Can Men Undergo Surgery During IVF Treatment Without Affecting Sperm Quality? - Obstetrics and Gynecology

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Can a male undergo other surgical treatments during in vitro fertilization (IVF) procedures?


Hello Doctor, my wife and I are currently undergoing in vitro fertilization (IVF) treatment, and we are using intracytoplasmic sperm injection (ICSI) to increase fertilization rates.
However, I was diagnosed with severe obstructive sleep apnea last week, and the doctor recommended surgery to remove my soft palate.
The surgery requires a hospital stay of 3 to 4 days, and the recovery period is about 2 months.
I am concerned whether undergoing this surgery and taking postoperative pain medications and antibiotics will affect my sperm quality, potentially leading to failure in future IVF treatments or the risk of congenital anomalies.
Thank you!

Mr. Wang, 30~39 year old female. Ask Date: 2019/12/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact, so please rest assured.
Wishing both of you success in your pregnancy and good health.

Reply Date: 2019/12/12

More Info


Undergoing surgery during an IVF (In Vitro Fertilization) treatment can raise concerns about the potential impact on sperm quality, especially when additional medications such as pain relievers and antibiotics are involved. However, the consensus among medical professionals is generally reassuring.

Firstly, it is important to note that the surgical procedure you are considering, which involves the removal of the soft palate due to severe obstructive sleep apnea, is unlikely to have a direct negative impact on sperm quality. The primary concern with any surgical intervention is the recovery period and the medications prescribed post-surgery. Pain medications, particularly non-steroidal anti-inflammatory drugs (NSAIDs) and opioids, can have varying effects on the body, but they are not typically associated with long-term detrimental effects on sperm production or quality when used for a short duration.
Antibiotics, on the other hand, can sometimes affect the microbiome and overall health, but they do not usually have a significant impact on sperm quality either. It is crucial to follow your physician's advice regarding the use of these medications and to communicate any concerns you may have about their effects on your fertility.

The recovery period of two months post-surgery is significant, as it may temporarily affect your ability to participate in the IVF process. However, sperm production is a continuous process, and the body typically compensates for any temporary disruptions. Sperm quality can fluctuate due to various factors, including stress, illness, and lifestyle choices, but a well-managed recovery should allow for the resumption of normal sperm production.

In terms of the IVF process, it is essential to consider the timing of your surgery in relation to your treatment cycle. If the surgery and recovery period coincide with your IVF schedule, it may be necessary to postpone the IVF cycle until you have fully recovered. This approach ensures that you are in optimal health and that your sperm quality is at its best when it comes time for fertilization.

Moreover, it is important to maintain a healthy lifestyle during this period. Factors such as diet, exercise, and avoiding substances like tobacco and excessive alcohol can positively influence sperm quality. Additionally, managing stress levels and ensuring adequate sleep can also contribute to better reproductive health.

In conclusion, while undergoing surgery during IVF treatment may raise concerns about sperm quality, the evidence suggests that with proper management and recovery, there should not be significant adverse effects. It is always best to discuss your specific situation with your healthcare provider, who can provide personalized advice based on your medical history and current treatment plan. They can help you navigate the timing of your surgery and IVF treatment to optimize your chances of success. Remember, the goal is to ensure both you and your partner are in the best possible health as you embark on this journey toward parenthood.

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