RICH - Help

[sofie]

Hi Rich,
I'm a new member and I hope you dont mind me asking a few questions.
My DH had SA about 3 months ago showing 2% morphology with 98% showing head defects of enlarged or double heads. The other figures were vol - 1.28 ml; count per ml - 63 mill; total count - 80 mill; motility 24% type A, 28 % type B, 6% Type C & 42% immotile. PH was slightly high at 8.5.
Took supplements of Vit C, VitE, zic, folic acid, carnitine, arginine,pycnogenol, glutathione, omega 3,6,9, for 3 months, Stopped drinking & cycling (as advised by urologist) and had acupuncture once aweek.
SA repeated and following results -
vol - 3.8ml
count per ml - 56 mill
total count - 217 mill
motility - 49% type A, 17% B, 17% C & 17% immotile
Morphology - 4%
96% with head defects enlarged or double.
I'm worried that his morphology is genetic. We feel a bit disappointed and had hoped for better improvement in morphology.
Should we be more patient as repeated SA was only just 3 months after first?
Does the improvement in morphology indicate environmental causes or is the fact that the head defects of all remaining sperm (96%) indicate there is a common and singular cause for the poor morphology i.e. genetic.
I'm really sorry to ask so many questions but I feel a bit lost at the moment. You give good advice and I hope you can help me. Many thanks in advance.

[rich]

Dear Sofie,
You have asked a number of questions and gave a number of conditions which I don't mind but I'm going to try to make sense out of all of it. First your husband has a prostate condition due to the impact of the bike riding in that region. To ride a bike a special seat must be used by a male as the regular bike seat horn transmit impact to the prostate which inflames it, trapping prostate fluid as the prostate under a microscope looks like a hugh bunch of grapes connected to grape stems. Well the inpact causes swelling which closes the stems and the fluid becomes very alkaline which causes additional inflammation which results in high pH readings. 8.5 might seem slightly high to you or the doctor said so, 8.5 is high and a sign of prostate trouble whether infection or irritation. Since the S/A didn't show more than 5 blood cells per field view on count or more than 1 million round cells/ml which is indication of infection we have to presume its due to the inpact of the prostate further aggrevated by alcohol drinking. This why the Uro told him to give them up. Now you have brought the volume up in the second exam but the prostate still has blocked channels(stems on the grape clusters) and this will still make the semen more alkaline than it should be. It may be in spec range of 7.2-8.0 but must men come in around 7.5 pH. To clean out those channels and keep them clear get Mucinex. Mucinex is sold at Walmart and drugstores as anti decongestant. It is basically Guafensin, the same stuff women use to get more cervical mucus. What we are doing is totally liquifying the prostate fluid and using his own muscles at ejaculation to clean out the stems. What we are doing is lowering the pH of the prostate fluid and start working at relieving prostate growth. You have heard the commercial 'I thought I had a going problem but the doctor said I had a growing problem', well the prostate starts to grow because the fluid gets trapped and the prostate continually makes the fluid otherwise he will have BPH at the age 45-50 and be taking those pills with a greater chance of prostate cancer. Now this is for future conditions but what does it mean now. You stated the exam showed enlarged sperm not round which is hereity. I can make enlarged sperm by changing either pH or osmolity. pH you know about and the reason the range number is important. Osmolity is the amount of dissolved salt or ions in the semen. If the salt concentration is out of whack, the sperm take on or lose water changing their shape. The surface of the sperm is porous and can transfer water in or out depending on the salt concentration and(or)pH. Now you understand the importance of clearing up the prostate and getting that alkaline fluid out. The mucinex will change the fluid to water consistancy and force those channels open and clean out the calculi(calcium deposits which form from stagnant prostate fluid) which block those channels. This is almost the equivalent of a Uro prostate massage where the fluid is forced out manually. Taking one mucinex a day for 3 days with a good long bding with long arousal each day will clean him out and then taking one everyother month with bding as a tuneup or prophilaxis should help him out consideribly lowering pH of the prostate fluid and helping some with the enlarged sperm.
Now looking at the list of stuff taken you have everything except selenium, which is needed for proper morphing, manganese, increases sperm amount by 35%, and Vit B-12. A man's ejaculate contains high amounts of vitamin C, Zinc and Vit B-12. Vitamin B-12 minimizes the swelling of blood vessels and cells(starting to sound familar again).
Now it takes approx 76 days to make a sperm from start to finish and whether you realize it or not by your numbers, you had a 500% inprovment in quality of sperm from 1.6 million good in shape to 8.68 million good in shape, from 52% motility to 66% motile. Or in simple terms going from 800,000 sperm able to impregnate to 6 million able to do the job. You must remember a couple of things. One it took time to get into this fix and Two, it will take time to get out of it. Add the required items. A very good multivitamin/mineral will have the selenium and manganese in it and the superblends multis will have more Vit B-12 in them than he can use. You must remember he almost shots the daily recommended amounts from the FDA of Zinc, Vit C, and B-12 in each ejaculation. If these vits/minerals are low in his body, it directly effects his sperm quality. Now B vits have multiple uses in the body and swelling is only one of them.
I know you are going to have questions after reading this so fire away.

rich

[sofie]

Many thanks for your very helpful reply, you very kind to give your time to people in this way. It really does help and we are ever so grateful.
As to the figures -
The 2nd SA showed a ph of 8.4 (slightly lower).
I'm 38 and Dh is 40. He's been an avid cyclist for 10 years or so and has also been a bit of a drinker. He used to commute each day (round trip of 20 or so miles) and regularly have quite a bit to drink in the veneing in town and then cycle home.
Frequently (2-3 times a week at least) he would arrive covered in sweat from a hard ride ont he bike from town after having drunk quite a bit. We assumed at first the defects were heat associated but because they showed a common charactersitc we were worried they might be genetic/hereditary. We are concerned as to the amount of time we should leave attempting natural conception or whether we should just go for IVF/ICSI now.
I know this is an alost improssible q to answer, but do you thinks its worth hanging on for 2 or 3 more months for natural conception on the figures we have? How long do you think a regimen of mucinex would take to achieve any result?
Thanks again

[rich]

Dear Sofie,
I can't tell you how long naturally or when to go to heavy methods and going directly to IVF/ICSI is heavy. First thing you must keep in mind is that a S/A is a snapshot of the past. It is what is happening as of 90 days ago. It takes that long for the product to develope and come out. So today's sample is what happened 90days ago and today's operation won't show til 3 months have gone by. It is a frustrating aspect of male analysis.
Now the Mucinex treatment is for 3 to 5 days with ejaculation everyday and once every two or three months afterward as a tuneup. This is done as normal prostate fluid is thick and the amount of force needed to move a viscous substance is higher than a fluid medium. The extra force now translates into speed and forcefully blows the blocked areas clean or helps in breaking the area up. There is something like a couple miles of ductwork in the average prostate and clogging of it can easily happen. Now bike riding will aggrevate the problem as all thumps and bumps are translated as soft tissue injuries in the prostate area. Long distance truck drivers have the same problem as the vibration of the diesel engine thru the seat causes problems and special seats or inserts have to be used to prevent the problem.
Now the bike riding can be fun and a great way to tone the muscles but riding for endurance can be determental especially with the drinking as the muscles don't burn the alcohol, the liver does.
There is a list of items which should not be eaten as they raise pH of the prostate fluid or cause aggrevation to the prostate. Alcohol is one item and so is hot peppers.
I personally would give additional time with him to see the results as you are already at IUI levels with good sperm if properly separated. Once you pass the 1 million good mark, statistically you should be pregnant within 4 IUI tries. This is the Tygerberg statistical determination. Now if we get 16 million good ones in the ejaculate, he is considered fertile by WHO standards. If we get 32 million in the ejaculate , he is considered fertile by most fertility clinics. So do the Mucinex and check out what he is eating, get the additional vits in him and if he needs a workout, a good bding with you will get his heart rate high enough for a cardio-vascular workout.
If you have questions ask.

rich

[sofie]

Dear Rich,
Thanks for the explanation. One thing that worries me a bit is that from DH's SA he abstained for 4 days (as is the protocol for such test). In other words if he ejaculates each day around time of ovulation he will produce far less volume each day. I wonder if the total amount of sperm would be sufficient to give us anything more than a tiny chance of fertilization? Would it be best for him to abstain in follow up to ov period.
We are going to try naturally for a bit longer and give the mucinex a go (i think he's taking it already. What sort of foods or vits can I get him on to help reduce his ph (assuming the high ph is adverse to the sperm as well)?
Many thanks for the time you have taken to answer my questions, I really do appreciate it and I know you give a lot of people understanding and hope.
Sofie

[rich]

Dear Sofie,
You don't understand how the male body fully works. The prostate glan makes fluid all the time but goes into full production on arousal. So if a man is aroused for 30 minutes before the cannon goes boom, his prostate has made the full amount of fluid it can hold. If the man is aroused and you get his blood pumping for 30 minutes(degree of arousal), the vas deferens pump up the sperm and energize them to be the most motile, morphing best and most in the count. You normally get an improvement of 35% in all catagories,count,motility and morphing. So in this situation your looking at long period of foreplay before his friend meets your friend. No quickies.
Now a man in giving a sample tells you it was pleasant, he's lying. He's under stress, they hand him a cup, and send him into a room to look at magazines or movies and he gets it out as quick as he can. If after erection, it took 5 minutes all you are getting is what he has stored in the prostate and in the ejaculatory ducts. You don't have what was made as the testes are constantly producing but have to be pumped up. Now you fully understand the importance of the long arousal on the male. In many males a long period between ejaculations deteriates the quality of morphing as frequent going improves the quality. What we are looking for is fresh, highly energized swimmers right from the factory with no warehousing which loses quality.
Now the diet you are going to give him is the one which a person which has prostatitis has. The reason is we are trying not to irritate in anyway the prostate which will react by making alkaline fluid. So no alcohol for any reason, no pepper for seasoning or spicy foods, no caffeine from coffee, tea or colas. He can have flavorful foods but no spicy foods. The spice and the caffeine are excretated in the urine aggrevating it one way and are in the bloodstream aggrevating it another way. So he can eat pizza with almost anything on it except pepperoni and hot peppers. He can eat chinese but Hunan and Sezchuan are out. Use motrin or ibuprofin 200 mg to minmize any swelling as this will not effect sperm in anyway and helps the prostate. There are external massage methods which will help to get the fluid out of him and are physically pleasant for the man. What they do is relax the area and increase the bloodflow and at the same time you will be rubbing the prostate helping to break up the calculi and a fuller release is done when the time comes. What you have him do is lie on his back, bring his knees to his chest and then he tries to bring the souls of his feet together. This fully exposes his perinium area and to do this the muscles are relaxed. If you run your fingers from behind his scrotum to his anus, you will feel a sudden change in the angle of the muscles. Right below this point is the prostate. If you rub with your finger tips that area as you would a muscle, it releases all tensions in that area and leaves a pleasant tingling. Then you can start your foreplay and when the time comes, he will entirely drain himself on the ejaculation. You also can use a powerful vibrator on that point as a change with the same results. The new fluid on arousal is of a different thickness(viscosity) than the old stuff(consideribly thinner). The technique is Tantric but does work as the relaxation helps to get the stuff out.
I hope this answers your questions. If you have more fire away.

rich