*1 out of 12 couples have subfertility.

*Male-related factors account for 40 percent of subfertility. Female-related factors account for another 40 percent and a combination of male- and female-related factors account for about 20 percent.

*About 90% of all subfertility can be traced to specific causes that can be treated.

Typical causes of male subfertility

*Sperm production problems

*Blockages in sperm's delivery system

*Injuries to testicles

*Low or high hormone production

*Anatomical problems

*Varicocele (varicose veins around testicle)

*Past illnesses/ infections/ various diseases

*Certain medications

Sperm quality

Sperm quality is a contributing factor for 40 percent of couples experiencing infertility. There are five main factors that contribute to sperm quality:

*Motility: The ability to move in an active fashion. In healthy sperm, typically more than 50% are active with over

25% moving forcefully in one direction. Motility is what enables a sperm to travel up cervical canal, into uterus and fallopian tubes and, finally, penetrate egg.

*Speed: Progressive motility. In a healthy male, greater than 25% of sperm will exhibit progressive motility. It is thought that these are sperm with best chance of successfully fertilizing an egg.

*Count: The number of sperm in fluid that is ejaculated (semen). There are over 40 million sperm in a normal ejaculate. A total count below 40 million may indicate decreased fertility.

*Concentration: A measure of number of sperm cells in a milliliter of semen. Normal concentration is at least 20 million sperm cells per milliliter of semen.

*Morphology: The shape and size of sperm. A healthy sperm cell will have a shape similar to a tadpole. The sperm's oval head contains genetic material, center provides energy and tail propels sperm forward.

Using strict criteria put forth by World Health Organization (1999), studies show lower pregnancy rates with less than 15% normal forms. Furthermore, experts believe that abnormally shaped sperm cannot fertilize an egg.

Motility, speed and morphology appear to be most important factors to assess fertilizing capability of sperm. Despite a low sperm count, many men with high-quality (viable and highly mobile) sperm may still be fertile.

By combining acupuncture, herbal medicine and supplements we have been able to effectively enhance and improve quality of

sperm. Not only do count, morphology and motility improve but sperm fragmentation is often successfully treated.

Another excellent application of Berkley Center's protocol is varicocelectomy recovery. One of causes of lack of improvement in sperm quality and count after a varicocelectomy is due to a lack of blood flow to testicles. The proper application of acupuncture, herbal medicine and supplements has been shown to successfully enhance blood flow to testicles and facilitate healing and significant improvement after varicocelectomy.

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