You may not find men poring over pre-pregnancy books, stocking up on
the right vitamins and minerals, and avoiding hidden dangers that could
harm their baby-to-be. But this kind of male nesting behavior should be
more commonplace, says F. Sessions Cole, a neonatal specialist and
director of the newborn medicine division at St. Louis Children's
Hospital in Missouri.
When a couple is trying to get pregnant,
"most of the attention is focused on the woman," Cole says, "but men
make up half of the equation." If you're thinking about becoming a dad,
here's a list of what you can do to ensure a healthy pregnancy
before trying to conceive.
Check in with your doctor
Make
an appointment to see your doctor, especially if you have a chronic
disease, take any medication, or experience problems with erections,
ejaculation, or loss of libido.
Get a physical:
It's a good idea to have a complete physical exam so your doctor can
check for conditions that may affect fertility. Some conditions to watch
out for include:
- Varicoceles, which are varicose veins on
the scrotum, the sac of skin that contains the testicles. Varicoceles
prevent the testicles from cooling normally, which doctors think may
lead to fewer, misshapen, or less mobile sperm. Although varicoceles are
usually harmless, and no one knows exactly how they're related to
infertility, 40 percent of men with fertility problems also have
varicoceles. The condition is entirely treatable, so talk to your doctor
about the options.
- Sexually transmitted infections (STI), which may cause male infertility. Your doctor can help you get tested and treated.
- Conditions
such as prostatitis (inflammation of the prostate) or mumps (which may
result in swollen testicles) may lead to infertility. Your primary care
doctor can refer you to a urologist or a male fertility specialist if
you need additional testing or treatments.
Discuss your medical history:
You'll also want to talk to your doctor about your family's medical
history. (See "Get in touch with your medical roots," below.) If your
ethnic background predisposes you to certain medical conditions, or if
you have a family history of birth defects (including genetic or
chromosomal disorders, intellectual disability, or other developmental
delays), you and your partner should have genetic counseling. This type
of counseling helps you find out what risks you face and which screening
tests to consider before pregnancy.
Be wary of certain drugs and supplements:
Be sure to let your doctor know about everything you're taking, whether
it's prescribed or over-the-counter. Certain medications can affect
either the quality or quantity of sperm and cause male fertility
problems. Such drugs include:
- Any steroid or hormone
- Some high blood pressure drugs
- A few antibiotics
- Some medications used to treat diseases like fungal infections, ulcerative colitis, Crohn's disease, peptic ulcers, and seizures
In
most cases, the effect is reversible once you go off the drugs. Talk to
your doctor about your plans to become a dad, and find out if you can
safely switch to a different medication.
Anabolic steroids, which
bodybuilders often use to bulk up, are well studied, and evidence shows
they can reduce sperm count and shrink the testicles. Though herbs and
supplements may seem harmless, your doctor is the best person to judge
whether they can interfere with your ability to father a child.
Find out about potential hazards:
Last, ask your doctor about any hazards you may be exposed to on the
job or elsewhere. (See "Check your workplace for hazards," below.)
Exposure to pesticides, heavy metals, and organic solvents, for example,
can affect the quality and quantity of your sperm.
Certain
hobbies may expose you to harsh chemicals as well. Refinishing
furniture, repairing cars, painting, building models, or any other
activity that uses strippers, degreasers, or non-water-based glues and
paints can expose you to solvents.
Similarly, making pottery or
stained glass windows and handling, shooting, and cleaning guns may
expose you to lead or other heavy metals. That doesn't mean you have to
drop all your hobbies and take up knitting, just check with your doctor
to see what your risk level is.
Get in touch with your medical roots
It's
a good idea to find out about your family health history, so call your
parents, siblings, or other relatives to get the medical scoop. If they
get suspicious and you're not ready to share your news, tell them you're
trying out a new healthcare provider.
The most important thing to
ask is whether anyone in your family has a genetic or chromosomal
disorder, such as Down syndrome, sickle-cell anemia, cystic fibrosis,
Tay-Sachs disease, or bleeding disorders.
It's also important to
note that some conditions are related to ethnic background. For example,
Tay-Sachs is common among Ashkenazi Jews, and sickle-cell anemia occurs
more frequently among African Americans than most other ethnic groups.
You'll
also want to find out if any relatives have intellectual disability or
other developmental delays, or were born with an anatomical birth
defect, like a cardiac or neural tube defect. Your partner will need to
provide this information at her first preconception or prenatal visit,
and your answers can help determine whether any specific prenatal tests
are recommended or whether either of you should consider getting tested
before you even start trying to conceive.
Stock your fridge with healthy foods
If
you thought you could continue mowing down chili dogs and cheese fries
while your partner dines on grilled chicken and steamed vegetables,
think again. Not only will it be easier for her if you follow the same healthy eating lifestyle, your sperm will be better off, too.
Studies
have shown that poor nutrition can affect the quality and quantity of
sperm. For example, men with low levels of folic acid – the same B
vitamin women need to reduce the risk of neural tube birth defects –
were found to have low sperm counts.
You may be able to get the
amount you need (400 micrograms a day) from fortified breakfast cereals,
leafy greens, legumes, and orange juice. Just to be sure, it can't hurt
to take a folic acid supplement or a multivitamin, says Cole. Other
fertility experts recommend vitamins that contain antioxidants or amino
acids, such as L-arginine, for men with low sperm counts or poor sperm
function.
Zinc is another nutrient to keep an eye on. Several
studies show that even short-term zinc deficiencies can reduce semen
volume and testosterone levels. Plus, research suggests that low levels
of this mineral may interfere with the absorption and metabolism of
folic acid. Eating meat, seafood, wholegrain cereals, and eggs are great
ways to get the 11 milligrams of zinc you need each day, and most
multivitamins also contain the mineral.
Some studies suggest that
certain antioxidants, such as vitamins C and E, can boost sperm
motility. But before you reach for the supplements, check with your
doctor. Too much C and E may damage your sperm's DNA. Your best bet is
to eat a healthy diet that includes a variety of fruits and vegetables,
lean protein, whole grains, and low-fat dairy.
Eating a healthy
diet can help you maintain a healthy weight, too. Being overweight has
been linked to lower testosterone, poor sperm quality, and reduced
fertility. One study found that the odds of infertility increased by 10
percent for every 20 pounds of excess weight.
Just say no to partying
The
party's over for your partner once you start trying for a baby, but
what about you? Same goes for men, says Cole. Sperm is just as affected
by tobacco, alcohol, and drugs as a woman's eggs.
Research
suggests that this troublesome trio may lower sperm counts and slow
motility. That means you should completely cut out recreational drugs
(such as marijuana and cocaine), cut down on alcohol, and quit smoking
before you start trying.
Plus, kicking the habit now can help your
family later. Secondhand smoke is not only dangerous for your partner
it's also dangerous for your children – both in utero and after birth.
Even using chewing tobacco has been linked to poor sperm function.
A
lowered sperm count isn't the only reason you should cut back on
drinking: Research shows that dads who drink the equivalent of two
drinks a day during the month before conception have babies who weigh,
on average, 6.5 ounces less than other babies. Low birth weight is a
serious medical condition that can affect your child's health and
behavior for the rest of his life.
Check your workplace for hazards
Other
hidden dangers to sperm may be lurking where you work. Regular exposure
to pesticides and other chemicals such as organic solvents, which are
often found in dry cleaning and auto shops, can make it more difficult
to conceive. They also can alter sperm composition, leading to birth
defects and premature delivery.
Because it takes three months for
sperm to develop and fully mature, limit your exposure to these
chemicals at least three months before you and your partner start trying
to conceive. Ask your employer for a copy of the Material Safety Data
Sheet (MSDS) that details any chemical exposure you have at work. And
visit the Centers for Disease Control's website for more information on how to avoid workplace hazards that can harm your reproductive health.
Meet with a financial adviser
Shelling
out $20 for cute designer baby booties is just the start of what you'll
spend on your little one in years to come. According to a 2010 report
from the U.S. Department of Agriculture, families earning between
$57,600 and $99,730 will spend about $226,920 to raise a child from
birth through age 17 – and that doesn't adjust for inflation.
But
never fear: By investing just $50 or $100 a month, you can create a
nice nest egg by the time your little one heads off to college. Talk to a
financial adviser about how to start saving now.
Buy some boxers
The
jury is still out on the boxers versus briefs debate. Some say the
testes can get overheated in briefs, inhibiting sperm production. Others
say it's really not an issue unless sperm count is already a concern.
Cole
points out that if wearing boxers can potentially give you an edge over
briefs, why not go with boxers for a few months? It's a fairly simple
wardrobe adjustment that could speed things along.
Stay out of the hot tub
Don't
use hot tubs, saunas, or hot baths to unwind for up to three months
before trying to conceive. Heat kills sperm. And because it can take
that long for sperm to regenerate, spending a long time in the hot tub
in January means it could be April before you have a full set of
swimmers again. Testicles function best when they keep their cool: "The
boys" are happiest at 94 to 96 degrees, a couple of degrees cooler than
normal body temperature.
Be bike-savvy
Casual
cyclists don't need to stress about the studies that found long hours
on a hard bike seat can lead to lower semen volume and reduced sperm
count and motility. It's the hard-core athlete who spends more than two
hours a day, six days a week in the saddle who should take note: All
that riding can injure the scrotum and testes, potentially leading to
fertility problems.
What's more, wearing bike shorts for hours on
end can kill sperm as effectively as soaking in a hot tub. The scrotal
area can also get hot and sweaty when it's between the legs and bike
seat, and that can lead to lower sperm counts in avid cyclists. Men's
testes are outside the body for a reason – they need a cooler
environment to function properly.
If you're going to ride, limit your time on the bike, wear loose-fitting shorts, and choose the softest seat available.
Relax
Although
the possibility of getting your partner pregnant is wildly exciting, it
can also be stressful, especially if conception takes several months.
Take time to relax and unwind – go for a swim, shoot some hoops, or take
a stroll. Studies haven't concluded that such exercises will boost your
conception odds, but it will certainly make the process more pleasant,
says psychologist Alice Domar, assistant professor of obstetrics,
gynecology, and reproductive biology at Harvard Medical School.