Infertility has traditionally been thought of as a woman's problem.
 But as it turns out, we men don't get off that easily.
 
 About one out of every three cases of infertility is due to the man alone, and we're somehow involved in infertility about half the time.

A diagnosis of male infertility can be one of the hardest challenges a man can face.
 For some, it can be devastating.
 
 After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree.
 Not being able to father a child can make a guy feel like he’s failing at one of his most primal responsibilities.

Unfortunately, some men have to cope with the reality that nothing can be done about their infertility. But for other men, advances in male infertility treatment offer real help.

Understanding male infertility: Sex COMMANDO

To better understand infertility, here's a refresher course on the birds and the bees. (Anyone caught giggling will have to stay after class.)
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Sperm are made in the testicles. They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. 
 
 Sperm are nourished by semen, which is made by glands along the way.
 When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis.

This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system.

Women ovulate — send an egg down into the uterus — once a month.
 This happens about 14 days after menstruation.
 
 Sex any time in the five days before ovulation can create a pregnancy.
 Sex any other time, even the next day after ovulation, will not result in conception.

“We generally advise couples to seek fertility evaluations if they are unable to conceive after 12 months of unprotected intercourse,” says Lawrence Ross, MD, president of the American Urological Association.
 
 About 85% of couples will have had a pregnancy by that point. “If they are over 30, they should seek evaluation after six months.”

Sperm Booster?

                                                    

Male Infertility Probed

Some men are gritting their teeth and gulping down a few ounces of a citrus-flavored dietary supplement that the manufacturer says is "specifically designed to optimize sperm quality."
Besides the taste, there's the cost. The supplement, called VITOLIZE MEN, costs $30 for a six-month supply. But many men and their wives think it is worth it. The problem, according to urologist Larry L. Lipshultz, MD, is low-quality sperm.
That's why Lipshultz advises some patients to take VITOLIZE FOR MEN, anover-the-counter product manufactured in Italy for a Maryland company. Lipshultz is the director of the first U.S. clinical trial for the dietary supplement.

 Researchers are eager to find out if it works as they gain more knowledge into the nature of male infertility.
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"We need to raise awareness of male infertility," says Schultz, director of the VITOLIZE MEN study and head of the Division of Male Reproductive Medicine and Surgery at Baylor College of Medicine.

 He ticks off statistics from a 1998 government study: 1.1 million U.S. women per year make appointments with their gynecologists for infertility. Of those cases, only 20% of male partners, some 250,000 men, were referred for evaluations, he says.
The main ingredients in VITOLIZE MEN -- levocarnitine and acetyl-L-carnitine -- have been "around for a long time," Lipshultz says.

The ingredients have been tested many times in Europe -- where they have been used for some 30 years -- and while the results were encouraging, the tests were poorly done, he says.

 VITOLIZE MEN also is being tested at The Jones Institute of Reproductive Medicine at Eastern Virginia Medical School in Norfolk, Va., site of the nation's first in vitro fertilization procedure.
In healthy people, levocarnitine is responsible for carrying fats into cells and also is a source of fuel, according to proXeed's manufacturer.

Fats are the major source of energy for sperm movement.
 Acetyl-L-carnitine, the firm says, is important for the development of cell membranes, another important component of sperm that allows them to fertilize the egg.

VITOLIZE MEN also contains fructose, a major energy-yielding substance in semen, and citric acid, a key intermediary in energy production, according to the company.
Talk to your doctor to see if VITOLIZE MEN might be right for you or your partner.
 As more evidence surfaces on the benefits -- and potential risks of the supplement -- doctors will feel more comfortable about whether to recommend the supplement as part of the overall treatment for male fertility problems.


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