Male Fertility Questions

madman

Super Moderator


In this video, two male fertility experts, Dr. Ramasamy of the University of Miami and Dr. Gilman of IVFMD, answer questions about male fertility. They discuss the impact of COVID-19 on sperm count and fertility, the safety of COVID-19 vaccines for male fertility, and the factors that can contribute to low sperm count. They also provide insights on vasectomy reversals, the use of fresh sperm post-chemotherapy, and the effects of smoking and drinking on sperm quality. The experts emphasize the importance of lifestyle changes, such as maintaining a healthy weight and quitting smoking, for improving fertility. They also touch on the use of treatments like Zymot for high DNA fragmentation and the considerations for IVF when dealing with male infertility.


Key Takeaways:


*COVID-19 can impact sperm counts, but the majority of men recover within 3-6 months.
*COVID-19 vaccines do not affect sperm counts and are safe for male fertility.
*Vasectomy reversals can be successful, but the success rate depends on the length of time since the vasectomy and the presence of female fertility issues.
*Vericocele repair can improve sperm counts, but the female partner’s fertility should also be considered before pursuing surgery.
*DNA fragmentation in sperm can affect embryo development and implantation, and techniques like Zymot can help isolate higher-quality sperm.
*The effects of testosterone on sperm counts can be negative, and lifestyle changes are the best approach for improving testosterone and fertility.
*Male fertility preservation before cancer treatment is crucial, and using frozen sperm after treatment is recommended.
*Older men may have decreased sperm quality, and combining IVF with preimplantation genetic testing can be a good option to mitigate genetic issues.
*Regular exercise, a healthy diet, and quitting smoking can improve sperm quality.
*Education and awareness about male fertility are increasing, leading to more informed questions from patients.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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