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Is
male fertility declining? |
An eminent veterinary
scientist told me this interesting fact
the other day. A
chimpanzee produces 2737 million sperms
in a day, which is sufficient for four
ejeculates. In comparison, a man
on an average produces 176 million sperms
per day; this production is just sufficient
for one ejaculate. This means, even
as a closely related species human sperm
count is lower.
Even epidemiological
evidences are now available confirming
decreasing quality of human sperms during
the last fifty years. (B.M.J.-1992). Of
course, fertility depends on both male
and female partners. Male
factor sub fertility plays a role in approximately
50% of sub fertile couples.
What
has caused this decline? |
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Environmental
and industrial pollution, changing
lifestyles like chronic smoking,
alcoholism, tobacco abuse, increased
exposure to sexually transmitted
diseases, nutritional factors – and
the list goes on. In India,
we have not been able to compile
statistics, however studies from
industrially advanced countries like
UK, France, USA have confirmed a
2.6 per cent annual decrease in the
sperm count of fertile man during
the last twenty years.
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Environmental factors |
Smoking, alcohol
use, stress and high temperature are
known to reduce sperm production. Active
as well as passive smoking increases blood
nicotine, cotinine levels which are toxic
to human gametes. Smoking appears
to have an acute toxic effect on process
of conception. A permanent and cumulative
damaging effect is also suggested. Occupational
exposure to heavy metals like lead, cadmium
are known to be spermato toxic. The
relationship between good nutrition and
reproduction is well established. Reduced
dietary intake of zinc as in starvation,
malabsorption syndromes, parasitic diseases,
drug abuse, liver and renal diseases results
in gonadal hypofunction, reduced sperm
count and impotence.
The message is by prevention of sexually
transmitted diseases and optimum and timely
changes in lifestyle like stopping active
as well as passive smoking, increased intake
of nutrients like zinc, folate, iodine
etc. this global problem can be prevented
to a certain extent.
Thanks to the availability of modern reproductive
technologies like In-vitro Fertilization
(IVF) and Intracytoplasmic Sperm Injection
(ICSI), couples with moderate to severe oligospermia
(low number and quality of sperms) can also
hope to father their own children, which
was not possible a decade ago.
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