Sperm Viability

Question

My wife gave birth to our son 6 yrs ago after we tried to get her menstruation more regular.  However, with severe headaches as a result she stopped taking the pill, and he was created.  Over the past 3-4 yrs we have tried for a playmate without success.  I have had semen analysis done which showed that there is enough.  She recently was started on clomid 50mg 1x/day without success.  The doctor prescribed a higher dose now.  One thing that concerns me is the sperm count.  When we read the results, it showed that the #’s were good for the first few hours.  But, after timed intervals the #’s came down below what was I guess normal, and I wonder if that is normal.  I know sperm don’t last forever.  I plan to see my PCP, and get a referral to see a urologist just to make sure everything is ok on both sides.  Have any suggestions on how to enhance the sperm level and livelihood? Don’t drink, smoke.

Answer

Last Updated: June 11, 2013
If a gentleman has a normal sperm count he may have a problem with motility (numbers of sperm swimming) or with chronic inflammation of the prostate (interferes with the ability of sperm to swim). The former may be treated by consuming caffeine 30-60 minutes prior to intercourse, the latter by being on a lo-dose antibiotic regimen daily until pregnancy is achieved, e.g., trimethoprim/sulfamethoxazole single strength (abbreviated “TMP/SMX SS”). In addition one could try to increase the sperm count (and perhaps their quality) by taking the only supplement shown to help: ProXeed, the amino acid L-carnitine (info/medication available from Sigma-Tau Pharmaceuticals @ www.proxeed.com or 1-877-776-9333).

Dr. Gregory Polito

Answered By:

Gregory Polito, MD
Gregory Polito,MD, KM, Past President of CANFP, retired from a urologic practice, with a sub-specialty in vasectomy reversal

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