Up to half of couples with infertility has male factor involved. There are many reasons that cause male infertility.
First, pre-testicular factors affect sperm production. In these conditions, hormonal imbalance and poor general health fail to support the testes to produce sperms. These include hypogonadotropic hypogonadism, obesity, alcohol, smoking, drugs, certain medications and genetic abnormalities. Second, testicular factors make testes produce low quantity and poor quality sperms. Varicocele which is abnormal veins above the testicle is common cause of low quantity of poor quality of sperms. Other causes include undescended testicle, infections in the testicle, and some medications including chemotherapy. Third, post-testicular factors including Vas deferens obstruction, infection such as prostatitis, ejaculatory duct obstruction, impotence, retrograde ejaculation etc.
Stress affects male fertility as well. Very recently there was a study about stress on male fertility. This study evaluated the effect of psychological stress on male fertility hormones and seminal quality in male partner of infertile couples. Seventy male partners of infertile couples were evaluated for level of psychological stress using Hospital Anxiety and Depression Score (HADS) questionnaire, serum total testosterone, luteinising hormone (LH) and follicle-stimulating hormone (FSH) by electrochemiluminescence assay and serum GnRH by ELISA. Seminal analysis was performed. 27% of them had HADS anxiety and depression score ≥8 which was abnormal HADS score showing stress condition. The persons having abnormal HADS had lower serum total testosterone, higher serum FSH and LH than those of persons having normal HADS. Serum total testosterone correlated negatively with HADS. Sperm count, motility and morphologically normal spermatozoa were lower in persons having abnormal HADS. Abnormal sperm motility and morphology were related to lower testosterone and higher LH and FSH levels. This study suggested that psychological stress affects male fertility and sperm quantity and quality. Note acupuncture can help reducing stress to boost male fertility as well.
Obesity has negative impact on male fertility. Obesity is increased in Western countries and 10-30% of adult men are now obese. This has impact on male fertility.
Smoking affects people’s general health and also it impairs sperm production. In adult men smoking leads to hypoxia in testis this is because smoking causes small blood vessel contraction and reduces blood and oxygen supply to the testis. Compromised oxygen supply to testis would impair sperm production. Mother in pregnancy smoked heavily could affect her son’s sperm production when he grew up. Men’s sperm production could decrease about 40% by maternal smoking in pregnancy.
Recent some research data suggest that acupuncture improves male fertility by increasing sperm count and improving sperm quality and motility. The possible mechanisms for these are: acupuncture helps lower scrotal temperature; acupuncture improves blood flow of male reproductive system and reduces inflammation in the reproductive system; acupuncture also corrects hormonal imbalance to improve sperm maturation, acupuncture modulates the immune system and improves sexual and ejaculatory dysfunction in male infertility. A simple and popular hypothesis is that acupuncture stimulates nerve receptors at point location, transmitting signals to specific areas of the central nervous system, which initiate physiological changes in the body. From traditional Chinese medicine point of view, there is disharmony of kidney and liver in male infertility. Kidney Qi deficiency and stagnation fail to regulate liver blood flow causing blood stagnation and fluid and damp accumulation. Acupuncture makes Qi flow freely again to restore kidney and liver harmony. Acupuncture treatment for male infertility period is up to 3 month per course.
Sperm is impaired by inflammation and acupuncture can help
Semen quality is affected by prostate and genital tract inflammation. There was a study on 382 voluntary male subjects who underwent the screening for prostate health. Sperm motility and prostate-related parameters were significantly impaired in patients with chronic prostatitis syndromes and lower urinary tract symptoms in comparison with controls. Elevated seminal markers of inflammation were in positive association with body mass index, prostate-specific antigen, and estradiol level in serum while in negative association with semen volume, total sperm count, and sperm motility. It was suggested that one of the possible pathways for impaired reproductive quality in male subjects >45 years could be related to infection and inflammation in the genital tract with subsequent (partial) obstruction and damage of prostate and other male accessory glands. Previous study has shown that acupuncture could improve sperm parameter in men with genital tract inflammation.
Anti sperm antibodies (ASA) can be detected in seminal fluid where they may be bound to the sperm surface in male. In infertile male partners 10% show ASA in the seminal plasma or attached to the surface of sperm. ASA can also be found in cervical mucus , oviductal fluid or follicular fluid in female partners. This occurs in 5% of infertile female partners.
ASA have an adverse impact on male fertility by (1) directly interfering with sperm motility and sperm-oocyte binding and (2) indirectly by mediating the release of cytokines that can impair sperm function and by impeding cervical mucus penetration. Sperm ASAs have generally been associated with poor sperm motility, and, reduced natural pregnancy rates. Do you know that acupuncture can help reduce ASA in semen and helps conceive naturally?
Hu M et al Semin Reprod Med (2013) 31:301-10
Bhongade MB et al Andrologia (2014) 10.111and 12268
Sharpe RM Pgilos Trans R Soc B Bio Sci (2010) 365:1697-712
Ausmees K et al World J Urol (2013) 31:1411-25
Siterman S et al Asian J Androl (2009) 11:200-8
Welcome to my blog
Acupuncture specialist for Fertility, Facial rejuvenation, Pain relief.
Based at Kensington and Harley Street Central London.Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Over 25 year research and clinical experiences
Doctor who is passionate about acupuncture
I love what I do, I am good at it and I am always there for my patients. If you come and see me, you will know why I am standing out.
This blog is to introduce latest development and research of acupuncture and offer a chance of awareness of more treatment options for your condition. The blog is for information purpose only.
- My specialised areas include fertility, facial rejuvenation, acne, various pain conditions, chronic fatigue, menopause and hormone regulation with acupuncture treatment.
Practice contact for appointments and addresses
Kensington: for appointments at Anamaya center Kensington (Mondays, Tuesdays, Thursdays, Fridays, Saturdays) please call at 02030110355 or email at firstname.lastname@example.org
Address: 1 Adam and Eve Mews, Kensington, London W8 6UG
2 min walk from High Street Kensington underground stationHarley Street: for appointments at Harley Street (Wednesdays) please call ALO clinic at 02076368845 or email at email@example.comAddressSuite 3 Harmont House20 Harley Street, London W1G 9PH5 min walk from Oxford Circus underground stationMy background: I became a qualified medical doctor 25 years ago in Western medicine in China and was well trained in Western medicine together with Chinese medicine in the best Medical University in Beijing, China. Particularly I was trained with Dr Zheren Xuan--famous orthopedics expert and founder of soft tissue surgery in China. Furthermore I had training in dermatology and oral and maxilofacial surgery in China. I am dedicated to treat patients with acupuncture and am recognized as one of the world leading acupuncture specialists.
I obtained a PhD degree in the University of Leeds in the UK.
I had post doctoral training and worked as a senior researcher in St George's hospital, London, UK.
I had frequently presented my research findings in the top international conferences in the field.
I have many publications including ebooks and articles.
I have many year clinical experiences. Over the years of practicing, I have developed unique treatment approaches for infertility, skin aging, acne, vulvodynia, neck pain, headache, migraine, shoulder pain, back pain, fatigue, hot flushes, Parkison's disease etc to achieve best treatment results. My devotion and skills are highly praised by my patients. These are examples that my patients say.
- My books--Know your ovary to get pregnant
- ----------------Get pregnant fast naturally
- ----------------Facial Aging, Facial Rejuvenation Acupuncture
- ---------------Acne treatment with acupuncture
- ---------------Vulvodynia, is vulval pain in your mind?
- ---------------Energy, fatigue and acupuncture
- ---------------Headaches, Neck pain and Shoulder pain