Category: Fertility Problems

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Fertility Problems

How to increase Male’s Testosterone Levels and Fertility

In 2010 report summarizing the results of 4 clinical trials carried out by BMC Complementary and Alternative Medicine, Maca was able to show benefits related to improving sexual dysfunction and sexual libido in adult men and women. 

Those who regularly use maca powder report that it also makes them feel more energized and driven, often relatively quickly after beginning to use it. A positive attribute of using maca for increased energy compared to using caffeine is that maca doesn’t give most people a sense of shakiness like high levels of caffeine can.

Maca is a root plant that grows in central Peru in the high plateau of the Andes mountain. It has been cultivated as a vegetable crop in Peru for at least 3000 years. Its root is used to make medicine.

Maca, Peruvian ginseng

Maca is also known as Peruvian ginseng (despite the fact that it is not member of the ginseng family) because it is used by the Incas as a folk remedy or Incan superfood to increase endurance, energy and sexual function for thousands of years.

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Who should use Vitroman Maca?

  1. Chronic fatigue syndrome.
  2. Tired blood (anaemia).
  3. Infertility (Maca can increase semen volume, sperm count and sperm motility).
  4. Symptoms of menopause sexual dysfunction in woman.
  5. Sexual dysfunction in man.
  6. Anxiety and depression in postmenopausal woman.
  7. Weak bone.



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Fertility Problems

Irregular Periods

male, self, help, body weight, fertility drugs, premature ejaculation, irregular periods, biological clock, menopause, infertility, fertility problems

When a fertilized egg arrives in the uterus, the lining must be precisely prepared to receive it. If the egg is released too soon or too late, the uterus lining will be either too immature or too ripe for implantation. The fertilized egg cannot survive unless it becomes implanted in the uterus and will be shed. It can be seen that the timing of ovulation is a critical factor for successful implantation.

One early warning signals that ovulation might be occurring too early or too late is irregular periods. Another warning signal is a lack of copious and watery mucus at mid-cycle. Anovulation, no egg production, is an obvious cause of infertility. This can also show as very irregular periods. Painful cramps during a period are not implicated in early or late ovulation, nor has PMS been found to be involved. If any of the warning signals are present, visit the fertility clinic without delay. Fertility drugs can be effective in the management of irregular periods.

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Fertility Problems

The Biological Clock

male, self, help, body weight, fertility drugs, premature ejaculation, irregular periods, biological clock, menopause, infertility, fertility problems

The ovaries have a lifetime supply of egg follicles from birth. These ripen into eggs, which can be fertilized to produce pregnancy. By age 30, the eggs have been present for some time. In problems of fertility, the quality of the egg is critical. Therefore, the woman’s age becomes a very important factor.

Age co-factors also include: less frequent ovulation and less regular periods by the late 30s and 40s. The older the woman, the greater the risk of exposure to tubal obstruction. If pregnancy occurs, there is a higher risk of spontaneous abortion. It can be seen that a woman’s reproductive life has a limited time span.

Keep in mind that fertility data are averages only. No woman can consider that she is too old to conceive until her menopause is complete.

The risk of birth defects rises with increasing years. Down’s Syndrome, a chromosome disorder, which affects the mental and physical abilities of the baby, is the most common female age-related defect. It occurs:

  • 1 out of 365 births at age 35
  • 1 out of 109 births at age 40
  • 1 out of 32 births at age 45
  • 1 out of 12 births at age 49

The risk of men age 40 plus passing on birth defects was estimated at 3 per 1,000. Recent findings seem to suggest that it could be higher. Researchers now understand that sperm in men of all ages are more likely to cause birth defects than was previously thought.

The Timing Factor

Timing for the optimum chance of fertilization is critical. Once the egg is in the oviduct, it only remains viable for the next 12 to 24 hours. It must be fertilized during this time. Sperm only remain viable for a maximum of 48 hours. It is essential to know the precise date of ovulation to maximize the optimum chance of fertilization.

Ovulation predictor tests are commercial kits that can be obtained from a local pharmacy. They are inexpensive, simple to use, and accurate. They measure the surge of LH hormones which trigger ovulation. By frequent testing of urine samples and charting the results, the actual time of ovulation can be worked out.

Transvaginal ultrasound is the new high-tech method to detect the time of ovulation. The probe is placed in the vagina, and shows the ovaries with their developing follicles on a monitoring screen. Ultrasound to detect ovulation is costly. Older women may choose this method if the sands of time are running against them. By comparison, charting the vagina temperature, the cervical mucus, and so on, come a poor third. Ovulation is a major factor in female fertility. Know the time of ovulation.

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Fertility Problems

Seeking Donation

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  • Sperm Donation: If the man cannot provide sperm, the couple can use a sperm bank. The sperm are put into the vagina via a catheter, and make their way up to the oviducts. The donor, often a medical student, is anonymous. This method is called Artificial Insemination by a Donor (AID).
  • Egg Donation: If the woman cannot provide eggs, the couple can seek an egg donated by a third person. This person may be a close friend of the couple, or a stranger. Her retrieved egg is placed in a culture dish, and there fertilized by the partner’s sperm. The embryo is then put into the woman’s uterus or tubes.
  • Embryo Donation: If neither egg nor sperm can be provided, the couple can seek help from a third woman and man. The woman donates her egg, and the man his sperm. These are retrieved and fertilized in a culture dish, and the embryo is transplanted into the woman.
  • Uterus Donation: A mother “loaned” her uterus to her daughter and became the first grandmother to bear her own children. The daughter had been born without a uterus, but she could provide an egg. This was retrieved and fertilized by sperm from the daughter’s husband in a culture dish. The resultant embryo was implanted in the mother who successfully gave birth to twins.
  • Surrogacy: If a woman has lost her uterus, another woman can provide hers for pregnancy and childbirth. This is somewhat different from the previous example, because the partner usually has intercourse with the other woman in order to impregnate her, and money is involved. The custody of some infants of surrogacy birth has been bitterly fought over in the law courts. Perhaps only in very close and loving families does surrogacy not prove to be a very tricky area of human choice
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Fertility Problems

Self-Help

male, self, help, body weight, fertility drugs, premature ejaculation, irregular periods, biological clock, menopause, infertility, fertility problems

The following are suggestions which can be helpful during the time of waiting for pregnancy to occur:

  • Know the time of ovulation, and the entire fertile period.
  • Check that love making is sufficiently frequent.
  • Avoid the “female superior” position; it allows the male ejaculate to spill out of the vagina.
  • The missionary position, man on top, is the most appropriate for fertility needs.
  • Avoid moving after ejaculation to allow the semen to pool in the fornix areas around the cervix.
  • Remain on the back for at least half an hour with the knees drawn up and a pillow under the hips.
  • Eschew the douche. The fluid can upset the ecology of the vagina and hence upset the motility of the sperm.
  • If lubrication is required, avoid the use of water-soluble jellies which can be spermicidal.
  • Eat a balanced diet, with fresh vegetables and fruits, low-fat proteins and unrefined grains.
  • Maintain a normal body weight. Avoid all crash diets and slimming programs.
  • Exercise in moderation. Exercise abuse upsets ovulation and causes irregular periods.
  • Avoid alcohol and marijuana. Both reduce sperm production and can affect the female reproductive system.
  • Avoid cigarettes. Couples who smoke have a significantly lower fertility rate than couples who do not.
  • Hot baths and jacuzzis affect sperm production. Avoid tight-fitting pants and jockey-type underwear. Keep the groin cool.
  • Relax. Stress is a factor in fertility problems.
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Fertility Problems

Male/Female Tubal Obstruction

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Adhesions are scars which form on the outside of the oviducts. They tie down the tube; it cannot move at ovulation to scoop up the free-floating egg. Adhesions can be due to previous pelvic infections, or surgery. If the scarring is widespread, the open ends of the fimbria may be completely blocked. When liquid is passed through the tubes, it cannot flow out. This is known as hydrosalpinx.

Corrective surgery to free the tubes from external adhesions has a success rate of 60 to 70 percent. However, this high rate only applies if the mucus linings inside the tubes have not been damaged by the scarring. Yet, when the fimbria are blocked, this internal lining is almost always severely damaged. The pregnancy rate then drops to between 5 and 20 percent. Keep in mind that there is always the risk that an operation to unblock the tubes can produce even more scar tissue. In these cases, one choice is in vitro fertilization.

Male Tubal Obstruction

The epididymes can be felt by gently rolling the testicles between the fingers and thumb. They are small comma-shaped lumps on top of the testicles; “epididymes” is Greek for “upon the twins.” They are, in fact, tightly coiled tubes which, if stretched out, would measure 20 feet. After baby sperm leave the testicles, they mature in the epididymes, and develop swimming skills. If the epididymes tubes are blocked, the result is tubal obstruction. In rare cases, blocked tubes are the result of a birth defect. The vas tubes which carry the mature sperm to the penis can also be blocked.

Blocked tubes are a common problem in male infertility. They occur for the same reasons as in women; scars from previous infections or surgery. Surgery to repair defective tubes can be successful if the blockage is mild. However, if the degree of scarring is great, the outcome for unblocked tubes is low. One option in these cases is in vitro fertilization.

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Fertility Problems

Male Factor Infertility

male, self, help, body weight, fertility drugs, premature ejaculation, irregular periods, biological clock, menopause, infertility, fertility problems

The first and simplest fertility test involves a specimen of the male ejaculate. An average ejaculate contains one-half to one full teaspoon of semen. The average ejaculate volume after 3 days of abstinence is 3 to 5 cc. Sperm make up only about 3 percent of the average ejaculate. The other 97 percent consists of fluids made in the prostate gland and the seminal vesicles.

Sperm Count (millions per cc)Pregnancy Rate (percent)
5 – 1027.8
10 – 2052.9
20 – 4057.1
40 – 6060.0
60 – 10062.5
Over 10070.0

100 million sperm per cc is very high; 15 million is very low. The lower the counts, the higher the risk of infertility. There is no general agreement on the lower limit; some specialists believe that even a very low sperm count does not rule out the chance of fertilization, providing the sperm are well-formed and have good swimming skills.

In an average ejaculate, there will always be defective sperm. About 20 percent will lack proper structure or motility. They can have three tails but no head, a head but no tail, and so on. They can lack all sense of direction, clump together, swim feebly, or not swim at all. To reach the oviducts, sperm must move forward, and at fairly high speed.

Sperm Washing: When sperm are deposited at the top of the vagina, they have great distances to travel before they reach the oviducts. This allows time for “capacitation”, the enzymes in the head become activated to help sperm enter the tube and penetrate the wall of the egg. Sperm washing is a high-tech procedure which allows capacitation for poor quality sperm. It can be used in combination with in vitro fertilization.

Hormone drugs can stimulate under-active testicles, and raise the sperm count. If the problem is found to be that the man produces antibodies to his own sperm, steroids can suppress this immune reaction. When planning for intercourse at specific ovulation dates, keep in mind that it takes 72 days altogether for sperm to mature in the testicles and epididymes, before they are ready to be ejaculated.

A recent study found that men who were not under stress to “perform” produced higher sperm counts than those who were. Many women can sympathize with this. It is much the same “performance pressure” as feeling “obliged” to always have an orgasm. Keep a partner from feeling such pressure at specific ovulation dates. One way could be by more frequent intercourse. Studies on college athletes showed that abstinence appears to have little effect on sperm quality.

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Fertility Problems

Looking Inside – Laparoscopy

laparoscopy

A laparoscopy is a surgical procedure to examine the internal structures. A coloured solution is introduced into the uterus via the vagina and cervix. The laparoscope is inserted through a small cut in the abdomen wall. When the tubes are open, the coloured fluid can be seen to flow through them, and out into the pelvic cavity. If some fluid pools in little pockets, there may be scarring. The egg can get trapped in the pocket, and die. The pelvic cavity, ovaries, and uterus are also examined to see if endometriosis, inflammation, or some birth defect could be causing the problem. Where appropriate, surgical procedures to relieve a minor problem will be done at the same time.

A hysteroscopy is a procedure performed through the vagina. A fluid or carbon dioxide gas is introduced into the uterus via the vagina and cervix to expand the area and allow a better view. The mucus-secreting glands of the cervix are examined to see if they are working properly. The cervical canal and uterus lining are checked for structures that might add to the problem: polyps, fibroids, or bands of scar tissue. Some minor surgical procedures can be done at the same time, if appropriate.

A hysterosalpingogram (HSG) is an internal X-ray of the uterus and tubes. A radio-opaque dye is injected into the uterus through the vagina and cervix, and the X-ray is taken. HSG is a painful procedure. Cramps and spasm can give a false-positive result; there appears to be a blockage where, in fact, none exists. The iodine solution in the dye can cause an allergic reaction. HSG has become less popular in recent years.

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Fertility Problems

Frequency of love making

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Ninety-two percent of couples can expect pregnancy to occur within 18 months of intercourse without contraception. If under age 25, some fertility experts recommend waiting between 18 months and a full two years. It is recommended that couples over age 25 visit a fertility clinic after unprotected intercourse for one full year.

Consider the following data from a study of fertile couples:

  • Of those who make love 3 times a week, 51 percent conceive within 6 months of trying.
  • Of those making love twice a week, 40 percent conceive within the first 6 months.
  • Of those who make love once a week, 32 percent conceive within the first 6 months.
  • Of those who make love less than once a week, only 16 percent conceive within the first 6 months.

Be sure that infrequent love making is not the problem.

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Fertility Problems

Other Fertility Tests

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There are many different tests to find the cause of fertility problems. They include:

  • Evaluation of cervical mucus. This involves an examination of mucus production, which may be scanty and blocking the sperm.
  • Postcoital tests. These occur after intercourse to evaluate the progress of sperm inside the vagina.
  • Basal body temperature charting. This test checks the timing of ovulation dates.
  • Hamster test. Sperm are evaluated to find out whether or not they can penetrate hamster eggs.
  • Hormone assay tests. These check the sex hormone levels of the partners.

One major problem with these tests is that they all take time. If the woman is no longer young, it may be suggested that she bypass all tests and goes straight for in vitro fertilization. However, most tests are covered by much medical insurance, and in vitro fertilization often is not.

It is only natural to want to know the cause of infertility. If either partner has tubal obstruction, or corrective surgery works, the problem is cured. If the problem is with the egg or sperm, hormone therapy is highly effective. The couple can then have as many children as they wish. With in vitro fertilization, an entire new program must be undertaken each time for each new baby. No single program can guarantee success.

Research from in vitro programs shows that time is a critical factor in choice. In’ one program, 35 women over age 40 had their eggs fertilized outside the uterus. When the fertilized eggs were returned to the uterus, only 5 women achieved pregnancy and none carried the fetus to term. Yet when these same women received eggs donated by women under age 35, 20 got pregnant and 15 delivered babies.