MALE FERTILITY AND NUTRITION

It takes two to tango…

When a couple wishes to conceive, naturally improving their fertility (the health and function of your body and reproductive system) is often the next step. And whilst it’s great that people are generally now more aware of the impact of their health history, diet and lifestyle habits when looking at making a baby; it is far too common to see (and hear) male fertility being overlooked in the equation. In fact, male fertility issues have been found to account for 40-50% of couples having difficulty conceiving or maintaining a pregnancy*.

Sperm + Egg = Baby

Taking the whole realm of fertility back to basics for a minute, it’s really important to consider that a healthy baby is made, when a healthy sperm and a healthy egg meet… This is fertility 101. So let’s get down to what we’re here to talk about today; the nitty gritty of making healthy sperm…

It all comes down to stress, digestion and quality nutrition

The business of making top-notch swimmers and being fertile essentially ties back to 3 things; the impact of “stress” (physical, mental/emotional, environmental) on our physiology; how well we can digest, absorb and utilise the nutrients in our food; and whether or not we are adequately nourished from the foods we eat…

You could almost say that above all else, the number one key to healthy sperm and reproductive health is good nutrition!

Because, when the body has available to it all the raw materials it needs in order to establish and maintain cellular health and integrity, it means our entire physiology is then equipped with what it needs to keep good health, and function well. This includes the multitude of processes that are essential to our bodies on a daily basis, for example, in the regulation of the our organs and body systems, to produce energy, synthesise hormones, maintaining good brain chemistry, an effective immune response or acid/alkaline balance; as well as to bind and eliminate toxins adequately, and generally buffer our body against the impacts of stress, toxins and modern-day living…

These “raw materials” are the nutrients that come from our diet. That is, what we’re putting into our bodies on a daily basis. Which means our level of health, wellbeing, and fertility is directly related to the quality of food we eat, and the nutrients our body receives from our food -such as the vitamins, minerals, healthy fatty acids, amino acids, anti-oxidants and other health-boosting compounds (especially from plant-based food sources) that protect our cells (and DNA), organs and tissues from damage, keeping them in good health and working order.

However, all of this also relies upon good digestive function, and our body’s capacity to break down and metabolise the nutrients in our food to send to our tissues and cells.

A well-nourished body can protect against, and off-set the impact of stress, toxic load and other factors…

Did you know…

Nutritional and lifestyle interventions play a significant role in addressing the major causes of male infertility including*:

·         Low sperm count (when number of sperm produced is low),

·         Poor motility (sperm too unfit to swim),

·         Sperm agglutination (coagulating),

·         Impotence (unable to achieve or maintain an erection), and

·         Ejaculatory disorders (premature, delayed or absent ejaculation)

For good sperm health, there are some specific nutrient deficiencies to look out forincluding*:

·         B-complex vitamins (especially B12, which has been shown to improve sperm count and motility),

·         Omega 3 fatty acids (highly protective effect for sperm, and needed for integrity of sperm membrane and sperm motility),

·         Zinc (huge sperm-health nutrient, that has proven beneficial for male infertility, and is needed for optimum testosterone levels, sperm production and motility),

·         Vitamin C (is a potent antioxidant, which protects against oxidative DNA damage; helps prevent against sperm agglutination (sticking together or clumping), and has shown positive effects improving sperm viability and motility.

What’s “stressing” you…

It is equally important to address the impact “stress” has on our health, fertility and nutrient status; as stress rapidly uses up (and depletes!) nutrients in the system (that’s assuming we’re eating and digesting well to begin with, let alone if we’re not!).

Whether your stress registers in your awareness or is flying under the radar, some things to be mindful of, include:

·         Events, relationships, experiences, worries  and emotions;

·         How much stuff is “on your plate”?

·         How busy or rested you are; 

·         Your environment -what is (or has) your system being (or been) exposed to? For example, the quality of air in your home, or working environment;

·         Level of chemical exposure, from pesticides and additives in foods; toxins absorbed from personal products e.g. like your antiperspirant or body wash (our skin is our biggest organ of absorption);  

·         Exposure to heavy metals and common industrial chemicals found in seafood, petrol fumes, adhesives, paints and the like;

·         Radiation from mobile phones, flying, x-rays, digital televisions, wi-fi etc.

·         Lack of, or poor quality sleep;

·         Sedentary lifestyle;

·         Alcohol intake, smoking, recreational and pharmaceutical drugs (cigarette smoking has been implicated as a direct causative factor in poor sperm quality and quantity; alongside which, recreational and pharmaceutical drugs such as alcohol, marijuana, anti-depressants, antibiotics and steroids can also impact sperm health and quality)*.

·         Inflammation and infections;

·         Testicular temperature;

The biggest contributing factors to testosterone deficiency in men are: stress, lack of regular exercise, nutrient deficiencies, insulin resistance, obesity, smoking and toxicity. These factors contribute to low production of testosterone in the gonads, which is essential for sperm production**.

Testosterone deficiency: typically characterised by symptoms such as low libido; mood disturbances, depression; erectile dysfunction, delayed ejaculation; fatigue; Adropause (yes, that’s right; the male equivalent of menopause. Men experience this as their natural levels of testosterone decrease); insomnia; increased visceral fat (fat deposits stored in abdomen, around organs); decreased muscle mass, weakness; loss of bone density; loss of facial, underarm and pubic hair; heat flushes; signs of premature ageing; testicular shrinkage, anaemia; increased risk of cardiovascular and metabolic diseases. When testosterone levels decrease, risk of inflammatory conditions, atherosclerosis, insulin resistance and hypertension all increase.

Oestrogen excess which may be characterised in men by the development of breast tissue (colloquially referred to as “man boobs”); an enlarged prostate (also known as, benign prostatic hyperplasia -BPH), including symptoms such as difficulty urinating, urgency, urinary incontinence or waking during the night to urinate, urinary tract infections, bladder or kidney stones; and prostate cancer.  Too much oestrogen in the system can occur through an over-abundance of oestrogenic influences that disrupt the endocrine system; for example, from regular beer intake, xeno-oestrogens from plastics (especially those that are heated and leeching into our foods/body systems), and those from fish, soy products and fast foods common in the standard Western diet.

When addressing fertility, it’s necessary to consider the impact all of these things (“stresses”) have on our physiology; and the potential influence they have in either protecting, promoting, or compromising our health (and fertility) to various degrees –whether it be contributing to nutrient depletion/deficiency; glandular and hormonal disturbances; immune dysfunction; acidity and inflammation; they all affect the body’s overall health and ability to function well.   

It’s worth noting that the improvements we make to our nutrition, digestive function, and stressing less (see list above for potential hidden stressors in your life) can absolutely turn reproductive health and fertility around... The science of epigenetics (the influence of external modifications, such as diet, nutrition and stress have on the ability to turn certain genes on or off), and the study of nutrigenomics (how nutrients in our diet directly affect our genes, and the potential nutrition has in preventing, mitigating and even treating disease) are a testament to this.

Finally, a minimum of 4 - 6 months of corrective treatment before trying to conceive is advised*.

I am happy to help.

Shanna

 

Read more about Shanna.

Make an appointment to see Shanna.

 

 

References:

*Osiecki, H 2006, The Physician’s Handbook of Clinical Nutrition 7th edn. Bio Concepts, QLD Australia.

**Metagenics, 2014, Female Hormonal Disorders, QLD Australia.

 

 

MALE IVF PREPARATION

Did you know that it is just as important for a man to prepare for IVF as it is for a woman?

Keep in mind that it is of the utmost importance to have healthy sperm, as this will be half of the genetic makeup of your child.  To some, this may seem obvious; of course half of the genetic makeup of a child comes from the male partner.  Why then, do we as natural healthcare practitioners see many more women for preparation for IVF than men?  

Let’s consider fertility assessments, semen analysis in particular. 

What does a semen analysis tell you? And what does a ‘normal’ sperm result mean?

The World Health Organisation (WHO, 2010) published reference values, to work out how an individual semen analysis compares to a population of fertile men.

Amount and thickness of semen.  The typical ejaculate is 2-6 mL of semen (about ½ to 1 teaspoon).   An ejaculate that is greater than 1.5 mL falls within the normal reference range* as defined by the WHO.  Semen should be thick to start with, and become thinner 10-15 minutes after ejaculation.

Sperm concentration.  Also known as sperm count. This is the number of sperm in millions per millilitre of semen. Fifteen million or more sperm per mL is considered normal.

Sperm motility. This is the percentage of sperm that are moving well as an assessment of movement. One hour after ejaculation, at least 40% of sperm should be moving forward in a straight line.

Morphology. This is an analysis of the sperm shape and appearance. The number of ideally shaped sperm (referred to as “normal”) compared to the number of imperfectly shaped sperm (abnormal) should be greater than 4%.

So, if you fall within the “normal” reference range there’s no need to do anything right? Wrong!  A semen analysis that falls within the normal reference range does not guarantee that an individual man is fertile, but gives a guide as to whether he is likely to be fertile. 

It is also worth noting that the “normal” reference range for sperm morphology allows for 96% of sperm to be abnormally shaped! And “normal” sperm motility allows for 60% of sperm to not be forward moving, definitely room for improvement.

*Reference ranges (modified) from WHO Laboratory Manual of the Examination and Processing of Human Semen (5th Ed. WHO, 2010)

When and how to improve the quality of your sperm.

The sperm regeneration cycle takes about 74 days. Most men produce millions of new sperm everyday, but it takes 2.5 – 3 months for them to fully mature (immature sperm lack the ability to swim forward and fertilise an egg).

Sperm are living cells within the body and are subject to whatever conditions the rest of the body is exposed to throughout their maturation cycle. Extreme temperatures, chemical exposure, smoking, drug and alcohol use and poor diet can all impact the quality of sperm. 

It is important to remember that healthy sperm will not be not be ready to fertilise an egg until the new batch of sperm, that has developed under healthier conditions, is mature.  This means that after making lifestyle changes it is recommended to wait about 3 months before trying to conceive or undergoing IVF. 

Acupuncture can help

  Some clinical trials have indicated that acupuncture can improve sperm motility (Dieterle 2009), increase sperm     count (Siterman 2009, Siterman 2001), and improve sperm quality (Pei 2005; Gurfinkle 2003). 

  Acupuncture may help in the treatment of male infertility (Stener-Victorin 2010) by:

  • Lowering scrotal temperature 
  • Enhancing local microcirculation, by increasing diameter and blood flow velocity of peripheral arterioles 
  • Reducing inflammation, by promoting release of vascular and immunomodulatory factors 
  • By improving sperm maturation in the epididymis,
  • Increasing testosterone levels and reducing liquid peroxidation of sperm.  

Fertility is a journey for both partners and I am happy to help.

Sally

     

 

 

Sally has a special interest in working with couples to overcome fertility challenges as well as continuing to support women throughout pregnancy and beyond. 

Sally has a Bachelor of Health Science in Traditional Chinese Medicine (Acupuncture and Herbal Medicine) from the University of Technology Sydney and a Diploma of Health Science in Eastern Massage therapy (Shiatsu and Tuina) from the Canberra Institute of Technology.

To find out more about acupuncture and how it can help with infertilityendometriosisstressanxietyback pain and throughout pregnancy please click on the links. 

Learn more about Sally
Make an appointment with Sally

 

Emotional Mental Health A Key to Fertility

Emotional and mental health can be a very real barrier to fertility. So often, we focus on our physical health and whether we are 'fertile in our body'. You and your partner may have had every blood test and scan under the sun.  You may have had some answers such as a genetic pattern issue, endometriosis, polycystic ovaries or low sperm count. Maybe you've found no answers, or have been given a fertility percentage.

Yet, what about emotional and mental health? Especially when there is a struggle with trying to conceive.

I often find women coming to me because

  • they're at a loss as to why they are yet to fall pregnant
  • they have stress in their lives they need to clear as they have a feeling that this is affecting their fertility, or
  • they have negative experiences related to reproductive health that they need to let go of.

Kinesiology is a fascinating and powerful tool for it has the ability to speak to the body, the conscious and the subconscious mind, and takes the guess work out of questioning 'why?' The very challenge to conceive can cause stress which in turn becomes the enemy to your fertility.

Healing From Miscarriage or Termination

A common example of the importance of emotional and mental health for fertility is healing from a miscarriage or termination; this is something that can take time. From the well recognised statistics, we know that this is a shared experience for many women, however we are all unique in the way that we hold onto or process grief, loss and change. Personal history and circumstance are also unique and it's for these reasons that each personal experience and response to this stress is valid. 

Once you begin to heal and feel ready to try again to conceive, it's good to check in and prepare on all levels to ensure that your body is not holding onto past hurt. Sometimes our fear of falling pregnant again or worry over the ability to carry a baby full term can be part of the picture that is preventing conception. Kinesiology can help you to understand and free your emotions and thoughts and to clear the body of trauma and pain.

The Energy Connection Between Emotions and Your Reproductive System

To further reiterate the message, from an energetic perspective the Sacral Chakra – which penetrates through the ovaries and gonads is the chakra most known for it's connection to emotions. When your emotions are in balance, meaning that you're understanding and expressing your emotional self, you have a balanced Sacral chakra and thus a balance within the energy system of your reproductive system and related hormones and structures. Your emotional state directly relates to your fertility and vise versa!

As I mentioned above, you can store your emotions and thought patterns in your body. They can be both recent and old experiences. By releasing these experiences and the effect they have on you, you are able to then make room for new experiences, have the ability to respond rather than react, and to create the family you desire.

A Fun Fertility Tip

Making a baby is the essence of creativity. Both the Traditional Chinese Medicine Kidney meridian and the yogic Sacral Chakra involved in the making of a baby are also the sources for creativity. These systems thrive on creative nourishment. Think beyond just physical conception to creative outlets such as cooking, gardening, art and craft, and problem solving – get those creative juices flowing!

For more information, check out an article I previously wrote called A Fertile Life: Why Mind-Body Medicine is Essential for Fertility 

Kate Pamphilon

 

 

Kate's passion is to educate and empower each client to understand their mind, body, and Spirit and how these aspects are all connected. Her integrative approach to health and healing is to explore and treat the whole person. Kate is the creator of Holistic by Nature and is also on the expert panel of I Quit Sugar.

To find out more about Kinesiology please click here.

Read more about Kate. 

 

FERTILITY AND SUPPORT

Still Trying…?

Have you noticed how there is mountains of literature and support for expecting and new parents, yet for those still trying to conceive it can be tricky to find a helpful balance of information, practical and emotional support?

At this time, in addition to looking after your physical body, attending to your changing emotions, experiences and relationships can be just as important to maintain self-care and a sense of positivity, resilience and calm.

Live Well now offers professional counselling and emotional support to individuals and couples in transition to becoming a parent. Katrina Berg Howard is an experienced counsellor and coach and because she has experienced her own challenges with fertility and conception, she has genuine empathy and understanding of the thoughts, emotions and behaviours which can occur when your dreams for having a family aren’t going exactly to plan.

As each of us comes from different family backgrounds and been exposed to individual life experiences, everyone’s approach to coping with challenging situations is unique. Sometimes it’s not easy for others in our life to understand. Counselling is a confidential, constructive conversation and process to help clients reflect and respond to their circumstances with enhanced self-awareness, integrity and strength.

Whether you are at the early stages of family planning, have diagnosed fertility concerns, are undertaking assisted reproductive approaches or experiencing lifestyle and relationships pressures, having an objective sounding board could help.

Katrina integrates a range of practical coaching strategies, counselling and mindfulness meditation approaches to suit each client's needs and she brings experience, natural warmth and creativity to her work.

 Katrina's Training includes:
•    Bachelor of Counselling and Human Change
•    Accredited in Narrative, Sandplay and Focusing Oriented therapy
•    MBTI Accredited Facilitator
•    Lifeline Accredited Telephone Counsellor
•    Certificate IV in Training and Assessment

Katrina's Professional Associations:
•    Counsellors and Psychotherapists Association of NSW
•    Career Development Association of Australia
•    International Coaching Federation – Australasia

Katrina is exclusively available to Live Well clients on Thursdays or after hours by appointment. Please call (02) 62950400 to book an initial consultation.

XENOESTROGENS - WHAT THEY ARE AND WHY YOU SHOULD AVOID THEM

Xenoestrogens are synthetic, industrially made oestrogen like chemicals found in plastics and pesticides.  "Xeno" literally means foreign, so xenoestrogens are foreign oestrogens.  These harmful chemicals can disrupt hormone balance and have been linked to infertility.

The increased use of pesticides and plastics in the modern world means that people are being exposed more often to these harmful chemicals, which wreak havoc with hormone balance, and have been linked to serious health concerns such as the early onset of puberty, breast cancer and infertility.

There is a concern that Xenoestrogens can cause infertility as they mimic the body's natural oestrogen and occupy oestrogen receptor sites, act as false messengers, and thereby disrupt the delicate hormonal balance of the body.

Xenoestrogens, like all oestrogens, can increase growth of the endometrium.  For this reason it is particularly important that women who suffer from endometriosis take measures to avoid products which contain them.

Unfortunately xenoestrogens are  to be present in our soil, water, food supply, personal care and household products. So how can we avoid them?  It is possible to greatly reduce your exposure to xenoestrogens by making some simple adjustments in your life that can bring about a strong, positive effect on your health.

Here are a few tips for reducing your exposure to xenoestrogens   

  • Switch to organic! The only way to be sure your food is pesticide free is to buy products that are certified as organic.  Always choose organic when purchasing thin-skinned fruits and vegetables.
  • Do not heat foods in the microwave in plastic containers or covered with plastic cling wrap.  Use glass or ceramic containers instead.  Also, when storing food it is best kept in a non-plastic container.
  • Avoid heated plastics: plastic lined items and Styrofoam.  When heated by a microwave, an oven or the sun, polycarbonates can leech out and can contaminate foods and beverages.
  • Avoid plastic water and drink bottles.  Use a stainless steel flask or bottles labelled BPA free only.
  • Many personal care products (such as shampoos, soaps and creams) and cosmetics contain parabens and phenoxyethanol, used as a preservative.  Switch to natural products.  Most perfumes are petrochemically based. Nail polish and nail polish removers contain harsh chemicals and should only ever be used in well-ventilated areas.  There are nail polishes on the market that do not contain Toluene, formaldehyde or DBP (Dibutyl Phthalate).  These and many other natural personal care products and cosmetics are conveniently available at Mountain Creek Wholefoods at Griffith shops.
  • Do not inhale and take care to protect your skin from: electrical oils, lubricants, adhesives, paints, lacquers, solvents, oils, fuel, packing materials, fertilizers, harsh cleaning products and industrial waste.
  • Be aware of noxious gas that comes from copiers and printers, new carpets and cars.

Sally Nourse