A recent article in Fertility & Sterility (2008:89;1718) found that semen sample quality was statistically improved if men collected their samples at home versus in the clinic. In fact, the number of men with abnormal sperm counts (<20 million/ml) dropped from 30% with semen collection in the clinic to 18%, with collection at home. The percentage of men with normal progressive motility (or swimming sperm) also increased with home collection. The samples in this study were collected by masturbation.
This information is consistent with several studies that show a beneficial relationship between how relaxed and sexually stimulated a man is, at the time of ejaculation, and sperm quality. This is important for couples who are trying to conceive for several reasons.
1) Having a sample that accurately reflects the man’s sperm sample saves everyone from the grief and added costs or interventions that may occur with an incorrect diagnosis of male factor infertility. You must always have two samples one month a part to diagnose a male factor. And it would be best if at least one sample was collected at home.
2) When doing procedures such as IUI or IVF, you want the very best sperm quality and count you can have. Your results are directly related to these parameters. Collecting at home and following some of the subsequent recommendations can optimize this.
3) Even if you are trying naturally at home to conceive, make sure one of your “baby-making” sessions is GOURMET– Take your time, try something a little different, keep it spicy! Basically make sure that at least once in your fertile time you go that extra mile for great sex, not “have to” sex. This will help him produce more sperm.
Finally, whether you are collecting a semen sample for the lab, or baby-making at home, you can use Pre’ and/or Pre~Seed, to make things feel better, and add extra slippery, while providing an optimal sperm environment. Some labs will tell men to use no lubrication for sample collection. This doesn’t feel good! We have many sperm labs that use our products for semen collection, and Pre’ has a specific indication of use for semen collection. So have no concern in using our isotonic formulation.
Be aware though that labs, do NOT like messing with samples from home. It is a hassle for them. You may have to just straight up tell them, you will be collecting it at home and bringing it in. They can complain, but they need to accommodate you in this request or you should find a different lab. And you must get the sample to the lab within an hour. If you can’t, rent a hotel room- the effect of the two of you having fun collecting this sample together versus DH standing in a white room, will pay off!
Also remember the VERY best way to collect a semen sample is with a special non-spermicidal condom made from polyurethane. This has been shown in many settings to dramatically improve sperm quality and count for all the reasons discussed above.
Happy Collecting!
Dr. E