Protecting the sperm before it’s too late

Elisa Moya Gutiérrez
Embryologist at UR Vistahermosa, PreGen (UR Vistahermosa)

Category:
Male Factor

sperm-protection-before-too-late
From this video you will find out:
  • What can affect seminal quality?
  • How can we test sperm quality? What other tests are available besides the seminogram?
  • What are the most common environmental factors that influence sperm quality?
  • Are there any studies linking alcohol consumption to reduced fertility?
  • What about electromagnetic radiation? How does it impact sperm quality?
  • How does age impact male fertility?
  • How can sperm quality be improved? What are the best supplements? 

How can I make my sperm healthier?

In this webinar, Elisa Moya Gutiérrez, Embryologists of UR Vistahermosa, Alicante, Spain, has discussed sperm quality, how age can affect its quality and what can be done to improve its quality.

How can I make my sperm healthier? - Questions and Answers

To test sperm DNA fragmentation, how the fresh sample has to be? The clinic is in a different country, it would take days to arrive.

If it’s fresh, you just use it on the day you collect it. If it’s a fresh sample, you can’t use it 3 or 5 days later, so you could only do that if you freeze the sperm.

The clinic advertises you can send fresh sperm sample overseas, and they can test fragmentation, so if I understand, it’s not possible to test it for fragmentation on the same day as the sample is produced?

Maybe some clinics do that, we don’t do that. We always say that if you want to test sperm, you need to do that one hour after the sample has been taken because this is the best way to know how the sperm is. If more than one hour passes, you can have less mobility, less vitality of the sperm and even more fragmentation, so we prefer to do the fragmentation when it’s fresh until one hour passes. 

Is glutathione good for sperm morphology? Can you recommend something for morphology?

The amino acids or all the components can be good for morphology or motility or for the sperm itself, but of course, it will not correct the morphology completely. This is all a combination of factors, and this is all about life habits.

If you still smoke or drink alcohol, or you are obese, it will not improve morphology, even if you take it. What will improve it, it’s the convenience of all the factors that we mentioned. It’s not only one thing you need to combine, all the factors mentioned have to be combined to improve the sperm.

What amount of sperm should we preserve before planned radiotherapy?

It depends on how the sperm is before the radiotherapy. If you have a good quality of sperm, I think with one, two or three fresh sperm samples that we can freeze, it will be okay. If the sperm is of bad quality already, you should have more frozen sperm samples.

Do you know if radiation done to another part of the body (not pelvic) would affect fertility?

It depends on where, and of course, we recommend freezing it even it’s not in the testicle area. I think it’s better to freeze it just in case. Maybe it will not affect it, but if it does, it’s not irreversible, so it’s better to freeze it so that you don’t have any problems later.

Could sperm DNA undergo impairment through in vitro handling (after the collection)?

Even if you freeze the sperm, it doesn’t create more DNA fragmentation, so it won’t harm the sperm.

Does chemotherapy always affect fertility? Would a mild one also affect it, or it would require more time to produce a healthy sample again?

It does affect fertility, it has been demonstrated that it does. It is, of course, depending on the dose and the radiation that you have. It can be worse or better, so the best thing to do if you are in the middle of chemotherapy is to confirm that the sperm is still good, to see if you still have some sperm and some mobility, it’s better to freeze it.  I have said it many times, but I think it’s the best thing you can do. Maybe it doesn’t affect it, and maybe it will be better with time, but it’s better to have this security.

Authors
Elisa Moya Gutiérrez

Elisa Moya Gutiérrez

Elisa Moya Gutiérrez is one of the embryologists of UR Unidad de Reproducción-Hospital Vistahermosa- Alicante, Spain. She is part of the Andrology and embryology laboratory. Elisa holds a Degree in Biotechnology, by Universidad Europea de Madrid. She is a Master of Science in Reproductive Medicine and Genetics by Universidad Miguel Hernández. Elisa also speaks Spanish, English and German.
Event Moderator
Caroline Kulczycka

Caroline Kulczycka

Caroline Kulczycka is an International Patient Coordinator who has been supporting IVF patients for over 2 years. Always eager to help and provide comprehensive information based on her thorough knowledge and experience whether you are just starting or are in the middle of your IVF journey. She’s a customer care specialist with +10 years of experience, worked also in the tourism industry, and dealt with international customers on a daily basis, including working abroad. When she’s not taking care of her customers and patients, you’ll find her traveling, biking, learning new things, or spending time outdoors.

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