Improving Sperm Morphology: Tips for Better Fertility Outcomes

How to improve sperm morphology?

Hello Dr.
Fu, my wife and I have been married for two years, and for the past eight months, we have been seriously trying to conceive, but we haven't had any success.
Recently, I took the initiative to undergo a semen analysis, and while all the parameters were normal, I found that my sperm morphology was only 19% (with a normal range being >30%), which is not ideal.
I would like to know if this could be the main reason my wife has not been able to conceive over the past eight months.
Can sperm morphology be improved through diet or dietary supplements? I hope to receive some professional advice and insights.
Thank you.

EC, 30~39 year old female. Ask Date: 2016/01/07

Dr. Fu Shizhang reply Urology

According to the latest standards, a normal morphology is considered to be less than 4% abnormal, with a conception rate of about 2%.
A morphology greater than 5% falls within the normal range, but the likelihood of conception is still low.
As for improving sperm quality, it is generally related to factors such as varicocele or poor lifestyle habits (such as staying up late, drinking alcohol, smoking, etc.).
It is recommended to focus on improving these areas first.

Reply Date: 2016/01/07

More Info

Improving sperm morphology is a crucial aspect of male fertility, and it can significantly influence the chances of conception. Sperm morphology refers to the size and shape of sperm cells, and studies have shown that a higher percentage of normally shaped sperm is associated with better fertility outcomes. In your case, with a morphology percentage of 19%, which is below the normal threshold of 30%, it is understandable to be concerned about its potential impact on your ability to conceive.

First, it's important to note that while sperm morphology is a significant factor, it is not the only one that affects fertility. Other parameters such as sperm count, motility (the ability of sperm to swim), and overall reproductive health of both partners also play critical roles. Since you mentioned that other aspects of your semen analysis are normal, this is a positive sign. However, the morphology issue could indeed be a contributing factor to the challenges you and your wife are facing in conceiving.

To improve sperm morphology, several lifestyle changes and dietary adjustments can be beneficial. Here are some recommendations based on current medical understanding:
1. Dietary Changes: A diet rich in antioxidants can help improve sperm quality. Foods high in vitamins C and E, zinc, and selenium are particularly beneficial. Incorporate fruits and vegetables, nuts, seeds, and whole grains into your diet. Foods like berries, citrus fruits, spinach, and fish are excellent choices.

2. Hydration: Staying well-hydrated is essential for overall health, including reproductive health. Aim to drink plenty of water throughout the day.

3. Weight Management: Maintaining a healthy weight is crucial. Obesity can negatively impact hormone levels and sperm production. If you are overweight, consider a balanced diet and regular exercise to achieve a healthy weight.

4. Avoiding Toxins: Limit exposure to environmental toxins, such as pesticides, heavy metals, and industrial chemicals, which can adversely affect sperm quality. This includes avoiding smoking and excessive alcohol consumption, as both have been linked to poor sperm health.

5. Supplements: Certain supplements may help improve sperm morphology. These include:
- Coenzyme Q10: An antioxidant that may improve sperm motility and morphology.

- L-Carnitine: This amino acid is thought to enhance sperm motility.

- Zinc and Selenium: Both minerals are essential for healthy sperm production and function.

6. Stress Management: Chronic stress can affect hormone levels and sperm production. Engage in stress-reducing activities such as exercise, meditation, or hobbies that you enjoy.

7. Regular Check-ups: It is advisable to consult with a urologist or a fertility specialist who can provide personalized advice and possibly recommend further testing to rule out any underlying conditions that may be affecting sperm quality.

Regarding your question about whether sperm morphology can be improved through food or supplements, the answer is yes, but results may vary from person to person. It often takes time for lifestyle changes to reflect in sperm quality, as sperm production takes about 72 days. Therefore, patience and consistency with these changes are key.

As for your concerns about natural conception, while lower sperm morphology can pose challenges, it does not completely rule out the possibility of achieving pregnancy naturally. Many couples with similar morphology issues have successfully conceived. If you find that natural conception is not occurring after a reasonable period of trying (typically one year for couples under 35), you may want to explore assisted reproductive technologies such as intrauterine insemination (IUI) or in vitro fertilization (IVF), which can help bypass some of the barriers posed by sperm morphology.

In conclusion, while your sperm morphology is a factor to consider, it is essential to take a holistic approach to fertility. Focus on lifestyle changes, consult with healthcare professionals, and remain hopeful. With the right strategies and support, you can improve your chances of conception.

Similar Q&A

Improving Sperm Quality: Natural Conception or IVF Options?

I recently underwent a hysterosalpingography and experienced some blockage, but it has been cleared. My husband's sperm count and motility are fine, but the quality is poor, with only 3% normal forms. How can we improve this? Is there still a chance for natural conception? S...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The main three items in a male semen analysis report are sperm count, motility, and morphology. If you are referring to quality as morphology, that is somewhat unusual. It is recommended to have it re-evaluated. You are welcome to visit us at Hsinchu City Hospital, Departm...

Understanding Infertility and Varicocele: Key Insights for Couples

Hello Doctor, I have been trying to conceive for several months without success. In September 2011, I underwent a semen analysis at an obstetrics and gynecology clinic, with the results showing semen volume: 6 ml, sperm count: 51 x 10^6, motility: 78.4%, morphology: 4.5%, and aty...

Dr. Xu Weikai reply Urology
Jason: Regarding your question: 1. Significant improvements can be achieved by adjusting physiological factors: maintaining a regular lifestyle, avoiding irritant foods, and exercising regularly. 2. Any testing method is acceptable as long as there is an improvement compared to y...

Understanding Sperm Morphology: Impacts on Fertility and Treatment Options

Hello Dr. Hsu, my husband (the information is about his age) and I have been trying to conceive for a year without success. On June 2, we went to Cathay Fertility Center for a sperm analysis. The results showed poor morphology: semen volume 1.5 mL, pH 8.8, concentration 181 milli...

Dr. Xu Weikai reply Urology
Huang: Hello, the different standards for testing can lead to inconsistent interpretation of results. Here’s a brief explanation to help clarify: Regarding motility, the test results from June 2 were categorized into different levels, which is a more detailed classification: only...

Improving Semen Quality: Tips for Better Fertility Outcomes

Hello Doctor: Recently, the semen analysis results are as follows. Could you please advise on what I can eat to improve semen quality? Do we still have hope for pregnancy? Thank you. Appearance: Opalescent Gross viscosity: Abnormal Progressive Motility: 3 Total Motility: 5...

Dr. Fu Shizhang reply Urology
It is recommended to visit a urology clinic for further examination to determine the possibility of natural conception.