13 Ways to Increase Male Fertility
1 of 13Have a Doc Determine His Ideal Weight
Being underweight or overweight can have negative effects on a man’s sperm, and it can kill a couple’s sex life because weight problems can affect a man’s libido and performance. Sticking to a healthy diet that contains a good mix of fruits, vegetables, lean proteins, grains, and dairy, and fitting in physical activity on most days of the week can help him reach or maintain a healthy weight.
2 of 13Eat More Foods With Folate
Folic acid isn’t important just for moms-to-be. Men who had lower levels of folic acid in their diet had a higher rate of abnormal chromosomes in their sperm, according to a study by researchers at the University of California, Berkeley. When sperm with abnormal chromosomes fertilize an egg, it may result in miscarriage or birth defects. More than half of first-trimester miscarriages are caused by chromosomal abnormalities in the embryo. This doesn’t mean your guy has to take folic acid pills: Foods that are high in folate, like beans, leafy green vegetables, whole grains, citrus fruits, and folate-enriched cereals, breads, and pastas, will help him get the recommended 400 milligrams of folic acid he needs daily.
3 of 13Get Enough Sleep
In a 2019 study, researchers at Aarhus University in Denmark associated earlier bedtimes with improved sperm quality. The key seems to be going to bed before 10:30 pm. The researchers also found a link between getting sufficient sleep—between seven-and-a-half and eight hours per night—with improved fertility.
4 of 13Start Taking a Male Fertility Supplement
It takes two to create a healthy embryo, so if women should take prenatal vitamins, so should men. Men should start taking these supplements six months before conception to set the stage for their sperm to be strong, healthy, mobile, and less clumpy, suggests Sherry Ross, M.D., Ob-Gyn, author of She-ology: The Definitive Guide to Women’s Intimate Health. She says these vitamins should include B12, Vitamin C, Vitamin E, Zinc, and Selenium. “Zinc is helpful in maintaining normal testosterone levels. Selenium has been shown to reduce the risk of birth defects and improving low sperm counts. There is no downside to being your healthiest self while trying to conceive with your partner.”
5 of 13Stop Smoking to Speed Up Sperm Mobility
Smoking cigarettes can cause low sperm counts and slow-moving sperm so your guy should quit, preferably at least three months before you try to conceive. “Sperm production takes about three months, so any changes the man makes today won’t show up in the semen for at least three months,” says Suzanne Kavic, M.D., director of the division of reproductive endocrinology at Loyola University Health System. He should also nix marijuana or other illicit drugs as sperm may be damaged by these drugs, and women are more likely to miscarry if their partners use recreational drugs like cocaine, marijuana, and any of the other typical amphetamines.
6 of 13Limit Alcohol to Avoid Sperm Abnormalities
He doesn’t have to give it up completely, but it’s a good idea for men to limit their alcohol intake if they hope to become a dad. Alcohol has been shown to reduce sperm production and cause sperm abnormalities. Dr. Kavic says one to two drinks a day is fine (as long as they’re normal-size servings!). Another reason he should dry out a bit: A lot of men don’t perform as well sexually when they’re inebriated, Dr. Kavic says.
7 of 13Schedule a Pre-Conception Checkup
A thorough checkup before trying to conceive will give him an overview of his health and fertility status. As in your pre-conception visit, he can expect discussions about his body mass index (BMI), any medications he uses, lifestyle factors that may affect fertility and pregnancy, any genetic disorders or history that may pose a risk to the future baby, and what he can do to ensure you have a healthy pregnancy. He will also be given any needed immunizations to help prevent him from passing on illnesses like chickenpox and the seasonal flu to you during pregnancy.
8 of 13Cut Down on Caffeine to Boost Sperm Count
A study of Danish men found that sperm count and sperm concentration were slightly reduced in men who had a high soda and/or caffeine intake. Dr. Mazzullo says men should limit their caffeine consumption (that includes coffee, tea, chocolate, and energy drinks) to 300 milligrams a day (about three 6-ounce servings).
9 of 13Nix Stress With Exercise
Stress can increase abnormal sperm and reduce its concentration. Sleeping and eating well, exercising regularly to work off pent-up energy and tension, making time to hang out with his guy friends (or sit in front of the tube and do nothing!) and other activities that he finds enjoyable or relaxing can help keep his stress in check.
10 of 13Make Sure His Meds Are Fertility-Friendly
Before you start trying to conceive, he should make a list of all the medications he takes—including prescriptions, over-the-counter drugs, vitamins, and herbal supplements—and check them with his doctor. Some medications can affect the quality or quantity of a man’s sperm. If he’s using a medication that could possibly interfere with your baby-making goals, his doctor should be able to recommend a more fertility-friendly alternative.
11 of 13Keep His Testicles Cool — Really
There’s a reason a male’s testicles hang outside of his body. “Sperm production has to take place at a certain temperature, and even our core body temperature is too hot, so the testicles are outside to keep cool,” explains Dr. Kavic. If your guy does something that overheats his testicles, it can interfere with sperm production. So he should limit the time he spends in hot tubs, saunas, and steam rooms. Dr. Mazzullo recommends that men keep it to 15 minutes, no more than twice a week.
He may want to change his laptop habits, too. Dr. Kavic says there’s a possibility that using a computer on his lap too often may cause genital warming that could possibly affect the sperm. His best bet? Keep the lap time to a minimum, invest in a laptop cooling pad, and use the laptop on a desk more often.
12 of 13Avoid Toxins That Can Cause Infertillity
If your guy works around a lot of chemicals and toxins, he needs to make sure they don’t do a number on his member. Toxic chemicals such as heavy metals, lead, and chemical solvents can increase the percentage of damaged sperm, so men who expect to conceive in the near future should try to avoid them. If his job places him around chemicals, he can limit his contact by wearing a face mask and protective clothing and always using proper ventilation.
13 of 13Eat More Walnuts
In October 2013, the Biology of Reproduction Papers-in-Press published research highlighting the link between walnuts and fertility. In particular, eating 75 grams of walnuts daily was found to improve “sperm vitality, motility, and morphology”—maybe because of the antioxidants, micronutrients, and alpha-linolenic acid (ALA) found in walnuts. The research was conducted on healthy men between 21 and 35 years of age.
1. Vitamin E
Vitamin E is a fat-soluble antioxidant. A 2011 study suggests vitamin E along with selenium is useful in increasing a sperm’s motility — or ability to swim to an egg — in infertile men.
The Mayo Clinic recommends 15 mg/day, with intake not exceeding 180 mg, as this may increase the risk for prostate cancer.
2. Vitamin C
Vitamin C is a water-soluble vitamin involved in protein metabolism, among other bodily processes. Vitamin C itself is an antioxidant that may help improve sperm quality.
According to a 2020 review, clinical evidence of vitamins that increase male fertility most includes vitamin C, as well as L-carnitine, vitamin E, and zinc. Alvarez recommends 1000-2000 mg of vitamin C per day.
3. L-carnitine
A 2012 review suggests L-carnitine may help to increase sperm quality and sperm movement. The NIH reports that sufficient amounts of carnitine are made by the human body, so there are no dietary recommendations regarding the supplement.
However, some studies on carnitine supplementation have found that taking 2 grams a day for 2 months increased sperm motility.
4. Vitamin D
Vitamin D is another fat-soluble vitamin helpful in reducing inflammation, maintaining calcium and phosphate levels, and regulating cell growth.
A 2017 study found that adding more Vitamin D helped control calcium levels, which is essential for sperm motility. Alvarez recommends 15 mcg of vitamin D per day.
5. Zinc
Zinc is involved in a series of processes that give sperm the physical capabilities to fuse with and penetrate an egg.
A 2016 review reported that low zinc levels were associated with male infertility. Alvarez says he recommends a male prenatal multivitamin with zinc due to its ability to boost testosterone production, sperm count, and sperm function.
The NIH recommends no more than 40 mg of zinc per day, as too much can lead to harmful side effects like vomiting, diarrhea, headaches, and an impaired immune system.
6. Folic acid
Folic acid is a variant of folate — a water-soluble B vitamin that may help reduce sperm abnormalities according to Alvarez. The Mayo Clinic recommends adults take no more than 400 micrograms per day.
It’s important to note that the effects of folic acid and zinc on male fertility are still debatable. A 2020 study by the NIH found no benefit in semen quality or birth rates in men taking zinc and folic acid supplementation.
Can men take prenatal vitamins?
“I would highly recommend for men who have abnormal semen parameters to start taking L-carnitine, vitamin E, and Omega 3 DHA/fish oil as these supplements have been shown to have great antioxidant activity,” says Alvarez. “Taking a supplement can help change sperm health in [2-3 months], which is the amount of time required for sperm to develop.”
While there’s limited evidence, according to the Mayo Clinic male fertility supplements may help sperm health and boost fertility.
Alvarez says there is no studied timeline as to when males should start taking fertility supplements and vitamins, but at a minimum, he recommends 3 months which is the time it takes for sperm to mature to the point it can fertilize an egg.
There’s also no shame in trying to increase your chances of fathering a child. Men tend to be less likely to seek infertility treatment potentially due to a variety of stigmas related to the concepts of fatherhood, manhood, and the frustration or emotional stress of male factor infertility.
When to see a doctor about infertility
You should visit a doctor if you’re experiencing problems with erections, pain or lumps in your testicles, you or your partner is over the age of 35, or you’ve recently had surgery involving the groin, prostate, or testicles.
Sperm quality decreases with age, especially after age 40. Additionally, John Hopkins Medicine reports that sperm disorders where men have trouble producing healthy sperm can affect fertility. This may be caused by genetic diseases, infections, hormone problems, and lifestyle factors such as excessive alcohol, cigarette, and marijuana use.
To examine male fertility factors, James Grifo, MD, PhD, the program director at NYU Langone Prelude Fertility Center and chief executive physician at Inception Fertility says you should see a fertility urologist for further evaluation and testing. This specialist can look for semen analysis abnormalities, anatomic abnormalities, ejaculatory problems, or any masses felt in the testicles.
“Any male who is experiencing infertility may benefit from a skilled urologic work-up,” says Grifo.
Insider’s takeaway
Nearly one in every seven American couples have difficulty getting pregnant or carrying a pregnancy after a year or more of trying. And Alvarez says it’s important to know that male infertility is just as common as female infertility.
“Overall, one-third of infertility cases are caused by male reproductive issues, one-third by female reproductive issues, and one-third by both male and female reproductive issues or unknown factors,” Alvarez says.
Male fertility may be aided by supplementation focused on improving sperm motility, sperm count, and increasing antioxidant activity.
For this reason, Alvarez says that taking a daily male fertility multivitamin that includes zinc, folic acid, vitamin C, and vitamin D, may help boost sperm health.