Showing posts with label motility. Show all posts
Showing posts with label motility. Show all posts

Thursday, September 23, 2010

Check it out: Info from "The Disappearing Male"

Most of you know that so far, our fertility diagnosis is one of male factor infertility. Specifically, the Wacky Wicketeer has abnormal sperm morphology, or too low a number of properly-shaped sperm, and sometimes borderline sperm motility. This male factor infertility issue is becoming more and more common, and for us, is likely one of the factors involved in our two pregnancy losses.

When the Wacky Wicketeer and I discovered our infertile status, it was estimated that one in ten couples of child-bearing age in the U.S. was infertile. That number has already gone up to one in eight. Moreover, reproductive and other problems in boys are on an alarming increase.

A little less than two years ago, and replayed earlier this year, CBC, a respected Canadian television network, did a documentary as part of its Doc Zone series, called "The Disappearing Male". Unfortunately, the website only allows those in Canada to view it online, here: http://www.cbc.ca/video/#/Shows/Doc_Zone/ID=1233750780

But even if you can't watch the video, you can find some of the alarming facts on their fact sheet on male infertility, such as: "The average sperm count of a North American college student today is less than half of what it was 50 years ago." They also include some great explanations as to just how and why this appears to be happening, in their document, "Backgrounder: Endocrine 101".

While the current state of information in this arena is fluctuating and largely theoretical, the statistics are staggering, and the anecdotes are heartbreaking. The Wacky Wicketeer and I have taken the approach that, if there is something we can do about it in our lives, then we might as well do it. Some examples of the steps we have taken include: Getting rid of all our kitchen plastics other than numbers 1, 2, 4 and 5; Not using any plastics in the microwave; Getting a new couch; Dusting and vaccuming more frequently; Decreasing products we use with phthalates and parabens, opting for goods that use other, known and recognizable ingredients.

I hope you'll take a minute to look at the CBC info, and consider what you can do to make a difference for the children and future children in your life.

Monday, August 3, 2009

Misconceptions about Infertility (no pun intended)

Please let my lawyer-self come out for a moment and make this disclaimer: I am not a doctor or any sort of medical professional. The information I share in this blog is from my reading, experience, and layperson opinion. I will try to cite reputable sources as often as possible.

I want to tell you about our new plan/protocol that is now underway, but before I do that there are a few more general issues I’d like to opine about. In particular, I want to dispel some of the more common misconceptions about infertility. One of the reasons I think this is important to do is because I know I may have some friends and family members reading this who are unfamiliar with infertility.

Infertility is not rare. In the United States, ten to 15 percent of couples are infertile. (Mayo Clinic, at http://www.mayoclinic.com/health/infertility/DS00310.) According to the Mayo Clinic, infertility is the inability to get pregnant despite having frequent, unprotected intercourse for at least a year. (Ibid.) Several papers I have read from various clinics and sources define infertility more specifically as the inability to get pregnant despite having regular, unprotected intercourse for at least a year under the age of 35, or for at least six months if 35 or older. If the man or woman is diagnosed with a fertility-impairing condition prior to that time, they also may be considered infertile. I have noted that the population usually tested consists of married couples in which the woman is of “child-bearing age”, or 15-44 years of age.

In my experience, people often blow off infertility as insignificant, something that only rarely happens, and not to them. But if ten to 15 percent of couples are infertile, that means that more than 1 in 10 of the couples you know have, are, or will be struggling to bear a child. Infertility has been a taboo subject for far too long, leaving these people feeling isolated, unsupported, and misjudged.

Another broadly misunderstood aspect of infertility is that “it’s a woman’s problem.” In this day and age, I haven’t heard anyone actually use this phrase, but it is inherent in the assumption that people make that if a couple is infertile, there is something wrong with the woman.

Numbers vary on the exact percentages of the frequency that infertility is caused by a woman’s problem, a man’s problem, both, or is unexplained. Personally, I believe part of this problem in getting an accurate representation is simply that, if a couple is having trouble getting pregnant, the woman is far more likely to go see the doctor about it and get tested. Also, many symptoms or signs of infertility in women are more easily noticeable than in men. The National Women’s Health Information Center stated: “About one-third of infertility cases are caused by women’s problems. Another one third of fertility problems are due to the man. The other cases are caused by a mixture of male and female problems or by unknown problems.” (http://www.womenshealth.gov/FAQ/infertility.cfm#c.)

The third misconception I want to mention here about MFI (male factor infertility), is that a man’s fertility depends simply on his sexual performance, such that, if he has a fertility problem, he must not be a great performer in bed. On the contrary, all the stories I know about MFI entail men between the ages of 24 and 50, who have low sperm counts, morphology or motility, and are stallions in bed! (Their wives or partners have provided me with this data.) This includes my own husband. Enough said about that.

Watch for my next entry, which I plan on being about our new protocol.