Showing posts with label male infertility. Show all posts
Showing posts with label male infertility. Show all posts

Saturday, November 3, 2012

Get your Mo on for men's health!

It's that time of year again when men around town start sporting odd-looking facial hair, looking like someone out of a barbershop quartet or a bikie!

No, it's not a cyclical trend of course - it's Movember, where men grow moustaches in support of promoting men's health. The global, month-long charity which had its humble beginnings in Melbourne specifically raises money for research and awareness into prostate cancer and male mental health.

The statistics are quite frightening,  with rises in the diagnosis and treatment of depression (linked inextricably to incidences of suicide in seemingly-happy males). Male life expectancy is about 5-6 years less than women; The suicide rate in males is four times higher than women; and it is estimated that five men die prematurely each hour from potentially preventable illnesses.

The Movember movement has shown to be effective not just in raising awareness about andrological health in mens' minds, but also in making significant changes in their lifestyle - the most important being actually visiting a doctor and getting a health check! As I've written on this site before, men are often reluctant in going to see a doctor in order to get checked out, let alone if they are actually starting to feel sick. Prevention is far better than the cure, not just for the individual, but also is thought to significantly make a difference to the national budget on health and take the strain off an already struggling health system.

Chinese Medicine of course has as its fundamental axiom the principle of preventing disease before it happens. The idea of treating sickness was likened to trying to fill a well when the village is dying of thirst. With our unique diagnostic system, such as the observation of the pulse, the examination of the tongue, palpation of the channel system, and the interpretation of various signs and symptoms as part of a larger 'pattern', we are able to gain subtle insights into the state of an individual's health. Often, some of these signs reveal the beginnings of more serious conditions, signs that the average person wouldn't think twice about, or consider a sign of becoming something more serious.

These Signs include constant headaches, persistent lower back pain, dribbling after urination, decreased libido or sexual function, feelings of discontent, waking up tired, unable to fall asleep, bloating after meals, changes to regular bowel habits, putting on weight, constant irritability or short tempers, greying and loss of hair, inability to cope with stress, feeling overwhelmed, rib-side pain, acid reflux, indigestion, shoulder and neck tension, recurring colds and 'flus, and so on.

On their own, these things seem innocuous and harmless. But when there is a pattern of these symptoms occurring more than once or twice, they point to what Chinese Medicine practitioners refer to as a 'pattern of disharmony'. A presenting pattern may be nothing that causes a disruption to one's normal daily routine, but if left unaddressed it can progress on to other more serious and chronic conditions.

Being able to see these patterns and treat them is part of the preventative process. Treating these disorders gently and natural with Chinese herbal medicine and acupuncture means reversing the disharmony gently, and then building the body, mind, and emotions up to be strong. Strength in men is important, as it allows us to be authentic individuals, to bring out our natural protective tendencies and to hold the space effectively for our wives, sisters, daughters, and mothers.

So whilst your grow your Mo this Movember, don't forget to come into the clinic for some preventative acupuncture and Chinese herbs. Take control of your health, your body, mind, and spirit, and start your new life with good health and happiness.

Click here to make a booking with our practitioners at Discover Chinese Medicine.

Wednesday, September 5, 2012

Men need to "feel" how they feel

Talk to any man about their health and you'll usually get "yep, all fine", or no response at all.
According to the Australia's Health Report 2010, on average men rate their health better than what it actually is, and see a medical or health practitioner less than women.

Probably because of this, women are targeted more in health promotion and marketing, because they are more likely to seek out the assistance of a doctor or health practitioner earlier if a problem arises, or certainly in terms of preventative medicine. Mens' Health is often forgotten.....

While men are just as susceptible to chronic illnesses such as diabetes, hypertension, high cholesterol levels, and overweight/obesity, they also have specific andrological illness to keep an eye out for, such as enlarged prostate (ether benign or malignant), problems with bladder control, and of course sexual-related issues such as low libido, premature ejaculation, and impotence.

The biggest and most insidious problem of course lies in mental health - depression, anxiety, etc
Men don't talk about their health, or consider illness to be a big deal, in the same way, they also don't talk about how they feel. This can often impact on their relationships with their loved ones, and partner. Often, this can be a significant contributing factor in sexual dysfunctions, and of the inability to please lover further compounds a sense of low self-esteem and self-worth.

Whilst men have to deal with their own individual issues - physiological as well as emotional - they also are continually bombarded by mixed messages in the media about what it means to be male: competitive, fit, well-groomed, tall, muscular (the 'six-pack abdomen'), successful, dominant, and outgoing. These images are supported by celebrities who fit these images; all too often however, these 'role models' turn out to be less than perfect, getting in trouble with the law, treating women poorly, being involved in brutish and loutish behaviour, drunkenness and drug addictions. These archetypes seem to lack a core masculinity, and when men feel they are not meeting those expectations, this can also lead to very uniquely-male reactions to ideas around self-worth.


In Chinese Medicine, the inability to discuss how one feels is intimately linked with other more serious organic pathologies. This is called yu: constraint or stagnation. When Qi does not flow through the channel system properly, it is unable to reach other parts of the body. This can lead to issues with digestion such as abdominal bloating, heartburn or reflux; or even to sexual dysfunctions, such as low libido, impotence, or premature ejaculation. Prostatitis is often the result of this stagnation, especially in the channels associated with the genitals, after many years of this lack of free-flow. Constraint of this sort is also intimately linked with poor mental health, manifesting as depression, low mood, and even disorders such as anxiety or panic attacks; the latter also being linked with serious heart disease and hypertension.

Acupuncture is particularly useful at promoting that free-flow of Qi throughout the body, ensuring that all the vital substances are able to reach the various parts of the body that they are required. Many men notice how they "feel" better after an acupuncture treatment, even if they are coming for something 'physical'. Once Qi flows better, men are able to 'feel' how they feel, and are more likely to be able to embody the type of honourable man they know they should be.

Herbal medicine is of course beneficial at rebalancing the internal landscape of the body, correcting imbalances amongst substances (such as hormones, fluids, blood, etc.) and providing the material basis for such energetic/emotional shifts. This can be accentuated by following an appropriate diet, and exercising appropriately. Yoga, Qigong, Taichi, Pilates, walking, etc are all useful ways of keeping the body fit, the mind sharp, and the emotions flowing.

Men need to be encouraged to fully perceive how they feel about themselves, and seek help earlier. Most serious chronic illnesses can be prevented if addressed early enough. It is perfectly 'manly' to seek help, and accept that sometimes we are vulnerable - this is part of being a mature and capable male.


Wednesday, May 30, 2012

It takes two: baby!

The infertility rate here in Australia is estimated to be one in six couples.However, the focus on fertility treatments always seems to be skewed towards treating the female. Marketing of fertility treatments seems to be directed at women, reminding them that the clock is ticking. Even in IVF, a lot of stress is placed on the woman to follow strict schedules. Somewhere along the line, it is forgotten that men too play an equally important role in conception.

Holistic fertility treatments focus on both man and woman, never assuming that the inability to conceive is merely due to a woman’s age or egg production alone. Studies are showing the increasing effect of the male on all conception, embryonic/foetal/infant health and pregnancy issues.

It takes between 80-116 days for a single sperm to be created. Going through five cycles of six stages, it is this 3-4 month period before ejaculation where the sperm is susceptible to many threats, before it even takes the journey towards (possible) conception in the uterus of the woman. Because they are smaller and more exposed to environmental factors, sperm are indeed more vulnerable than eggs.

Of the known causes of male infertility, the most common (affecting some 66% of cases) is issues with production. The usual causes are factors such as heat, pressure, infections, genetic problems, exposure to drugs, chemicals, or radiation, age, testicular torsion, undescended testes, or previous vasectomy. 15% of cases are due to blockage of tubes (ejaculatory problems), and the third most common aetiology is anti-sperm antibodies which attack the sperm whilst in the uterus. Less than 1% of infertility cases are due to sexual problems, which are usually secondary to illnesses such as diabetes, pelvic/prostate surgery, nerve damage from spinal cord injury, anti-depressants and anti-hypertension medication, infrequent intercourse, or age.

Pre-conception health-care for males is therefore essential, especially during the 3-4 months where sperm is being created. The factors leading to male infertility need to be identified, and then appropriate diet/lifestyle changes and treatment need to continue throughout this period. Potential dads need to re-consider how they lead their lives and how they treat themselves and their bodies, as their health can impact the health of their offspring. Leukemia, asthma, respiratory disease, mental development/disease have all been linked to the health of the father and his sperm.

Healthy sperm should ideally have a concentration of at least 100 million/ml. Motility should be at least 75%, and normal morphology rates of no less than 30% are considered acceptable for natural conception. In the past few years, the details of what is considered acceptable sperm for making the next generation have been significantly revised downwards. Many laboratories now consider 5 million sperm, 45% motility and 97% abnormally formed sperm to be acceptable.

In Chinese Medicine, there are several physiological factors that must come together to enable a man to be fertile. There must be adequate life-essence, this is reflected in a general robustness and vitality, good quality hair that isn't greying, strong nails, no sweating at night or sticking feet outside of the doona, no reflux meds or asthma medication. The "gate of vitality" in the lower abdomen must be warm enough to power spermatogenesis, this will show in a strong lower back that doesn't ache, good circulation, hands and feet that don't get cold, and a good strong libido. Liver energy must be free-flowing and Kidney energy must be abundant enough to promote healthy sperm production and maintain normal ejaculation. When the Liver and Kidney are functioning well there will be a moderate temperament without anger, good vitality, clear eyes without dark circles or puffiness underneath. A man must also have adequate vitality and general nutrition, to promote the quality and liveliness of his sperm which contain a blueprint that gives his offspring the best foundation to life possible.

If prostate issues are suspected, or there is a blockage interfering with normal ejaculation, Chinese Medicine looks for "phlegm" or "blood stasis", which tend to obstruct the seminal pathways and allow normal ejaculation. Issues that damage or interfere with the normal shape of the sperm (morphology) are often classified as "damp-heat" or "heat-toxins". These can be present in the body due to exposure to toxins, chemicals, radiation, infections and STD’s. Checking the semen for Human Papilloma virus (HPV), cytomegalovirus (CMV), herpes simplex virus (HSV), human herpes virus type-6 (HHV-6), Epstein-Barr virus, hepatitis-B, and Chlamydia trachomatis can be useful; at the sub-clinical level, there may be no visible signs or symtpoms, but the DNA of these viruses will show up in the semen.

Of course, there are other factors which we would also look at addressing, such as the physiological factors involved when men are over-weight or suffering from obesity. When there are prostate issues, these presenting patterns usually combine also to create infertility, as would any of the patterns involved with more psycho-emotional conditions involving low libido, erectile dysfunction, or other issues related to performance. Psychological and emotional wellbeing is also important, as how we as men feel will also affect our partners’ moods, thus affecting the deep connection which also is important in the act of conception.

In treating male infertility, both acupuncture/moxibustion and Chinese herbal medicine can be of great benefit. However it also vital to look at one’s diet, and make the appropriate modifications, depending in the individual. Antioxidants such as zinc, folate, vitamins E & C, and beta-carotene have been found to be useful to improve fertility; these are best taken in supplement form, the therapeutic levels required to achieve positive changes in sperm often exceed what is possible in a normal diet.

Lifestyle issues also need to be taken into account with appropriate modifications, such as reducing the exposure of the scrotum to heat due to tight and synthetic-fibre underwear, hot baths, and so on. The ancient Chinese also knew that maintaining regular - but not excessive - sexual activity is important, as it ensures the free-flow of "Qi" (energy), "Blood", and "Essence", thus maintaining fertility. Psychological and emotional wellbeing is also important, as how we as men feel will also affect our partners’ moods, thus affecting the deep connection which also is important in the act of conception.

Overall, a holistic approach is best and involves utilising modern testing methods with ancient Chinese treatments and augmentation practices such as diet, lifestyle, and Qigong.