Delegates at a fertility conference have
heard that daily ejaculation or daily sex may be the
best way to improve sperm quality and could boost the
chances of getting pregnant.Dr.
David Greening from Sydney IVF says a study they have
conducted suggests that for men with fertility problems,
daily ejaculation for a week reduced the amount of DNA
damage in sperm samples.
At the European Society for Human
Reproduction and Embryology in Amsterdam the Australian
fertility specialist said in general advice for couples
had been to have sex every two or three days but Dr.
Greening an obstetrician and endrocrinologist says men
seeking to become a father should have sex each day, or
ejaculate daily, for a week before their partner
ovulates in order to maximise sperm quality.
For the study 118 men whose sperm had
a higher-than-normal level of DNA damage were recruited
- before the test, on average 34% of the group's sperm
was rated as damaged, meaning that it was classified as
"poor" in quality - ranging on an individual basis from
15 to 98%.
The men were not given any drugs or
told to make any changes to lifestyle but were asked to
ejaculate daily for seven days, after which their sperm
was examined again and it was found that the damage to
the sperm fell on average to 26% placing it in the
category of "fair" in quality.
However while fourth-fifths of the men
saw an increase in sperm quality, and many of them moved
into the "good" range and out of the "poor" or "fair"
categories, one-fifth saw a decline in sperm quality.
Dr. Greening says the improvements
were "substantial and statistically highly significant"
and that daily ejaculation not only boosted sperm
quality for most of the men, it also helped sperm
motility, another big factor in successful fertilisation
- even though the volume of semen declined.
Though the research did not examine
whether the improvement in sperm quality led to better
pregnancy rates, previous research has shown that sperm
that is less damaged and more mobile has a better chance
of leading to a healthy baby.
Dr. Greening says the results may mean
that men play a greater role in fertility than
previously suspected, and that ejaculatory frequency is
important for improving sperm quality - he suspects that
the longer sperm stays in the testicular ducts, the
greater its exposure to rogue oxygen molecules that
damage cells and his advice to couples would be to have
sex, or to ejaculate, daily in the run up to ovulation
or to sperm donation for in-vitro fertilisation (IVF).
He says the optimal number of days of
ejaculation might be more or less seven days, but a week
seems manageable and favourable and that couples with
relatively normal semen parameters should have sex daily
for up to a week before ovulation date.
Dr. Greening says more research is
needed to examine whether daily sex for men without
fertility problems has the same benefits but he warns
that having daily sex for too long - say a fortnight -
would probably cut sperm numbers too much.
He recommends "lots of sex daily"
around the time the woman is ovulating and says we are
designed to breed in our youth and as men age they may
not have as much sex as they did when they were younger,
adding to the problem of infertility.
The findings could have implications
for couples undergoing IVF as men are commonly told to
abstain from sex for a couple of days to try and boost
sperm numbers.
However fertility experts warn that it
would be wrong to apply the results to all men as in
some cases in men with low sperm counts, daily
ejaculations may well reduce the sperm count still
further and whilst sperm may be more healthy the reduced
numbers could impede the chance of natural conception.