Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Question Title: Bike Riding and trying to conceive

Forum: The Urology Forum
Topic: Urology - General


My husband is on a bike ride approximately 2-3 hours about 5-6 days a week. The andrologist says it has NOTHING to do with not getting pregnant. However, we have tried for over 2 years and have had no luck. They are now suggesting very expensive procedures as our only alternative. Please help.

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Dear Kay,
I don’t know if you are the same Kay I just answered a similar question for, if so, the beginning of this answer will be redundant. The answer to your first question about bike riding, there should be no effect on a man’s fertility.
Approximately 15% of all married couples will experience reproductive difficulty. Conception normally is within 12 month in 80% of couples who are trying. If after this period of time you have not conceived it is then recommended you proceed with an infertility evaluation of both the male and the female. I can only assume you have done what I have just described and the semen analysis parameter you have provided is a result of this work-up.
Infertility is a very expensive area of medicine and often attempts fail. It is unfortunate that all of us who want to conceive are not always able. To begin with below, here is a normal semen analysis. Semen analysis would be a good place to start if you are concerned about your husbands fertility status. This would give you an accurate idea if there were enough sperm and how well they move.
The main semen parameters that should be evaluated are:
Ejaculate volume- 1.5-5.0 ml
Sperm density- >20 million/ml
Motility >60%
Forward progression >2 (scale 1-4)
Morphology >60% normal
After you have completed a standard infertility work -up, the physician should be able to explain what the problem is, discuss your options and tell you how the complex procedures to which you eluded can help. You are right to say that they are very expensive and often they do not succeed in a child. You should be cautious in your decision and get all the facts. We have a male infertility specialist at Henry Ford Hospital who would be glad to help you, his name is Dr. Caleb Fleming.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its suburban locations (1 800 653-6568).

Sincerely,
HFHS M.D.-AK
*keyword: Infertility





 

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