Question

I am married for 2.5 yrs. 33 yrs, 5 ft 7 in, 78 kg. I am little over weight trying to reduce weight. My wife got pregnant 4th month after marriage and we had to abort after 68 days. The foods didn't have heartbeat hence the doctor advised so. My wife 25 yrs, 5 ft 5 in, 80 kg. She's also a overweight person. We are undergoing treatment now. I had ED issue earlier n got treated. My wife blood test shows her AMH is 0.7, no thyroid issue. Follicles good size. No PCOD or PCOS. My sperm count is 64.4 million. My questions are.
1. How does AMH affects or play's a major role in infertility? 2. Can we increase it? If so how?
3. Is the sperm count OK? What should I do to increase it?
4. My sperm motility rate is 79% out of which progressive motility is 49% (taken at Dec 2016). What food or tablets can I take to increase them?
5. Too much stress on this issue makes me again have issue with ED. What tablets can I take for prolonged erection.

Dr.Garima Sharma · Accepted Answer

Hi lybrate-user, here is the answer to all your questions:
1. We determine a woman’s level of fertility based on her medical history, age, basal antral follicle count, day 3 follicle stimulating hormone (FSH) and anti-mullerian hormone (AMH) level. Collectively these factors give us a complete picture of a woman’s reproductive health; however, AMH testing is the most recent ovarian reserve test and generally considered to be the most reliable. AMH levels are measured by a simple blood test. Because AMH tests measure the protein as it secretes in to ovaries, it is not affected by estrogen and other hormones, and can therefore be tested at any point in the menstrual cycle and even in patients on birth control pills levels. Healthy women under 38 years old typically have AMH levels of 2.0 - 7.0 ng/ml. 2. There are alternative medicine options you can try to improve your ovarian reserve: / Yoga
/ Acupuncture
/ DHEA, 25 mg thrice a day.
/ Vit D3 (Calcipherol), 60000 IU, once a week for 10 weeks
3. Yes, your sperm count is normal.
4. Improving sperm motility through diet can be easy if you exactly know which food are rich of the following important nutrients: / Zinc: Eat foods rich in zinc like seafood, organic liver and lean cuts of red meat, plus nuts and grains. Zinc is a potent antioxidant mineral that aids in sperm quality and motility and is a very important asset in the production of testosterone. / Selenium - Eat foods rich in selenium like organic eggs, brewer's yeast, brazil nuts, garlic and seafood. Selenium is essential in sperm formation and development. Scientific studies have shown how high selenium in the diet is directly related to improved sperm motility because selenium is an mineral antioxidant that is naturally present in the spermatic fluids to protect sperm. It concentrates in the testicles and is lost through seminal fluid through ejaculation. / L-Carnitine - Eat foods rich in L-carnitine like lean cuts of meat, dairy products, artichokes, beet greens, asparagus, broccoli, Brussels sprouts, collard greens, and garlic. L-carnitine is present in seminal fluid and is directly related to sperm count and motility. / Maca - Eat Maca root as a supplement. Maca supports healthy hormonal levels and increases male fertility and sex performance. / Coenzyme Q10 (Ubuquinone) - Coenzyme Q10 (CoQ10) is an antioxidant important in mitochondrial performance and found in seminal fluid and seminal plasma. CoQ10 has been found to improve sperm count and motility on asthenozoospermia.
/ N-acetyl-cysteine (NAC) - NAC reduces oxidative stress caused by free radicals preventing the damaging effects on sperm health. NAC treatment is so effective in improving sperm motility because it increases serum antioxidant capacity and decreased oxidative stress. 5. Here are a few non medicinal ways for ED:
/ Eat Lots of Carbs: To have a massive erection for a long time, your body needs good amount of nutrients. Loading your body with carbohydrates is one of the best ways to have sex multiple times with your partner. Thus, choose foods which are rich in carbohydrates like pasta and bread.
/ Zinc is also essential: Consumption of foods rich in zinc will help to produce testosterone, seminal fluid and sperm, which is vital to have a strong and long erection. The best zinc sources are seafood, peas and beans.
/ Avoid fatty foods: If you want to make your partner go insane, then stay off fatty meals before sex. Fatty foods and excess fat consumption will lower the testosterone level in the body, which will further decrease your libido, and make erection and ejaculation difficult to occur.
/ Start with foreplay: Most men fail to understand the importance of foreplay. Spending sufficient amount of time with foreplay helps to warm your little shooter before intercourse. Thus, always spend some time in foreplay before thinking about penetration.
/ Do some exercise: Men who are active tend to have better sex life, because it helps to increase your sex drive, sexual potency, reduces stress and enhances testosterone production in the body. To have a better erection, you can also try penis workout like the famous kegel exercise. / Avoid tight undergarments: If you love tight outfits, then throw them away for the love of good sex life. Wearing tight underwear or tight garments can reduce the blood flow towards the penile tissues, which can hamper your erection. Thus, choose loose or airy undergarments always.
Hope this helps. Good Luck.

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