Sperm production and health Information on diet, herbs, vitamins and natural supplements for health and low sperm count, review of causes
November 4 2018 by Ray Sahelian, M.D.

Sperm is the male reproductive cells produced by the testicles while semen is the fluid that contains it. Sperm normally develops to full maturity within a man’s testes from puberty onward. Producing sperm capable of fertilizing an egg is an absolute requirement to achieve a human pregnancy. An abnormality in such production or maturation can result in male infertility. This article on fertility offers suggestions on how to improve sperm health and count.
   Interestingly, Kilts, worn without underwear by Scottish highlanders, allows testicles to be in an environment of lower temperatures which is ideal for sperm production. The modern male clothing which includes underwear and pants raises the temperature inside the crotch by several degrees which may not be the ideal environment.

Low sperm count cause
Sperm count measures how many sperm are in a man's ejaculate. Anything over 20 million sperm per milliliter is considered normal. A sperm count less than 20 million per milliliter is called oligospermia. A low sperm count is one cause of male infertility. It only takes a single sperm to fertilize an egg (ovum). But the odds of a single sperm reaching the egg are quite low. A medical evaluation can help determine the reasons for such problems. Possible causes of low sperm count include varicoceles, a side effect of certain medications, excessive stress, exposure to radiation or certain chemicals, smoking, testicular abnormalities that are present at birth (congenital) and diet. A potential cause of low sperm count is soaking for prolonged periods in hot tubs or jacuzzis.

Defects in sperm within semen may be linked to a variety of health problems, including high blood pressure, heart disease, and skin and glandular disorders; Dec. 10, 2014, Fertility and Sterility, online.

Other causes include uncontrolled and inappropriate use of medication, metabolic disturbances, lack of vitamins and minerals, the impact of industrial pollutants, as well as addictive disorders (alcoholism, smoking and drug addiction).

Prescription drugs as cause of low sperm count or sperm damage
Finasteride (Proscar, Propecia), a medicine used for hair growth and enlarged prostate treatment, can cause low sperm count and fertility problems.

Fertil Steril. December 2013. Finasteride use in the male infertility population: effects on semen and hormone parameters. Finasteride, even at low doses, may cause reduced sperm counts in some men.

Common antidepressant drugs damage the DNA in sperm, A study of 35 healthy men given paroxetine - sold as Paxil or Seroxat by GlaxoSmithKline - found that, on average, the proportion of sperm cells with fragmented DNA rose from 13 percent before treatment to 30 percent after just four weeks. SSRIs decrease libido in some men and women. Women taking SSRI medicines are more likely to have a low birth weight baby.

Diet and sperm, role of food intake, herbs and spices
Diet may also play a role in sperm count. It is possible that high sugar intake or high blood sugar may damage sperm. A diet heavy in soy products could reduce sperm count.
   Sperm count and beef consumption: U.S. women who eat a lot of beef while pregnant give birth to sons who grow up to have low sperm counts. Perhaps pesticides, hormones or contaminants in cattle feed may be to blame. Chemicals can build up in the fat of animals that eat contaminated feed or grass, and cattle are routinely given hormones to boost their growth. In sons of 'high beef consumers' (more than seven beef meals a week), sperm concentration is lower.

In a study of 80 healthy men, aged 22 to 80, those older than 40 who consumed the most vitamin C, vitamin E, zinc and folate had less sperm DNA damage than those who consumed the lowest amounts. U.S. Department of Energy/Lawrence Berkeley National Laboratory, news release, Aug. 27, 2012.

Cinnamon spice supplementation has been found to increase production in a rat study. Iran Red Crescent Med J. 2015. Effect of Cinnamomum zeylanicumon on Spermatogenesis.

Cola as cause or just bad diet and lifestyle?
Dr. Tina Kold Jensen of Rigshospitalet in Copenhagen, Denmark along with Kold Jensen included 2,500 young men in their study. Those who didn't drink cola had better sperm quality -- averaging 50 million sperm per milliliter semen -- and tended to have a healthier lifestyle. In contrast, the 93 men who drank more than one liter (about 34 ounces) a day had only 35 million sperm per milliliter. They also ate more fast foods, and less fruit and vegetables. When looking at caffeine from other sources, such as coffee and tea, the decrease in sperm quality was much less pronounced. It is still not clear if the cola or the unhealthy lifestyle, or both, is to blame. American Journal of Epidemiology, online March 25, 2010.

Being overweight, shed those extra pounds
Obese men tend to have less-mobile sperm than their thinner counterparts. Fertility and Sterility, online January 7, 2010.

Young men who are obese have a lower sperm count than their normal-weight counterparts. Fertility and Sterility, online July 29, 2010.

Men who get moderate amounts of exercise have better motility than men who are less or more physically active. Sitting for prolonged periods, such as watching TV, reduces sperm count. International Federation of Fertility Societies / American Society for Reproductive Medicine meeting, Oct. 17, 2013, Boston.

Soy products and sperm count
Eating excessive amounts of soy-based foods could lower a man's sperm count. Soy based foods contain phytoestrogens. Dr. Jorge Chavarro of the Harvard School of Public Health in Boston, found that men that consumed the highest amounts of soy foods had a lower sperm count compared to those who did not consume soy foods. Some animal studies have linked high consumption of plant-derived estrogens known as isoflavones with infertility. Dr. Jorge Chavarro evaluated the intake of 15 soy-based foods in 99 men who went to a fertility clinic. They were asked how much they had eaten of soy-rich foods including: tofu, tempeh, tofu or soy sausages, bacon, burgers and mince, soy milk, cheese, yogurt and ice cream, and other soy products such drinks, powders and energy bars. Men in the highest intake category of soy products had 40 million sperm per milliliter less than men who ate no soy foods. A normal sperm count ranges from 80 million and 120 million per milliliter, and a sperm count of 20 million per milliliter or below is considered low. Overweight men tended to have lower sperm counts which could be due to estrogen production by fat cells. Journal Human Reproduction, 2008.

Eat more vegetables and fruits
Dr. Jaime Mendiola, of Instituto Bernabeu in Alicante, Spain believes men who eat lots of processed meat and full-fat dairy have poorer quality sperm than those who eat more fruit, vegetables and low-fat diary. He did a study with 61 Spanish men visiting a fertility clinic. Half of the men had poor semen quality and generally had a higher intake of processed meat and high-fat dairy than did the 31men with normal sperm counts. The men with higher-quality sperm tended to consume more fruits, vegetables and skim milk. The antioxidants found in fruits and vegetables may help protect sperm from damage. Meat and high-fat foods may expose men to higher levels of substances known as xenobiotics -- including steroids and various chemicals in the environment that have estrogen-like effects, such as certain pesticides and PCBs. Xenobiotics tend to accumulate in high-fat foods, which in turn accumulate in men with high-fat diets. Fertility and Sterility, March 2009.

Increase sperm count, motility and health with natural herbs and supplements - a natural sperm pill ?
There are several herbs and nutrients that can help you make more sperm.

Mar Drugs. 2015. Astaxanthin Improves Human Sperm Capacitation by Inducing Lyn Displacement and Activation.

Carnitine and Acetyl l-carnitine are nutrients that help sperm motility.
A dose of 500 mg of carnitine and 300 mg of acetylcarnitine can be tried initially and then the dosage can be reduced over time. High amounts can lead to restlessness and insomnia.

One of the important reasons for male infertility is asthenozoospermia, for which there is no specific cure for the time being. The authors explored the clinical effect of L-carnitine for infertile males with asthenozoospermia. A total of 135 patients with low sperm mobility  were randomly divided into Groups A and B, the former treated with L-carnitine (2 g/d) and vitamin E, while the latter with vitamin E only, both for 3 months. All the patients received semen analyses before and after the treatment, and were observed for adverse effects. Group A showed a significantly increased percentage of forward motile sperm after the treatment but no statistically significant differences were found in sperm density and the percentage of the sperm of normal morphology. The rate of pregnancy was significantly higher in Group A than in B after the treatment. No adverse events were found. L-carnitine, capable of significantly improving sperm motility and raising the rate of pregnancy, is a safe and effective therapeutic option for low sperm mobility . Zhonghua Nan Ke Xue. 2010. L-carnitine: safe and effective for asthenozoospermia. Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. 

Placebo-controlled double-blind randomized trial on the use of L-carnitine, L-acetylcarnitine, or combined in men with idiopathic asthenozoospermia.
Fertil Steril. 2005. To evaluate the effectiveness of L-carnitine (LC) or L-acetyl-carnitine or combined LC and LAC treatment in improving semen kinetic parameters and the total oxyradical scavenging capacity in semen. Sixty infertile men, ages 20 to 40 years, with the following baseline sperm selection criteria: concentration > 20 x 10(6)/mL, sperm forward motility < 50%, and normal sperm morphology > 30%; 59 patients completed the study. Patients underwent a double-blind therapy of carnitine 3 g/d, acetylcarnitine 3 g/d, a combination of LC 2 g/d and LAC 1 g/d, or placebo. The study design was 1 month of run in, 6 months of therapy or placebo, and 3 months of follow-up evaluation. Sperm cell motility (total and forward increased in patients to whom LAC was administered both alone or in combination with LC; combined LC + LAC therapy led to a significant improvement of straight progressive velocity after 3 months. The administration of carnitine and acetyl-l carnitine is effective in increasing sperm kinetic features in patients affected by idiopathic asthenozoospemia and improves the total oxyradical scavenging capacity of the seminal fluid in the same population.

Curcumin and turmeric
Phytother Res. 2018. Curcumin nanomicelle improves semen parameters, oxidative stress, inflammatory biomarkers, and reproductive hormones in infertile men: A randomized clinical trial. Patients were randomly assigned to one of intervention and placebo groups. Participants in the intervention group took daily 80 mg curcumin nanomicelle and those in the placebo group took daily placebo for 10 weeks. Semen analysis, anthropometric, physical activity assessments, total antioxidant capacity, malondialdehyde, inflammatory factors, and reproductive hormones were measured at the baseline and at the end of the study. At the end of study, statistically significant differences were seen in the total sperm count, sperm concentration, and motility in the intervention group to the control group. In treatment group, the total sperm count, sperm concentration, and motility levels were also statistically increased at the end of study compared to the baseline values. Curcumin nanomicelle supplementation also resulted in a statistically significant improvement in plasma levels of total antioxidant capacity, malondialdehyde, C-reactive protein, and tumor necrosis factor a in comparison to the placebo.

Maca for sperm count
Maca is an herb found in the Andes mountains in South America, and also known as a libido booster. A study was designed to determine the effect of a 4-month oral treatment with tablets of Maca on seminal analysis in adult normal men aged 24-44 years old. Nine men received tablets of maca (1500 or 3000 mg per day) for 4 months. Treatment with maca resulted in increased seminal volume, sperm count per ejaculation, and sperm motility, which would indicate positive effects on fertility. Its combination with yacon is also an option.

Effect of Black maca (Lepidium meyenii) on one spermatogenic cycle in rats.
Andrologia. 2006.
Lepidium meyenii grows exclusively between 4000 and 4500 m above sea level in the Peruvian central Andes. The hypocotyls of this plant are traditionally used in the Andean region for their supposed fertility-enhancing properties. The hypocotyls have different colours. Of these, Black maca has better effects on spermatogenesis. The present study aimed to test the hypothesis that Black maca has early effects during a spermatogenic cycle (12 days) of male rats. For this, testicular spermatid, epididymal sperm and vas deferens sperm counts were measured after 1, 3, 5, 7 and 12 days of treatment with Black maca. From this, it is suggested that first action of Black maca was at epididymal level increasing sperm count after 1 day of treatment, whereas an increase in sperm count was observed in vas deferens at day 3 of treatment. Testicular testosterone was not affected after 7 days treatment with Black maca. In conclusion, Black maca affects sperm count as early as 1 day after beginning of treatment.

I have two kids and my current wife has two kids. Is maca in any way bad for sperm count. I have been tested twice and the count is low. I have been taking maca for two years .I have a doctor and they will be doing varicocele test and more blood test but they are having me get off of saw palmetto, and prenelonine (?) . I exercise a lot as well. I am 43 years old.
   Maca usually has been found to be of some help but sometimes taking too much or too long may have reverse consequences in some people.

Mucuna pruriens herb
Effect of Mucuna pruriens on semen profile and biochemical parameters in seminal plasma of infertile men.
Fertil Steril. 2007. Departments of Biochemistry and Obstetrics and Gynecology, King George's Medical University, Lucknow, India.
To investigate the impact of mucuna pruriens seeds on semen profiles and biochemical levels in seminal plasma of infertile men. Sixty normal healthy fertile men (controls) and 60 men undergoing infertility screening. Before and after the treatment, seminal plasma lipid profile, lipid peroxide, fructose, and antioxidant vitamin levels were measured. Treatment with mucuna pruriens significantly inhibited lipid peroxidation, elevated spermatogenesis, and improved sperm motility. The present study is likely to open new vistas on the possible role of mucuna pruriens seed powder as a restorative and invigorating agent for infertile men.

Pycnogenol, pine bark extract
J Reprod Med. 2002. Improvement in sperm quality and function with French maritime pine tree bark extract. Nineteen subfertile men were given 200 mg Pycnogenol daily orally for 90 days. Semen samples were analyzed before and after treatment for sperm count, motility score and strict morphology before and after capacitation, and mannose receptor binding. Pycnogenol therapy resulted in improved capacitated sperm morphology and mannose receptor binding.

Arch Ital Urol Androl. 2015. Improvement of seminal quality and sexual function of men with oligoasthenoteratozoospermia syndrome following supplementation with L-arginine and Pycnogenol. We evaluated the effectiveness of antioxidant co-supplementation therapy using Larginine and Pycnogenol in Japanese men with oligoasthenozoospermia and mild erectile dysfunction (ED). A total of forty-seven adult males with oligoasthenoteratozoospermia syndrome (OAT) were eligible for enrollment. The effectiveness of supplementation with a combination of L-arginine 690 mg and French maritime pine bark extract (Pycnogenol(®)) 60mg for OAT and ED was investigated. The sperm concentration was enhanced significantly after treatment 2 and 4 months. This study suggests that the combination of Pycnogenol(®) and L-arginine (Edicare(®)) is helpful for infertile men to ameliorate simultaneously quality of sperms as well as erectile functions.

Antioxidants could be helpful
Antioxidant intake is associated with semen quality in healthy men.
Hum Reprod. 2005.
We seek to determine whether dietary and supplement intake of specific micronutrients (zinc and folate) and antioxidants (vitamins C, E and beta-carotene) is associated with semen quality. Ninety-seven healthy, non-smoking men provided semen and were interviewed. Semen volume, sperm concentration, total sperm count, motility, progressive motility and total progressively motile sperm count (TPMS) were measured. After controlling for covariates, a high intake of antioxidants was associated with better semen quality but, in almost all cases, there was no clear dose relationship in that moderate intake groups had the poorest semen quality. Folate and zinc intake were not associated with improved semen quality. In a convenience sample of healthy non-smoking men from a non-clinical setting, higher antioxidant intake was associated with higher sperm numbers and motility.

Fish oils for semen quality or sperm health
Fish oils could help increase sperm volume.

Sperm health and diabetes
Diabetes may be damaging to sperm, which could affect men's fertility. There appears to be DNA damage in sperm cells of men with diabetes -- a possible sign of reduced fertility. Researchers at Queen's University in Belfast, Northern Ireland, studied sperm from 27 men with type 1 diabetes, with an average age of 34, and 29 non-diabetic men of similar age. They found that while semen volume was lower in diabetic men, all other measures including sperm concentration, output, form, structure and ability to move appeared normal. However, when they looked at the DNA, they found much more damage in the sperm of diabetic men. Sperm damage can impair male fertility and has been associated in couples with a history of miscarriages.

Healthier sperm may mean longer life. A study by Dr. Tina Kold Jensen included more than 40,000 Danish men who were followed for up to 40 years. Dr. Tina Kold Jensen says, "No matter what you look at, the risk of dying is decreased if you have a good semen quality compared to low; the poorer the semen quality, the higher the risk of dying." American Journal of Epidemiology, 2009.

Male Sperm production
For men with low sperm count, sexual abstinence -- but only for a day -- increases semen quality. More prolonged sexual abstinence may actually reduce sperm numbers. After only two days of abstinence, sperm from patients with male factor infertility initiate a process of quality degradation. The findings are important for men trying to father children through in vitro fertilization, or even through the natural method.

Human Sperm
Remarkably few sperm are actually produced with each ejaculation. There's usually 2-6 millilitres (about one half to a teaspoon), which contains between 200-300 million sperm and a mixture of sugar, protein, vitamin C, zinc and prostaglandins (the latter help the sperm travel through the womb). The sperm only make up 5% of the volume. And it's low in calories - just five per teaspoonful.

How long do sperm live - life span
Sperm can live 2 to 3 days after ejaculation into the vagina (maximum 5-6 days). Sperm that are ejaculated only live an hour or two outside the body depending on where they are, how much exposure the sperm have to air, heat, sun, etc.

Normal Sperm Count
A normal sperm count is 20 million or more sperm per milliliter of semen. At least 60 percent of those sperm should have a normal shape and show normal forward movement (motility). These numbers are a bit arbitrary because some men with low sperm counts have fathered children. Likewise, some men with higher sperm counts have been unable to father children. Newer methods of artificial insemination can produce pregnancies when low sperm count is a factor.

Increasing Sperm Count, Sperm Volume and Sperm Motility Research Update
Placebo-controlled double-blind randomized trial on the use of L-carnitine, L-acetylcarnitine, or combined L-carnitine and L-acetylcarnitine in men with idiopathic asthenozoospermia: Fertility & Sterility 2005.
The administration of carnitine and acetyl carnitine is effective in increasing sperm kinetic features in patients affected by idiopathic asthenozoospemia and improves the total oxyradical scavenging capacity of the seminal fluid in the same population.

Sperm morphology basically describes the percentage of sperm that look normal. Common causes of abnormal morphology include varicocele, drugs, heat, and very infrequent ejaculation.

Q. I have been reading and enjoying your website and information. It's great to see a doctor that gives so much information and even proper documentation to support. I am a 52yo man, walking jogging and eat a high alkaline diet low in red meats. Sexually my wife and myself are very happy. I do take tongkat ali off and on and a whole food vitamin. I am interested in Passion Rx and will be ordering to replace the tongkat. It seems to focus on more of the physical and mental side of sexuality, if I'm understanding correctly. My interest is in testosterone level and increasing this. I've noticed that my ejaculation volume is not as high and can take a while to "refill." Erections are great and libido without complaint.
   A. There is very little research in how to increase sperm volume. I will add more information to this section as I come across more research. For now fish oils and acetylcarnitine are good options.

How to produce more sperm - fact
Semen consists of sperm cells, testicle fluid (5%), seminal fluid (60%), prostate fluid (30%) and Cowper's gland fluid (5%). Eating more fish or taking fish oil supplements could potentially help.

Smog is not just bad for the lungs. It can hit a man's sperm count too. The University of Southern California looked at the sperm counts of 48 men who donated at least 10 times in two years to a Los Angeles sperm bank. Using air pollution measurements from the area where each man lived, Rebecca Sokol's team estimated how much pollutant they were exposed to in the days leading up to each donation. The team, from the University's Keck School of Medicine, found that ozone formed in smoggy air was the only pollutant that appeared to be linked to decreased sperm production. Carbon monoxide seemed to have no effect. Ozone cannot reach the testicles directly but it may cause an inflammatory response or produce toxic substances in the blood that damage sperm.

Sperm quality and vaginal lubricants
Some sexually active couples use vaginal lubricants without realizing this could harm the quality of sperm. Dr. Ashok Agarwal from the Cleveland Clinic, Ohio evaluated the effects of four commercially available vaginal lubricants (FemGlide, Pre~Seed, Replens, and Astroglide) on sperm motility and the effects of three lubricants (Pre~Seed, K-Y Jelly, and FemGlide) on sperm chromatin integrity. In tests of semen samples from 12 men, Replens, Astroglide, and FemGlide caused significant decreases in sperm motility after 30 minutes, whereas Pre~Seed caused no significant decrease in sperm motility compared with sperm in a control solution. Sperm chromatin damage increased significantly after exposure to FemGlide or K-Y Jelly, the report indicates. Fertility and Sterility, February 2008.

Q. There are a number of alleged sperm enhancers out there, i.e Sememax, Volume pills, Spermamax, Quantum Pills. They are they all claim natural herbals. Do you plan to develope a natural supplement to enhance sperm production, or possibly increasing count, or do you have anything similar.
   A. Anecdotal reports indicate Passion Rx increases sperm production and volume, and fish oils could be helpful in increasing sperm volume, along with eating cold water fish such as salmon and halibut. We have not studied Semenax, Volume Pills or Spermanax to know whether they are effective in enhancing sperm production.

Q. I keep getting spam promoting a product called Spur M for more sperm. Almost every day a Spur M spam comes to my email box. Spur M promises to increase sperm count. Do you have a Spur M review? They promise Spur-M XtraCum improves quality of sperm, motility of sperm, reversal of low sperm count, overall improved production of semen and sperm.
   A. Any company, such as Spur M, that sends out unsolicited email, or spam, is immediately suspect. I would not even trust that Spur M has the ingredients they list until proven otherwise. If a company is shady enough to send spam, they cannot be trusted on anything. An internet search reveals that Spur M has several ingredients. Each Spur M tablet contains: Salabmisri (Orchis mascula) 130mg, Kokilaksha (Hygrophila auriculata Syn. Asteracantha longifolia) 64mg, Vanya Kahu (Lactuca scariola) 32mg, Kapikachchu (Mucuna pruriens) 32mg, Suvarnavang (Mosaic gold) 32mg; Extracts Vriddadaru (Argyreia speciosa) 64mg, Gokshura (Tribulus terrestris) 64mg, Jeevanti (Leptadenia reticulata) 64mg, Shaileyam (Parmelia perlata) 32mg.
     Speman promotes spermatogenesis by improving the testicular, seminal vesicle and epididymal functions. Speman improves the sperm count and the quality of semen by increasing the LH-FSH producing basophil cells in the pituitary. Each Speman tablet contains:Pdrs. Salabmisri (Orchis mascula) 130mg, Kokilaksha (Hygrophila auriculata Syn. Asteracantha longifolia) 64mg, Vanya kahu (Lactuca scariola Syn. L.serriola) 32mg, Kapikachchhu (Mucuna pruriens) 32mg, Suvarnavang (Mosaic gold) 32mg, Extrs. Vriddadaru (Argyreia speciosa Syn. A.nervosa) 64mg, Gokshura (Tribulus terrestris) 64mg, Jeevanti (Leptadenia reticulata) 64mg, Shaileyam (Parmelia perlata) 32mg.

Q. My friend told me that sperm quality goes bad with age, is that true?
     A. Sperm declines in quality as men age, swimming more slowly and becoming more genetically defective. Even though men make fresh sperm every day and can father children well into old age, they become less fertile and also tend to have more children with birth defects. Men who wait until they are old to have children may be increasing the risk of having children with genetic problems.

Q. I know you cannot prescribe treatments and that everyone is individual- ie you are  totally off the hook as far as I am concerned. My question: I will get Passion Rx and try it. Does it possibly increase volume of ejaculation? I see that you made a comment about some product Spur M which I had never heard of. You discounted anything that arrives as a spam email with which I agree. Do you have a product that specifically address the sperm volume issue, or can you suggest some things I could look.
     A. Some people report Passion Rx to increase sperm volume, and you could consider eating a lot more cold water fish such as salmon, halibut, sardines, etc which have protein and important oils found in sperm. Perhaps fish oil capsules may help, too, but we are not fully sure of this.

Q. I am a 40 yo gay male. When I ejaculate it feels as though a lot would come out and very little comes out. The question is how do I or what can I do to increase the volume of sperm?
   A. it's difficult to say for sure, but eating more cold water fish or taking fish oil capsules can sometimes help form more sperm. Some sexual herbs may help but it is difficult to predict which ones in any particular person.

Q. How do I know what product is best for semen or sperm increase? Quantum, Volume, Semenax? None of these has any National Credentials or mentions certified lab research. I would be a permanent customer if any of these products had free samples with decent results.
   A. We are not aware of any studies that have evaluated an over the counter trademarked herbal product such as Quantum, Volume, or Semenax for sperm or semen quality and quantity enhancement so we don't know at this time.

Q. I am man 43 years old, I would like to ask you regarding semen, sperm and premature ejaculation... do you have or produce herbal vitamin / supplement for men who had premature ejaculation and fertility problems such as low sperm count and low sperm motility or the herbal vitamin for men who wishes to increase the volume / improve production of semen and sperm and also increase my volume / extend the time of ejaculate and intensity / power of orgasms.
   A. A combination of eating cold water fish, taking fish oil capsules, and Passion Rx may be helpful.

Q.  Is it okay or is it safe to take semenax with Passion Rx in the same day ? the ingredients of Semenax is: L-Arginine HCL , L- Carnitine, L-Lysine, Epimedium Sagitatium, Zinc Oxide, Catuaba bark, Pumpkin Seed, Maca, Vit E, Zinc Aspartate, Pine bark, Muira puima, Hawthorne, Tribulus, cranberry, avena sativa, sarsaparilla.
   A. Passion Rx is potent and we don't recommend it the same day as other products with sexual herbs.

Q.  I am 54 years of age and in great shape, work out regularly… annual check-ups ect.. I am looking for a product to increase my volume at time of orgasm…at present I am likely half or less of what I could produce as a younger man. Has been a gradual lessoning. Do you have a product I could try?

Q. Do you know of any herbal supplements which might help in removing or reducing spermatocele cysts ?
   A. We are not aware of such herbs for spermatocele treatment at this time.

Q. Is there a home method to produce more male cell sperm count than female cell sperm count?
   A. Not that we are aware of.

Q. Azoospermia questions - I have no sperm and wondered if u could help in any way, i have been married 9 years and been through lots of treatments except herbal treatment , i was looking at your website and found info on the herb maca , will this be any good to me?
   A. It is impossible to predict the response to any supplements in the treatment of azoospermia. There are many causes of azoospermia, and the treatment depends on the cause. If many traditional methods have been explored without success, then natural supplements are worth a try.

Q. My husband is 56 and I am 43. We both have children from our first marriages. His sperm count and mobility is said to be satisfactory. I have had my Fallopian tubes cleaned; we have been tying to produce children for the last 6 years. The doctors find no medical problems in both of us. How can we improve the sperm quality and fertility?
   A. We can't make specific suggestions, but you may with to read the info on this page regarding sperm health.

Q. I am 23 and my husband is 27. We have been trying for a baby for the past three years. We have just been told that he has a sperm count of 0.5. Does this mean that he is sterile? If so is there anything we can do to have kids?

Q. With the reference to the subject of sperm count, sperm health and quantity improvement please help me. I am married 22 year old male. I had married before 3 year but still I am suffering from low sperm count trouble. My Father and mother are living very sad due to my infertility because my father and my mother have no one except me. Now dear sir please tell me how we can increase our sperm count and volume. If you have such type of medicine then how we can get this medicine. My sperm volume is 3.5 ml and quantity per is 48 %.
   A. Some of the suggestions on this page regarding sperm health and increasing sperm count may be worth trying.

Dr. Sahelian, I am a PhD. and I wanted to compliment you on your wonderful page on sperm health and function. As an andrologist, I am always so disappointed in the information available to people who are trying to conceive. I would like to mention your site in my blog at preseed.com if that is OK. Yes, I am the inventor of Pre~Seed, and am happy with the reference to the Cleveland Clinic study regarding our product! My blog tries to focus on lots of education and empowerment for TTC couples. So I think your sperm write up would be great! Joanna Ellington PhD, CEO INGfertility.
   Sure, thank you.

My wife and I are struggling with fertility. It is b/c of my low sperm count. I was wondering if you know of or have a natural drug or natural herb that increases sperm count and even motility.

L-carnitine, L-acetylcarnitine, Mucuna pruriens, and Maca seem to be the combination of meds I would need to take to help with sperm count, motility, and morphology. Is it safe to take all of these together? What would be the proper, safe doses for optimal sperm health and motility and count? Is there a combined supplement with all of this in it?
   Little human research is available to know which supplements are best to use for sperm count and volume increase and in which combinations. Research in this area is still very early. One option is to try each supplement separately for a few weeks. There can be overstimulation, insomnia, restlessness and other side effects if too many supplements and herbal extracts are taken together.

Hi, I am from Saudi Arabia, actually we got marriage 8 years ago and we have one 6 years child. But now we would like to again give to a birth new child and we are trying from the one and half years but still not satisfied. So how I increase my amount of sperm without eating any medicine and pill only such healthy food nutrition. So I should be very obliged if you could suggest me the full details of nutrition without any medicine and pills.
   Eating healthy foods such as fish and decreasing the amount of junk foods such as foods with high sugar may be helpful.

I came across in July 2008 of recent news article that soy products reduce sperm count but what bothers some men is that the estrogen you get from isoflavons and tofu as well as soya milk is very harmful to the prostate. This is a bit confusing as many say that isoflavones are very good for the prostate.
   There is no good evidence that soy milk or soy products harm in reasonable amounts harm the prostate gland. If that were the case prostate problems would have a much higher incidence in Japan, and that is not the case. See newsletter 2008 for a review of soy products and sperm health.

Since 1 year my sperm production suddenly has decreased dramatically from 10 gram to 2 drops. My age is 77 year, and for the rest I have a good health, don't use medicines, don't smoke, don't drink alcohol, good blood pressure. There are so many products claiming to increase sperm production but as a not-doctor it is impossible to know which products can help me with sperm production. Please give me some good and simple advice, for example which ingredients are specific for regeneration of sperm production. My problem is not Erectile Dysfunction, my problem is the lack of sperm production.
   We cannot be specific in regards to which supplements to recommend for sperm production, however we suggest your doctor review this page on natural sperm production information.

I noticed in several places you discuss how sperm quality declines with age and that older men may have increased risk of fathering children with birth defects. I'm left with two questions: How old is old? (40? 50? 60?) and second, Is there anything you would recommend for an otherwise healthy man to improve the quality (or reduce DNA defects)?
    Each person ages at a different rate therefore it is not practical to specify a particular age as a cutoff for being too old in having healthy sperm. Anything that improves health through exercise, diet, good sleep, etc, is likely to improve sperm health.

I have read with interests regarding your web and supplements you suggests to be used for man infertility. I am sure that these supplements are useful for enhancing human sperm functions. However, I have read an interesting paper saying that Platelet-Activating Factor (PAF) is associated with sperm functions because it has been found that PAF has been identified as an endogenous component of spermatozoa from several species including human, and furthermore, spermatozoa possess the enzymatic complement to synthesize and metabolize PAF. If the chemical precursors of PAF could be used as the supplement, such as 1-O-alkyl-acyl-phosphatidylcholine, are the other phospholipids useful for improving sperm functions?

I have a Basset Hound that is out of International Champions, he cost $4000. He is diagnosed with low sperm count. Would, Maca, Siberian Ginseng, Tribulus terrestris, catuaba or muira puama work to raise it? At what dosage? Will any work together? Would he remain on them daily or would he be on so many months then off a month? Would appreciate any help or recommendation.
    It is difficult to predict which herb or combination would be helpful. I don't have any experiences treating dogs or other animals, so I don't know which dietary supplements would be helpful.

I'm 62 years old, have reasonable erections although not like when I was younger. I am a cardiac patient having had a quadruple bypass a few years ago but in good shape. I'm 90% vegetarian, don't eat meat except the usual occassional tuna and less frequently chicken. I have very little semen volume. It's been happening for the last 5 or 6 years. It happened very suddenly. It can be some or less to almost none. Had a through blood test recently and my testosterone is good, as was everything else except some heightened inflammatory markers and slightly inflated sugar, which my doctor and I thought was due to my very high fruit intake, so we flipped my eating around to 3:1 vegetables to fruit and in a week my back back pain subsided significantly. I realize you can't make a medical determination but I'm wondering if any of the products you sell might address my low semen volume. I've done quite a bit of research on this and I having been taking some supplements with minimal results (maca, folate, zinc, vitamin C, D3, K2 with MK7, lycopene, B12-but only occasionally maybe need to take it daily, 2400mg Omega 3.