Doctor insights on:
How Do You Know If Your Man Is Fertile
History and testing: The best sign is history. Has he had documented proof of having fathered children in the past. Technically this is not 100% proof, unless there is dna testing, due to the confounding factor of disputed paternity. The second best sign is a semen analysis, although that only tells you how he is "on paper" and does not guarantee that his sperm is functional. Most men with good sa's are fertile. ...Read moreSee 1 more doctor answer
Weight & lifestyle: Men who are overweight may get better sperm by losing weight, and men should cut down heavy alcohol and quit tobacco use, avoid illegal drugs and anabolic steroids, and review prescription drugs with their md. Abnormal semen analysis, such as low sperm count, always needs a 2nd test 1-2 months later for confirmation. I recommend seeing a reproductive endocrinologist, and/or a urologist. ...Read more
If a man did hardcore drugs in his past when he was young is there a chance that makes him less fertile?
Possibly: There may be possible damage to his reproductive cells. It depends on the "hard-core drugs". ...Read more
Unlikely: A varicocele is a mass in the scrotum caused by defective valves in the testicular veins, which cause blood to pool, and the veins to expand. The pooling blood raises testicular temperature and affects testosterone and sperm production, which can affect fertility. Men can still have babies w/ this, but the odds are lower. Tx safely w/ varicocelectomy, ligation, or embolization. ...Read moreSee 2 more doctor answers
Depends upon count: Men should have at least 20 million sperm in an ejaculate to be fertile. 10 million or less is considered infertile. Additionally, most of the sperm should be motile. However fertility can be increased by artificial insemination, ivf (in vitro fertilization) ; with as little as 1/2 sperm by icsi (intra cytoplasmic sperm injection0. ...Read more
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