The other half of the equation

Male Infertility: The Taboo

  • The average sperm count has fallen by over 50% since the 1970s and continues to fall by around 1% each year, a decline that is observed regardless of the man's age. Male fertility is the cause of around 40% of unfulfilled childlessness. Despite these figures, the topic of male infertility is often still taboo and receives too little attention.

  • According to the World Health Organization, infertility occurs when a man is unable to conceive a child within a year despite regular, unprotected sexual intercourse (on the woman's fertile days).

Mann_Unfruchtbarkeit

You are not alone!

You are not alone! This is an important message. Fertility challenges affect many men around the world, even though they are often little talked about. Numerous factors can contribute to this, and it's completely understandable if these challenges are weighing you down. In addition to medical care and emotional support, a targeted supply of micronutrients also plays a crucial role in sustainably strengthening male fertility.

Sperm production disorder

Sperm disorders are a major cause of male fertility problems and contribute significantly to the unfulfilled desire to have children. For successful fertilization, the sperm must be able to reach the egg. Various abnormalities can significantly impair the functionality and quality of the sperm.

  • Reduced sperm count

    OLIGOZOOSPERMIA

    Oligozoospermia, i.e. a reduced number of sperm in the ejaculate, reduces the likelihood of enough healthy sperm reaching the egg. This significantly limits male fertility.

  • Reduced number of motile sperm

    ASTHENOZOOSPERMIA

    Asthenozoospermia, a reduced motility of the sperm, makes it difficult for the sperm cells to advance in the female genital tract and reach the egg cell. Targeted forward movement is crucial for the path to the egg cell.

  • Reduced number of normally formed sperm cells

    TERATOZOOSPERMIE

    The shape of the sperm determines its ability to fertilize an egg. A normally shaped sperm has an oval head, an energy-producing middle section and a long, slender tail for targeted movement. Only such sperm can swim efficiently through the female genital tract, penetrate the egg membrane and trigger fertilization.

  • Disruption of transport routes

    AZOOSPERMIAA

    Disorder of the transport pathways occurs when the sperm ducts are blocked or narrowed, for example due to adhesions, scarring or obstructions. As a result, the sperm produced in the testicles cannot reach the ejaculate. This blockage leads to a complete absence of sperm in the ejaculate.

Hormone diagnostics

Hormone diagnostics also play an important role in the clarification of an unfulfilled desire to have children in men. Hormonal imbalances can significantly impair sperm production and quality and thus limit fertility. A comprehensive hormone examination is therefore recommended, particularly in the case of reduced sperm quality. Typical signs of a possible hormonal imbalance are persistent tiredness, fatigue, a noticeable loss of vitality, unexplained weight gain and a general reduction in performance. These symptoms indicate that important hormones such as testosterone, FSH or LH are not in the optimum range. A blood sample is taken for clarification.

The spermiogram

The most important examination method for assessing male fertility is the spermiogram. This is the microscopic analysis of the ejaculate. It provides information on sperm quality, sperm count and sperm density. The amount of fluid (volume) and the pH value of the ejaculate are also determined. The ejaculate should be obtained by masturbation after a waiting period (time without ejaculation) of two to seven days. It must be collected under sterile conditions and ideally in the laboratory on site, or no more than 30-60 minutes away. At least two spermiograms over a period of four to twelve weeks are recommended, as the number and quality of sperm cells can vary greatly.

DNA Fragmentation

The task of the sperm is to safely transfer the father's genetic information to the egg. As a result, a healthy embryo can develop. However, a DNA break, i.e. damaged genetic information in the sperm, can mean that new cells and therefore also an embryo cannot develop. Although a spermiogram does not show any abnormalities, fertility can still be limited as it does not show any conclusions about possible breaks in the sperm's DNA strand. Various test options (TUNEL or SCD test) allow the genetic material of the sperm to be analyzed using a semen sample. There are currently no standardized guideline values, but 15-20% slightly to moderately fragmented sperm lead to reduced fertility.

Causes of Male Infertility

Undescended testicles

During childhood, the testicles do not migrate correctly into the scrotum, but remain in the abdomen or groin area. Later sperm production is permanently damaged if undescended testicles are not corrected in time.

Infections

A mumps infection (mumps orchitis) in a child can result in testicular inflammation and hardening. This is accompanied by severely restricted sperm production later on.

Testicular varicose vein

The spermatic cords in the testicles are surrounded by a network of veins. If this becomes enlarged, this is referred to as a varicose vein in the testicles, also known medically as a varicocele. The left side of the testicle is usually affected, as this is where the blood drains less easily. The strong build-up of heat due to the backed-up blood in the testicle area affects fertility.

Nutrient deficiency

An optimal supply of nutrients is of central importance for male fertility, as a lack of important nutrients can significantly impair the quality and quantity of sperm. Coenzyme Q10, trans-resveratrol, L-arginine, L-carnitine and omega-3 fatty acids are essential for healthy sperm production and function.

VILAVIT Male is a specially developed fertility supplement that contains all the important active ingredients in a high-quality form and optimal dosage. That's how we support men in improving their fertility.

Hormonal disorders

Hormonal disorders can also lead to infertility in men. The following hormones are particularly important for the formation of new sperm: testosterone, FSH and LH. A deficiency can limit male fertility.

Genetic defects

These include Klinefelter syndrome with reduced secretion of male hormones and reduced sperm quality. There is also deletion, the loss of information on the Y chromosome, which is responsible for male sexual expression. Genetic defects can be identified by means of a blood test.

Age

Age also plays an important role in fertility in men. From the age of 35, sperm quality declines. There is an age-related reduction in motility and sperm count. In addition, more chromosomal changes (DNA fragmentation) occur in the individual sperm cells.

Other risks

There are many causes of reduced fertility in men. Pre-existing conditions, often in childhood, such as infections, inflammation of the (epididymis) testicles, urinary bladder or prostate can affect male fertility, but additional risk factors include stress, eating habits, obesity, taking certain medications, alcohol and nicotine consumption and other environmental factors. Increased temperature in the testicle area can also have a negative effect on fertility (e.g. due to prolonged sitting, heated seats, saunas, etc.).

Diagnosis

In the case of infertility, the initial focus is often on examining the woman, while the man is often only examined after a delay. An early examination of the man is just as important and can save valuable time. The diagnosis of fertility disorders in men is carried out by a specialist in reproductive health, the andrologist, an expert in the field of urology. The following examinations and analyses provide important information on male fertility:

Detailed medical history with previous illnesses and life circumstances
Physical examination of the genitals
Ultrasound examination of the testicles
Hormone diagnostics (FSH, LH, prolactin & testosterone)
Spermiogram for semen quality & quantity
Testicular biopsy if necessary

Therapy for Male Infertility

Medical Treatment

Fertility Supplements
Micronutrients play a crucial role in improving sperm quality in male infertility. Targeted supplementation with essential vitamins, minerals, and antioxidants can promote the production of healthy sperm and positively influence their motility and morphology. Studies show that a balanced micronutrient supply, such as that found in VILAVIT Male, can significantly enhance fertility.
Surgical treatment of varicocele
A varicocele surgery can help with male infertility when enlarged veins in the testicle negatively affect sperm quality. The blood congestion increases the temperature in the testicle and can lead to oxidative stress. Both factors can impair the formation and function of sperm. During the surgery, the affected veins are microsurgically ligated to normalize blood flow. In many cases, sperm count, motility, and morphology improve afterward. Studies show that the surgery can increase the chances of natural pregnancy.
Testicular Sperm Extraction (TESE)
TESE (testicular sperm extraction) is a surgical procedure used in male infertility when no sperm can be detected in the ejaculate. During the procedure, the doctor removes small tissue samples directly from the testicle under local anesthesia or general anesthesia. Often, individual sperm can still be found in these samples, which can be used for fertility treatment with ICSI. TESE thus offers couples a chance for a genetically own pregnancy, even when natural conception is not possible.
Insemination (IUI)
Insemination is a simple form of assisted reproduction techniques and is often used in cases of infertility. Treated sperm cells are directly inserted into the woman’s uterus, usually at the time of ovulation. This method increases the likelihood that enough motile sperm reach the egg. It is mainly used when sperm quality is mildly impaired, the cause of infertility remains unclear, or intercourse is difficult for medical reasons. Insemination can be performed on an outpatient basis.
In Vitro Fertilization (IVF) or ICSI (Intracytoplasmic Sperm Injection)
IVF (in vitro fertilization) and ICSI (intracytoplasmic sperm injection) are the classic methods of assisted reproduction. In IVF, eggs are retrieved after hormonal stimulation and combined with sperm cells in the laboratory. Fertilization takes place in a petri dish. In ICSI, a single sperm is injected directly into the egg. This method is mainly used when sperm quality is severely impaired. In both procedures, the fertilized egg is transferred into the uterus after 3 to 5 days (transfer).

Lifestyle Changes

Healthy, balanced diet
A healthy, balanced diet can positively influence male fertility. Especially important are sufficient antioxidants such as vitamin C, vitamin E, and zinc, which protect sperm from oxidative stress. Omega-3 fatty acids also support sperm motility. Complex carbohydrates, high-quality protein, healthy fats, as well as plenty of fruits and vegetables promote hormone balance and the production of healthy sperm cells. Trans fats, processed foods, highly refined products, and sugar should be consistently avoided, as they can promote inflammatory processes and impair sperm quality.
Regular physical activity
Regular exercise plays an important role in male fertility. It supports hormone regulation, promotes blood circulation in the testes, and can improve sperm quality. Exercise is especially beneficial in cases of overweight, as a higher BMI is associated with reduced testosterone production and poorer sperm quality. Moderate endurance and strength training are ideal. Extreme sports or severe underweight can also negatively affect the hormonal balance.
Avoidance of alcohol and nicotine
Avoiding harmful substances such as alcohol and nicotine is especially important in male infertility. Both substances can significantly impair sperm quality by increasing oxidative stress and damaging the DNA of sperm cells. Other environmental toxins, such as pesticides, solvents, or heavy metals, can also affect fertility. Regular smoking or drinking increases the risk of lower sperm count, reduced motility, and a higher number of sperm abnormalities.
Avoidance of heat exposure
Increased heat exposure to the testicles can significantly impair male fertility. The testicles require a slightly lower temperature than the body’s core temperature to produce sperm optimally. Frequent wearing of tight clothing, prolonged sitting, hot baths or sauna sessions, cycling, as well as using a laptop or phone directly on the lap can raise the testicular temperature. This overheating leads to reduced sperm production and poorer sperm quality. Therefore, it is important to ensure adequate cooling and air circulation in the genital area to maintain fertility.
Adequate sleep and stress reduction
Adequate sleep and low stress levels are crucial for male fertility. Lack of sleep disrupts the hormonal balance and reduces testosterone production. This negatively affects sperm quality. Chronic stress leads to increased release of stress hormones and impairs sperm production as well as sperm motility. Periods of relaxation and good sleep hygiene support male reproductive ability.
Pimp my Sperm mit VILAVIT

Improve your Sperm Quality

Numerous medical studies have shown that the targeted intake of specific micronutrients can sustainably improve male fertility. Coenzyme Q10, trans-resveratrol, L-arginine, L-carnitine and omega-3 fatty acids are particularly important for increasing sperm production and quality. The targeted supplementation of these active ingredients improves both sperm quality and sperm count. This significantly increases the chances of successful conception.