By Dr. Mercola
Infertility is recognized as a disease by the World Health Organization (WHO), American Society for Reproductive Medicine (ASRM) and the American College of Obstetricians and Gynecologists (ACOG).1
Defined as the inability to conceive a child after one year of unprotected sex, infertility affects approximately 1 out of every 8 couples.2
Approximately 90 percent of male infertility is due to low sperm count or poor sperm quality, and the remaining 10 percent are the result of structural abnormalities, hormonal imbalances, genetic defects or other problems.3 Sperm abnormalities are critical to infertility and the health of a resulting pregnancy.
While much media attention has been placed on the necessity for women to care for their bodies prior to pregnancy, research has demonstrated the need for men to care for themselves in the same way to prevent birth defects, miscarriages and infertility.
Recent research now indicates that exercise may improve quality and quantity of sperm in men who were previously sedentary.4
Exercise May Improve Sperm Quality and Quantity
In a study completed in Iran, researchers evaluated the effect of four different levels of exercise on sperm quality in sedentary men. Of the couples struggling with infertility, 1 in 3 are the result of poor sperm quality.5
In this study, researchers from Urmia University evaluated the sperm of 261 healthy men over six months.
The participants were first determined to be otherwise healthy, between 25 and 40 years of age, and didn't regularly participate in an exercise program. They were then separated into the following four groups:6
- No exercise
- Three workouts a week of high-intensity training on a treadmill (HIIT)
- Three workouts a week of 30 minutes moderate-intensity continuous training on a treadmill (MICT)
- Three workouts a week of one-hour high-intensity continuous training on a treadmill (HICT)
The researchers used semen samples before, during and after the six-month exercise period to evaluate sperm motility, size, morphology (shape), count, semen volume and levels of inflammatory markers.
After 24 weeks, it was the MICT group who experienced the greatest improvements, although the HICT and HIIT groups also experienced improvement over the group who did not exercise.7
The MICT group had a greater than 8 percent rise in semen volume, over 12 percent improvement in sperm motility, 17 percent improvement in morphology and just over 21 percent more sperm cells on average.8
However, while the men enjoyed these improvements during the exercise program, the sperm count, concentration and morphology began dropping back to pre-workout levels within a week after stopping. Lead author of the study, Behzad Hajizadeh Maleki commented:9
"Our results show that doing exercise can be a simple, cheap and effective strategy for improving sperm quality in sedentary men.
However, it's important to acknowledge that the reason some men can't have children isn't just based on their sperm count. Male infertility problems can be complex and changing lifestyles might not solve these cases easily."
Moderate Exercise Increases Sperm Quality
The authors of the study theorized that although weight loss achieved by the men during the six months of the study was likely to have contributed to improving sperm quality, the men participating in MICT may have experienced the greatest impact as MICT reduces exposure to inflammatory agents and oxidative stress.10
Scientists have determined that exposure to electromagnetic fields, increased heat, poor nutrition, obesity, drugs, alcohol and bicycling may reduce sperm quality, and theorize that reducing these factors and improving health would then improve sperm health.
Another study of 31 men, 16 of whom were active (but did not bike) and 15 sedentary, underwent a shorter evaluation of sperm quality,11 using the WHO's sperm quality parameters, including volume, count, motility and morphology.12
Researchers found physically active men had a higher concentration of sperm, semen volume and a higher percentage of sperm with normal morphology.
In a previous study, these same authors found men who engaged in intense exercise instead experienced a reduction in sperm quality, but moderate exercise appeared to be linked to improve sperm quality.
Researchers from the most recent study also found that moderate activity, as described in their study parameters, yielded better results. The researchers commented:13
"The present study adds to this body of evidence and shows seminal markers of inflammation and oxidative stress improved significantly after 24 weeks of MICT, HICT or HIIT, and these changes correspond with favorable improvements in semen quality parameters and sperm DNA integrity.
These results further indicate that MICT was more beneficial in improving markers of male reproductive function, compared to HICT and HIIT.
These observations suggest that the intensity, duration and type of exercise training could be taken into consideration when investigating reproductive responses to exercise training in men."
Male Infertility Responsible for 30 Percent of Cases
Allan Pacey, Ph.D., and fellow of the Royal College of Obstetricians and Gynecologists (RCOG), is the British Fertility Society spokesman and professor of andrology at the University of Sheffield. He also commented on the research results and how they may affect fertility:14
"In this context, the study makes a good contribution to the knowledge base. It is a very well conducted and a strength is that it is a randomized controlled trial with extensive data collection.
Also, the study examines how exercise affects many of the parameters of male reproductive health, not just sperm quality. However, what is likely to be of most interest to men and their doctors are the results concerning sperm quality.
Importantly, these seem to show a statistical improvement to various degrees when the men embarked on their different exercise regimes compared to men who did no exercise at all. However, an important question is whether these statistical changes are enough to be of any clinical significance."
Male infertility contributes to 30 percent of all infertility cases.15 Of the four major causes of male infertility, between 40 percent and 50 percent of poor sperm quality is attributed to unknown factors. Male infertility is a complex condition encompassing both the health of the sperm and the mechanical functioning of the male reproductive system.16
Testing for male infertility includes a semen sample analysis, blood work, physical examination and an evaluation for any current infections or structural damage from past infections. Although frustrating to a couple trying to conceive a child, the risk of poor sperm quality extends beyond the inability to conceive.
Risks Associated With Poor Sperm Quality
Sperm motility, or the ability of sperm to move quickly and in a straight line, is one factor associated with sperm quality. Sperm that are sluggish or move poorly may be associated with DNA fragmentation, and the potential risk for passing genetic diseases.17 There is also some evidence that male infertility may be a risk factor for testicular cancer.18
Recurrent miscarriages may be attributed to chromosomal damage to either the egg or the sperm,19 and reduced sperm quality is associated with congenital deformities.20 Chromosomal abnormalities in the sperm may contribute to poor sperm quality.
The risks of poor quality sperm also extend to the health of the man. Defects in sperm quality are linked to a variety of health concerns, including high blood pressure, diabetes, heart disease and skin and glandular disorders.21 Lead researcher Dr. Michael Eisenberg, assistant professor of urology and director of reproductive medicine and surgery at Stanford School of Medicine, commented that "[i]t may be that infertility is a marker for sickness overall."22
A study evaluating more than 9,000 men with fertility issues found a correlation between defects in a man's sperm and the likelihood he suffers from other health conditions.23 A previous study Eisenberg co-authored also indicated that men who experienced infertility issues had an overall higher rate of mortality in the following years. According to Eisenberg:24
"A man's health is strongly correlated with his semen quality. Given the high incidence of infertility, we need to take a broader view. As we treat men's infertility, we should also assess their overall health. That visit to a fertility clinic represents a big opportunity to improve their treatment for other conditions, which we now suspect could actually help resolve the infertility they came in for in the first place."
Natural Sperm Boosting Options
While moderate exercise may help to improve sperm quality, there are other lifestyle choices that may help to enhance the improvements you experience. Infertility is a complex condition that is intimately incorporated the rest of your health. You may improve your sperm quality as you also improve your overall health and wellness.
✓ Use Moderate-Intensity Continuous Exercise While Trying to Conceive
Although HIIT is a healthy adjunct to an exercise program, the increased heat and oxidative stress on your body may produce time-limited changes to your sperm quality, and reduce your potential to conceive.
✓ Reduce Exposure to Toxic Chemicals
Unprecedented decline in fertility rates and semen quality in the past decade may be attributed to exposure to phthalates in your environment.25 Animal studies have demonstrated an association between phthalates and testicular toxicity26 and lowered sperm count.27 Other chemicals to avoid include paint fumes, pesticides, formaldehyde, organic solvents and dry cleaning chemicals.
✓ Optimize Your Vitamin D Level
Low vitamin D levels have been linked to infertility in both men and women. In men it is essential for the healthy development of the nucleus of the sperm cell, and helps maintain semen quality and sperm count.
Vitamin D also increases levels of testosterone, which may boost libido. Aim to maintain a level of 40 to 60 nanograms per milliliter (ng/mL) year-round.
✓ Maintain Your Weight Within Normal Limits Through a Whole Food Diet
Obesity changes male hormone levels, which has a direct impact on sperm molecular composition and function.28 Use fresh foods as often as possible, ideally organically grown, to avoid pesticides. Seek out pastured, organic meat and dairy products, raw nuts, seeds and vegetables, and avoid dangerous trans fats found in many processed foods and vegetable oils.
✓ Reduce or Eliminate Smoking, Alcohol and Drugs
Each of these creates an added stress on your body with demonstrated reduction in fertility, sperm motility and quality.
✓ Avoid the Heat
Sperm require a specific temperature to remain active and viable. Avoid wearing tight underwear and tight pants, taking hot showers or baths and sitting in hot tubs. Keep your laptop off your lap as the increased heat from the machine also increases the temperature of your scrotum.29
Your body will naturally keep your sperm at the right temperature when you avoid circumstances that abnormally increase the temperature of your scrotum.
✓ Avoid Placing Your Mobile Phone in Your Front Pants Pocket