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Male Fertility Support:

What to Know About Sperm Health

Anatomy Photo of Male Reproductive System for male fertility support

Male fertility support is becoming an increasingly important part of the fertility conversation. While we’ve shared in the past how we support fertility through work with the uterus and ovaries, we also wanted to highlight our approach to supporting men’s reproductive health and sperm health.

More men are seeking support before trying to conceive with a partner—and for good reason. Sperm health matters, and there are many factors that can influence fertility, from hormones and nutrition to injuries, stress, and lifestyle.

Understanding Sperm Health

Healthy semen should generally be: odorless, sticky in texture, and not yellow in color.

If you have concerns about fertility, testing sperm health parameters with your medical provider can help give a clearer picture of sperm health and reproductive function.

Testing may include:

  • LH (Luteinizing Hormone)
  • Testosterone
  • FSH (Follicle-Stimulating Hormone)
  • Prolactin
  • Sperm count
  • Semen volume
  • Sperm concentration
  • Semen pH
  • Viscosity
  • Leukocytospermia
  • DNA fragmentation
  • Morphology

Hormones, Nutrients & Fertility

Women are not the only ones who experience hormone decline. For men this typically ocurrs around age 50, often tied to low testosterone. However, we are seeing this happen earlier due to factors like stress and toxicity, which may also contribute to lower sperm counts.

Vitamin A and Vitamin D are especially important for fertility. We recommend testing your levels to determine appropriate supplementation and retesting 2–3 months later to make sure the dosage is right for your body, since everyone metabolizes vitamin D differently. For vitamin D, an ideal range is often around 70–80.

Supporting liver function can also help liberate vitamin A and vitamin D in the body (this is something we work on!).

Fertility concerns can sometimes be linked to a history of concussion due to the effects on the brain and hormonal organs located there, including the hypothalamus, pituitary gland, and pineal gland. We work with people to help support balance in these areas.

When to Seek Support & What Treatment Looks Like

Most men could benefit from at least one session to check in on how their hormonal and reproductive systems are functioning.

We especially recommend seeking support if you know your sperm quality/motility testing came back less than ideal or you and your partner are having challenges conceiving.

Our evaluation and treatment process follows our general approach: we work to understand where the body is holding tension, address those areas, and observe how the body responds.

Sometimes the area needing support is close to the pelvis—but not always. We may also work with areas such as the liver, lungs, or even the big toe.

Part of treatment includes balancing the physiologic rhythm of major hormonal organs, including:

  • Hypothalamus
  • Pituitary gland
  • Pineal gland
  • Adrenals
  • Pancreas
  • Prostate

Another part of treatment may include assessing motility and blood flow around the perineum and base of the scrotum. This is done with underwear on, and we do not perform any internal work.

When assessing the scrotum motility (aka physiologic function), we need the scrotum to rest in our hands. We always ask for consent beforehand, and if you prefer to skip this portion, we can absolutely work around it. In some cases, a partner may join the session and place their hand between ours as a barrier to help increase comfort.

Lifestyle Factors That Affect Sperm Health

  • Heat Exposure:   Activities that increase the temperature of the testes may negatively affect sperm health, including saunas, hot tubs, and cycling. Cooling underwear may help for cycling.

  • Lubricants:  Lubricants may affect sperm health—even those labeled “sperm safe.” If sperm test results are less than ideal, consider using them sparingly or avoiding them altogether.

  • Electromagnetic Exposure:  Electromagnetic exposure affects all parts of the body, including the testes. Helpful habits may include keeping your phone out of your pants pocket (or at least on airplane mode), avoiding laptops directly on your lap, and turning off Wi-Fi at night.

  • Toxin Load:  Looking into your overall toxin load and seeking support may help so your body is not fighting an uphill battle while trying to process toxins.

Consider Limiting or Avoiding:  

  • Smoking
  • Vaping
  • Marijuana
  • Alcohol
  • Soy
  • Processed foods
  • Poor quality fats
  • Poor quality carbohydrates
  • Low-fat diets
  • High omega-6 intake without omega-3 balance
  • Excess sugar

Foods to Add In:  

  • Organ meats (especially liver)
  • Fish and shellfish
  • Vegetables
  • Fruit
It is also important to remember that sperm regeneration (spermatogenesis) takes about 74 days, so give any health changes at least 3 months before expecting measurable changes.

Resources & Next steps

We highly recommend reading Real Food for Fertility, which includes an entire chapter on sperm health along with supplement ideas.
If you're also looking for support around female fertility, check out our blog:
At Invincible in Lakewood, Colorado, our physical therapists specialize in female and male fertility support using visceral, neural, and vascular manipulation to assess how whole-body function relates to reproductive health. If you're interested in working with us. Book a call below!