Male Fertility & Sperm DNA Fragmentation
Male fertility is the second most common cause of fertility issues, coming second only to advanced age of the female partner.
Male fertility issues affect about half of all couples so it essential to assess when you are trying to conceive. Historically, it was often the female partner who might initiate testing, but we strongly recommend getting comprehensive male fertility tests done from the start of your journey.
Key Facts
- There is significant evidence that a healthy fertility diet can improve sperm quality and quantity
- Identifying and addressing deficiencies in specific nutrients can increase all parameters of sperm health, including motility, morphology, quantity and DNA Fragmentation
- 1 in 4 men will have a normal semen analysis yet have DNA damage within sperm
- Elevated DNA fragmentation decreases pregnancy success by 30% and increases risk for miscarriage
- Underlying infection, even asymptomatic, can have a negative effect on sperm and sperm DNA fragmentation. The semen microbiome plays a major role in maintaining healthy sperm
- Oxidative stress and inflammation is a major cause of sperm damage
- Hormone levels and sperm quality can be affected by sleep and stress
Best Test Options
Patient Story
History
John attended our clinic after his semen analysis with his IVF clinic had identified low motility and low sperm count.
Tests
We recommended a DNA fragmentation test which showed high DNA damage in the sperm at 44%.
A Functional Nutritional profile blood test showed high levels of oxidative stress, low levels of antioxidants and a zinc deficiency which is essential for sperm health.
A semen microbiome test showed that John was carrying bacteria which is related to infection and inflammation which could be contributing to localised oxidative stress, a major cause of high DNA fragmentation.
Plan
A tailored supplement protocol was designed to rectify the deficiencies identified. John changed his diet to a more anti-inflammatory diet with increased intake of antioxidants to combat oxidative stress.
We referred John to a consultant urologist for a review and recommended a course of treatment for the subclinical infection. We also recommended following up with his partner to check for infection and treatment if necessary.
Repeat testing
Repeat testing showed the John’s DNA fragmentation levels had reduced to 14% and sperm count and motility had improved.
Outcome
John and his partner have decided to try naturally now for the next 6-9 months given the improvement in their chances of a healthy pregnancy.