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Integrative Fertility Enhancement Cathryn Hu, Ph.D., O.M.D., L.Ac .
Conflict of Interest and Financial Disclosure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Celebrating A New Life The miracle baby
Human Reproductive System Human Sexuality: Conception from www.abuhmed.org
Hormones involves in  the Menstrual Cycle
Basal Temperature Record
Eggs maturation and travel process
www. newscientist.com Ovulation Process
Fertility Enhancement Program   -an integrative approach ,[object Object],[object Object],[object Object],[object Object],[object Object]
The objectives of Preparation Phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The objectives of Trial Phase ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Hormonal Imbalanced Conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Causations of Infertility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Causations of Infertility    in Traditional Chinese Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kidney Yin deficiency    signs & symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cold Uterus ,[object Object],[object Object],[object Object],[object Object]
Blood deficiency    signs & symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Liver depression    signs & symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stagnant Heat    signs & symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phlegm dampness    signs & symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Individualized Treatment Plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Frequencies & Lengths of    Acupuncture Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Acupuncture (1)   a clinical observation in Shanghai, China ,[object Object],[object Object],[object Object]
Researches for acupuncture that  benefits the fertility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of acupuncture in female infertility The institute of East-West Medicine, New York, USA , 2002 ,[object Object],[object Object],[object Object]
Mechanisms of acupuncture (2)   - a study in Harvard, ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture and Herbal Medicine in IVF:  a review of the evidence for clinical practice   -Cheong Y. Nardo LG, Rutherford T, Ledger W. DOHaD, UK, 2010 ,[object Object],[object Object],[object Object],[object Object]
Integrative Acupuncture Tx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Protocols (1) Stress-relieve ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture & IVF procedures   -Research in Christian Lairize Institute in Germany  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture on the day of Embryo Transfer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Relieve During Oocyte Retrieval ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture &    Protection of Embryo ,[object Object],[object Object],[object Object]
Herbal Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Individualized Herbal Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Herbs that Benefits   Fertility Angelicae Sinensis (Dang Gui)  Asini Gelatinum ( E Jiao) Astragali (Huang Qi) Condonopsis (Dang Shen) Amomi (Sha Ren) Eucommiae (Du Zhong) Lycii Chinensis (Gou Qi Zi) Dioscoreae Oppositae (Huai Shan) Carculiginis (Xian Mao) Epimenddi (Xian Ling Pi) Sm. Cuscutae (Tu Si Zi) White Paeoniae  (Bai Shao) Hetrophylii (Yi Mu Cao) Actinolitum (Yang Qi Shi) Epimedii (Yin Yang Huo) Gecko (Ge Jie)
Classic Herbal Formulas   Benefits Fertility  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  Herbal Treatment Prevents Miscarriage   -a Study from Fudan University of Shanghai, 2001 ,[object Object],[object Object],[object Object],[object Object]
Chinese herbal medicine for subfertile women with polycystic ovarian syndrome - Reproductive endocrinology of  Sichuan University medical school,  China, 2010  ,[object Object],[object Object],[object Object]
Chinese Herbal Medicine and Clomiphene citrate  for Anovulation: RCTs by acupuncture Kitchen, San Francisco, CA, 2011  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Objective Evaluations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Food Flavors Recommendation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foods that Invigorates Blood    Week 1 of the cycle  Eggplant Peanuts Red Bean Dates
Foods Nourishes Blood Week 2 of the cycle Beef Chicken eggs Grapes Lamb Chicken Fish
Foods that Benefits the lining growth  (Week 3 of the cycle) Kale Spinach Apple Appricot Cherry Chinese Date Lemon Asian Pear Sesame seed ( brown)  Sesame seed ( black)
Foods that benefits Kidney  deficiency ( Week 4 of the cycle) Green beans Mulberry Raspberry Black beans Chestnut Lotus seed Walnut Honey
Food for clear the heat Papaya Lemon Cucumber Cantaloupe White rice Asparagus Carrot Sweet potato Fig Lenti Bok choy Celery Cucumber Peach Mung bean Red/green  cabbage Chard Banana Pineapple White fungus
Foods that detoxifies Shitake mushroom Snow pea Pumpkin seeds Sunflower seed Soybean Olive Rice vinegar Tea
Food for drain dampness Alfalfa sprout  Chinese Chive Onion or leek Parsnip Pumpkin and winter squash Turnip Winter melon Dried papaya Barley Rice bran Wheat bran Adzuki bean Beef Fish Cardamom seed
Foods that Relieves Food Retention Bamboo shoots Bell pepper Daiko radish Howthone Berry Plums Tomato Oats Pea Parsley Barley Malt syrup
Food that Strengthen Digestion Arise seed Brown sugar Cinnamon Clove Fennel seed Ginger root Molasses
Prenatal Vitamins-Woman ,[object Object],[object Object],[object Object],[object Object]
DHEA(dehydroepiandrosterone)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],- Mayo Clinic.com
Part II: Male Factors
Infertility isn’t just the  woman’s problem anymore ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male Factors of infertility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male Reproductive Anatomy
Male Reproductive Organs ,[object Object],[object Object],[object Object],[object Object],[object Object]
I. Male Organs-Testes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Testosterone Production ,[object Object],[object Object],[object Object],[object Object]
Testes Malfunction
II .  Male organs- Duct System ,[object Object],[object Object],[object Object],[object Object]
Male Organs- Epididymis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male organs -  Ductus Deferens ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sperm Ascending
Vas Deferens Blockage
Male Organs- Urethra ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male Organs-Scrotum ,[object Object],[object Object]
Male Organs- Penis ,[object Object],[object Object],[object Object],[object Object]
Good Sperm Formation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spermatogenesis
Spermatogenesis
Functions of Sperm
Macho Sperm Theory ,[object Object],[object Object],[object Object]
Male Infertility Assessment ,[object Object],[object Object],[object Object],[object Object]
Getting Tested ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Sperm Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sperm abnormalities  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis of Male infertility ,[object Object],[object Object],[object Object],[object Object]
Causes of Male Infertility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture Treatment ,[object Object],[object Object],[object Object],[object Object]
Responses of  TCM treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture & Sperm Quality Improvement ,[object Object],[object Object],[object Object],[object Object]
Effect of Acupuncture on    Sperm Parameters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Protocols  improves   sperm count and motility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chinese Medicine improves  semen morphology, motility, & count ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acupuncture in the treatment of Psychogenic Erectile Dysfunction ,[object Object],[object Object],[object Object]
Artificial Insemination (IUI) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intracytoplasmic sperm injection ICSI ,[object Object],[object Object],[object Object],[object Object],www. medfix.com
Spermophlebectasia   (varicose vein of the spermatic cord) ,[object Object],[object Object]
Symptoms of Spermophlebectasia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TCM treatment for Spermophelebectasia ,[object Object],[object Object],[object Object],[object Object]
TCM Treating    Male Immune Infertility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Herbs That Benefits for Sperm Ginseng (Ren Shen) Tribulus ( Bai Ji Li )  Epimedii (Yin Yang Huo) Sm. Cuscutae (Tu Si Zi) Curculiginis Orchioidis (Xian Mao)  Actinolitum ( Yang Qi Shi) Fr. Rubi (Fu Peng zi) Fr. Rosae Laevigatae (Jing Yin Zi)  Eucommiae Ulmoidis (Du Zhong)
Classic Herbal Formulas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modified Jin Gui Shen Qi Wan   (Kidney Qi Pill from Golden Cabinet)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modified Jin Suo Gu Jin Wan ( Mental lock pill to stabilize the essence ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Making Good Sperm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Things to avoid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutrients for Sperm   Altern Med Rev. 2000 Feb;5(1):28-38. Green Valley Health, Hagerstown, MD 21742, USA   Amino Acids 500 mg Vitamin A 700mcg Vitamin B6 1.4-500mg Vitamin B12 1.5mcg Folic Acid 200-400mcg Vitamin C 500- 1000 mg Vitamin E 400 IU Selenium 75 mcg Manganese 1.4 mg Zinc 10-30 mg Coenzyme Q 10- 90 mg Essential Fatty Acids 2000 mg
Pro-vitamin for Men ,[object Object],[object Object],[object Object],[object Object]
Good Sperm Diet Black berries Blue berries Rosen berries Kale Strawberries Brussels sprouts Broccoli Red peppers Grape seed extract Pink bark extract Garlic Oyster
Resources ,[object Object],[object Object],[object Object]
Questions? Contact information Cathryn Hu, Ph.D., O.M.D., L.Ac . Phone:  310-458-2848 Fax:  310-458-2899 Web: www. Advancedacupuncture.com Email:  Advanced_Acupuncture @ Yahoo.com

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Integrative approach 4

  • 1. Integrative Fertility Enhancement Cathryn Hu, Ph.D., O.M.D., L.Ac .
  • 2.
  • 3. Celebrating A New Life The miracle baby
  • 4. Human Reproductive System Human Sexuality: Conception from www.abuhmed.org
  • 5. Hormones involves in the Menstrual Cycle
  • 7. Eggs maturation and travel process
  • 9.
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  • 35.
  • 36. Herbs that Benefits Fertility Angelicae Sinensis (Dang Gui) Asini Gelatinum ( E Jiao) Astragali (Huang Qi) Condonopsis (Dang Shen) Amomi (Sha Ren) Eucommiae (Du Zhong) Lycii Chinensis (Gou Qi Zi) Dioscoreae Oppositae (Huai Shan) Carculiginis (Xian Mao) Epimenddi (Xian Ling Pi) Sm. Cuscutae (Tu Si Zi) White Paeoniae (Bai Shao) Hetrophylii (Yi Mu Cao) Actinolitum (Yang Qi Shi) Epimedii (Yin Yang Huo) Gecko (Ge Jie)
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43. Foods that Invigorates Blood Week 1 of the cycle Eggplant Peanuts Red Bean Dates
  • 44. Foods Nourishes Blood Week 2 of the cycle Beef Chicken eggs Grapes Lamb Chicken Fish
  • 45. Foods that Benefits the lining growth (Week 3 of the cycle) Kale Spinach Apple Appricot Cherry Chinese Date Lemon Asian Pear Sesame seed ( brown) Sesame seed ( black)
  • 46. Foods that benefits Kidney deficiency ( Week 4 of the cycle) Green beans Mulberry Raspberry Black beans Chestnut Lotus seed Walnut Honey
  • 47. Food for clear the heat Papaya Lemon Cucumber Cantaloupe White rice Asparagus Carrot Sweet potato Fig Lenti Bok choy Celery Cucumber Peach Mung bean Red/green cabbage Chard Banana Pineapple White fungus
  • 48. Foods that detoxifies Shitake mushroom Snow pea Pumpkin seeds Sunflower seed Soybean Olive Rice vinegar Tea
  • 49. Food for drain dampness Alfalfa sprout Chinese Chive Onion or leek Parsnip Pumpkin and winter squash Turnip Winter melon Dried papaya Barley Rice bran Wheat bran Adzuki bean Beef Fish Cardamom seed
  • 50. Foods that Relieves Food Retention Bamboo shoots Bell pepper Daiko radish Howthone Berry Plums Tomato Oats Pea Parsley Barley Malt syrup
  • 51. Food that Strengthen Digestion Arise seed Brown sugar Cinnamon Clove Fennel seed Ginger root Molasses
  • 52.
  • 53.
  • 54. Part II: Male Factors
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  • 93.
  • 94. Herbs That Benefits for Sperm Ginseng (Ren Shen) Tribulus ( Bai Ji Li ) Epimedii (Yin Yang Huo) Sm. Cuscutae (Tu Si Zi) Curculiginis Orchioidis (Xian Mao) Actinolitum ( Yang Qi Shi) Fr. Rubi (Fu Peng zi) Fr. Rosae Laevigatae (Jing Yin Zi) Eucommiae Ulmoidis (Du Zhong)
  • 95.
  • 96.
  • 97.
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  • 99.
  • 100. Nutrients for Sperm Altern Med Rev. 2000 Feb;5(1):28-38. Green Valley Health, Hagerstown, MD 21742, USA Amino Acids 500 mg Vitamin A 700mcg Vitamin B6 1.4-500mg Vitamin B12 1.5mcg Folic Acid 200-400mcg Vitamin C 500- 1000 mg Vitamin E 400 IU Selenium 75 mcg Manganese 1.4 mg Zinc 10-30 mg Coenzyme Q 10- 90 mg Essential Fatty Acids 2000 mg
  • 101.
  • 102. Good Sperm Diet Black berries Blue berries Rosen berries Kale Strawberries Brussels sprouts Broccoli Red peppers Grape seed extract Pink bark extract Garlic Oyster
  • 103.
  • 104. Questions? Contact information Cathryn Hu, Ph.D., O.M.D., L.Ac . Phone: 310-458-2848 Fax: 310-458-2899 Web: www. Advancedacupuncture.com Email: Advanced_Acupuncture @ Yahoo.com

Hinweis der Redaktion

  1. Please turn down your cell phone to vibrate mode If you have questions during the lecture, Please write up and pass over to the front.
  2. How many practitioners here are involving fertility treatment? 1996. Met a patient with lupus. Fertility enhancement program is not only a treatment but changes people’s life.
  3. Let’s talk about female first. Before we begin our program, let’s review of some hormones involves in the menstrual cycle. FSH, LH secreted by posterior pituitary gland. Estrogen and progesterone produced by ovary.
  4. Simple and easiest way to monitor the hormone levels. Patients measure their temperature in the morning just wake up. Catch the ovulation time Predict the progesterone release The mean difference before ovulation and after should be more than 0.5
  5. We are working with 6 organization of fertility specialists. The two phases of treatment not only speed of the conceive process but also increased IVF procedure significantly.
  6. Following the patient’s fertility treatment plan and well communicate with the fertility specialist to have parallel treatment. Focus the weakness and schedules. Hormonal balance during the ART treatment is most important.
  7. F.S.H. <11
  8. Egg and Sperm become less healthy and poor quality as we age. Thus, women have a diminished ability to conceive. Experience has shown that if the hormonal system is in perfect working order and a woman has clockwork menstrual cycles,, a healthy egg can be released on time. It then has a good chance of becoming fertilized, implanting and making it through embryologic development to become a child.
  9. Male: Female:
  10. The effects of acupuncture tend to be cumulative. Most effective when given in a series. A course of 10-12 is frequently recommend in order to begin to effect cellular change. Please do educate your patient understand the their personalized treatment plan from day one. And continue to support and communication during the course. Pre phase : 1-2 tx/wk X 4 wks/cycle Minimum 3 cycles to regulating and balancing hormones Trial phase : Pre-ovulation: 3tx/wk X 2 wks Post ovulation: 2tx/wk X 2 wks Post conceive: 2 tx /wk X 8 wks 1 tx/wk X 4 wks
  11. The hypothalamic-anterior pituitary-ovarian axis function Acupuncture releases endorphins that mitigate one’s response to stressful stimuli, thus enhancing the possibility of conception. Since the hypothalamus regulates both stress Reponses as well as the sex hormones. It’s easy to see how stress could cause infertility in some women. Excessive stress may even lead to complete suppression of menstrual cycle. This is often seen in female marathon runners, who develop runners amenorrhea. In less severe cases, it could cause an ovulation or irregular menstrual cycles. When activated by stress, the pituitary gland also produces increased amounts of prolactin. Elevated prolactin could cause irregular ovulation. Female reproductive tract contains stress-hormone receptors, stress can affect fertility. However more complex mechanisms may be at play. Research still do not know how stress interacts with the reproductive system.
  12. GIFT-gamete intrafallopian transfer ZIFT-zygote intrafallopian transfer in vitro fertilization . ET- Embryo transfer Like IVF, these procedures involve retrieving an egg from the woman and re-implanting it, but in GIFT and ZIFT the process goes more quickly. While in traditional IVF the embryos are observed and raised in a laboratory for 3 to 5 days, in ZIFT, the fertilized eggs -- at this stage called zygotes -- are placed in the fallopian tubes within 24 hours. In GIFT, the sperm and eggs are just mixed together before being inserted and, with luck, one of the eggs will become fertilized inside the fallopian tubes.
  13. Stress and the brain play an important role in fertility, because stress can prevent a woman from ovulating entirely, When women under extreme stress often stop menstruation and Lack of stress often promote fertility. That is why couples often conceive while on a cruise or other relaxing holidays.
  14. 21 of 80 patients became pregnant in IVF group Success rate= 26.3% 34 of 80 patients became pregnant in the IVF plus acupuncture group, Success rate= 42.5 %. Acupuncture reduces the uterine contractions that typically occur with embryo transfer and may inhibit implantation.
  15. Acupuncture reduces the uterine contractions that typically occur with embryo transfer and may inhibit implantation. Acu1=95 on the day Conceived 37 (39%) - 34 ( 36%) Acu2=91 on the day and 2 days after 25 minutes session 36 % 26 % Control=87 26 % 22 %
  16. Dang Gui- effect on uterus: to Have a contractile effect when given intravenously to anesthetized dogs and rabbits. Does cause contraction in situ uteri and relaxation in uterus specimens. Use some studies by direct measurement of myometrium, administration of angelicae enabled the contractions of the uterus to be more orderly. This explained may be is the mechanism to treat dysmenorrheal. There is no estrogen effect. E-Jiao -increase the RBC and Hgb significantly than the control group Huang Qi- immune Enhancer Dang Shen- Sha Ren Du Zhong Gou Qi Zi- Protect liver functions, increase liver phosphrous and lower the blood pressure Huai Shan Xian Mao- Xian Ling Pi Tu Si Zi Bai Shao-
  17. Disease cause the DHEA to decrease Anorexia, End stage kidney disease Type II diabetes, Aids, Adrenal insufficiency and in the critical ill. Drugs: insulin, corticosteroids, opiiates, and Danazol
  18. Testes are approximally 4 cm long and 2.5 cm wide connective tissue capsule Tunica albuginea, the white coat surrounds each testis Extension of the this capsule, septa ;ige nto the testis and divide it into a large number of the lobules. Each lobules contains one to four tightly coild seminiferous tubules where is the site to produces sperm Each lobe of seminiferous tubules empties sperm into rete testis to the first part of ducts Epididymis hugs the external surface of the testis/ Lying in the soft connective tissue surrounding the seminiferous tubules are the interstitial cells-produces androgens, most importantly testosterone.
  19. Body temperature 37.C , Testes= 32 C.
  20. Spermatogenesis is the process by which male develop into mature are the mature male in many sexually reproducing organisms. Thus, spermatogenesis is the male version of gametogenesis . In mammals it occurs in the male testes and epididymis in a stepwise fashion, and for humans takes approximately 64 days. [1] Spermatogenesis is highly dependent upon optimal conditions for the process to occur correctly, and is essential for sexual reproduction . It starts at puberty and usually continues uninterrupted until death, although a slight decrease can be discerned in the quantity of produced sperm with increase in age. The entire process can be broken up into several distinct stages, each corresponding to a particular type of cell:
  21. 1. Azoospermia- absence of sperm 2. Oligiospermia-lowered sperm density
  22. Sperm analysis should repeat 2 times if normal and three times if abnormal.
  23. Environment factors- Pesticides, exogenous estrogens, heavy metals may negatively impact spermatogenesis.
  24. Acupuncture has documented in several studies as having a positive effect on sperm parameters. A muti-faceted approach to improving male fertility involves identifying harmful environmental and occupational risk factors while correcting underlying nutritional imbalances to encourage optimal sperm production and functions.
  25. Case report: A 43 male with 3 months of combined treatment Sperm count from < 18 million/ml to 93 million Motility < 50 % to 97% Morphology: Normal <20% to 45 %
  26. Acupuncture has been documented in several studies as having a positive effect on sperm parameter.
  27. Semen is made mostly of water
  28. Studies confirm that male sperm counts are declining Environmental factors: pesticides, exogenous estrogens and heavy metals may negatively impact spermatogenesis.
  29. Study shown to improve sperm counts and sperm mobility, including cantinuie, argining, Zinc, selenium and Vit B-12, Numberous antioxidants be beneficial : Vit C, Vitamin E,Glutathione and co-enyme 10. Above all daily dosage
  30. Zinc-critical to maintaining optimum semen volume and blood testosterone levels in men. Vit E: Increasing the sperm motility and viability Calcium + D- improve male fertility
  31. Berry family contains highest Vit C. for antioxident. A muti-faced