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