16T21:32:20+00:00

Cindy, Edwards, CO.

Under Kellie’s care, my anxiety has gone away and I am able to refocus on life. She takes care of me as a whole person – working on my physical conditions as well as the emotional, internal issues. She listens and provides insight into my body through thorough descriptions and explanations. I feel very comfortable and safe with Kellie and her treatments. Thank you!

Sciatica and Hair Loss

I first found Kellie when I was suffering from what I thought was chronic Sciatica pain. After several sessions and some herbs, the pain dissipated and now I rarely have any flare-ups. During one of my sessions, Kellie asked me about any other concerns I had. I mentioned that my fine, thin hair seemed to be getting worse and I was afraid I would end up bald, not dissimilar from my mother. She started me on some herbs that I take three times a day and my hair is now totally different. After about five months, it is now thicker and has more body than ever. I was delighted with the sciatica treatments, but you know how we women are about our hair….I am thrilled.

Beverly T., Palm Desert, CA

2016-12-16T21:31:34+00:00

Beverly T., Palm Desert, CA

I first found Kellie when I was suffering from what I thought was chronic Sciatica pain. After several sessions and some herbs, the pain dissipated and now I rarely have any flare-ups. During one of my sessions, Kellie asked me about any other concerns I had. I mentioned that my fine, thin hair seemed to be getting worse and I was afraid I would end up bald, not dissimilar from my mother. She started me on some herbs that I take three times a day and my hair is now totally different. After about five months, it is now thicker and has more body than ever. I was delighted with the sciatica treatments, but you know how we women are about our hair….I am thrilled.

Tinnitus & Digestion

It has been about 4 weeks since I visited your offices in Edwards to receive CranioSacral Therapy and Acupuncture and to tell you, honestly, I have never felt better!
To be specific – I went to visit you because my Tinnitus was pretty severe. I cannot begin to tell you how wonderful it is not to have that ringing. And in addition, my entire digestive system is so free of bloating and discomfort. I have had no headaches or sinus pressure.
Kellie, the Chinese Herbs you mixed for me – I even like drinking that twice a day. I do not mind the flavor at all and just know it is helping my entire system to feel so much better.
I want to thank you both for listening to my tales about my body and for being so attentive to helping me feel so much better.
I look forward to seeing you both again about mid December.
My sincere thanks, again.

Patricia

2016-12-16T21:29:50+00:00

Patricia

It has been about 4 weeks since I visited your offices in Edwards to receive CranioSacral Therapy and Acupuncture and to tell you, honestly, I have never felt better! To be specific – I went to visit you because my Tinnitus was pretty severe. I cannot begin to tell you how wonderful it is not to have that ringing. And in addition, my entire digestive system is so free of bloating and discomfort. I have had no headaches or sinus pressure. Kellie, the Chinese Herbs you mixed for me – I even like drinking that twice a day. I do not mind the flavor at all and just know it is helping my entire system to feel so much better. I want to thank you both for listening to my tales about my body and for being so attentive to helping me feel so much better. I look forward to seeing you both again about mid December. My sincere thanks, again.