Male fertility and hormone optimization

As a man, there are lot of things you can do to be healthy and fertile. Lifestyle changes can make a big difference to your health. At Mercier Sverige we help men by working on optimizing lifestyle and nutrition while supporting with nutritional supplements and herbs in preparation for fertilization.

Inflammation, heat, trauma, chemicals, sexually transmitted diseases, stress and nutritional deficiencies are all things that effect both the amount of sperm and the quality and ultimately your ability to fertilize an egg. We review all of these areas in our consultations to optimize just for you.

50% of a child comes from the father's genes and lifestyle, and we want to help you make sure that the conditions are the best possible.

I work closely together with Swedish OB/gyn, midwives, endocrinologists and GP’s. If needed we may refer to them for examinations and regular lab-work. We also have close connections with CBT therapists, medicinal yoga instructors and doulas. Our network of international ND’s, MD’s and physiotherapists is also a great resource.

"There is a lack of understanding and knowledge that male infertility might be a problem
- and because of it many IVF treatments are unnecessary"

-Dr Ashok Agarwal Leading infertility specialist
 at Cleveland Clinic in Ohio, USA. 


Male fertility

In infertile couples, the cause of the problem lies with the man about 30% of the time. The problems may be due to, among other things, reduced sperm quality, lack of sperm, and age.

Instead of a complete health check and physical examination of men's reproduction organ, men usually only leave a sperm sample. You only look at how many sperms there are, and their mobility, instead of investigating why sperm may be of poor quality.

"The lack of diagnosis and treatment of infertile men leads to an absurd situation in which women routinely receive IVF, although there is nothing wrong with their own fertility," says Sheena Lewis, Professor of Reproductive Medicine at Queen's University in Belfast, and Chairman of British Andrology Society. 

"We do an invasive procedure on someone who does not need it to treat another person.
It does not happen in any other branch of medicine"


Sperm quality

It takes about three months for sperm to be formed in the testicle. A healthy fertile man forms about 100 million sperms per day. The sperms mature in the epididymis for three weeks before they are released upon ejaculation. The maturation time in the epididymis is necessary for the sperms ability to swim.

You can influence your sperm quality by deliberately thinking about nutritional content in what you eat, chemical impact, your well-being, and avoid stress.

Professor Lewis advocates DNA testing for sperm and has published extensive studies showing that poor sperm quality does not work for assisted fertilization.

In 2017, a study was conducted on men from Europe, USA, Australia and New Zealand, showing that the sperm reserve has fallen by more than 50% over the past 40 years. It means that men today are half as fertile as their grandparents were. The study is a meta-analysis based on 185 studies that compared sperm from almost 43,000 men. Testosterone levels have also gone down with effects that begin in the uterus and continue into adulthood.
Endocrinologist Niels E. Skakkebæk at Rigshospitalet in Copenhagen believes that men's fertility is in full crisis.

"In Denmark, infertility is an epidemic. Over 20% of Danish men cannot become fathers."

There are several reasons for falling sperm reserves - stress, processed foods, smoking and too little exercise all contribute to lower reserves. More voices also bring up the chemical revolution that exploded after World War II and caused a large amount of chemicals to appear in our blood, which our bodies had never had to handle before.

Environmental toxins

When a chemical affects your hormones, it is called an endocrine disruptor, and it turns out that e.g. phthalates and BPA (both used to soften plastics) mimic oestrogen in the body and affect men by decreasing testosterone and forming fewer sperms. Phthalates and BPA are everywhere; in water bottles, medicines, receipts, cleansers, shampoo and in our food. The American CDC has established that almost everyone in the United States has measurable levels of phthalates in their body. The effect of these chemicals increases over generations, and also affects our genes, causing a low-sperm man to pass this on to his son. Other researchers suggest that female hormones in our water - from birth control pills - may also be a cause.

"We know it's going to be difficult to get pregnant in the future, and expensive - so expensive that having children maybe not be an opportunity available to everyone who wants to."

In May 2018 there was a symposium (13th International Symposium on Spermatology) in Lidingö (Sweden) with participants from all over the world. The chairs of the symposium called for the world's attention - male reproduction is crucial for our species to survive, the decline in male fertility is alarming and should be studied and there is no research and funding at the moment.