Protocolsnutrition
nutritionLow-Moderate

Fertility Protocol - Male

A protocol to support sperm count, motility and shape.

Evidence Score

50/100

Developer

Marc Sklar, male fertility specialists

Duration

3 to 6 months (sperm mature over about 74 days)

Steps

22 phases

Used for

5 conditions

Protocol Overview

A protocol to support sperm count, motility and shape. Sperm take about 74 days to mature, so plan on at least 3 months.

Used For

Male infertilitylow sperm countpoor motilityabnormal morphologypreparing for conception

Key Resources

The Male Biological Clock by Harry Fisch, research on male fertility supplements, reproductive urology literature

Safety Profile

Contraindications & Risks
Testosterone therapy and anabolic steroids when trying to conceive (they suppress sperm production). Zinc above 40 mg a day long term can cause copper deficiency. Selenium above 400 mcg a day is toxic. A painful or swollen testicle needs urgent care
Important Notes

Male factors contribute to about half of infertility. Oxidative stress harms sperm, and antioxidants such as CoQ10, vitamin C, vitamin E, selenium and L-carnitine improved semen measures in many small trials. However, a large 2020 randomized trial (MOXI) found no improvement in semen quality or live births with an antioxidant blend, so expectations should be modest. Heat, smoking, cannabis and obesity all lower sperm quality and are worth fixing. Varicocele is found in many infertile men and repair can help. Testosterone therapy suppresses sperm production and recovery can take a year or more. Retest semen after 3 to 4 months.

Find a Practitioner

Gabriel can find and book a practitioner who works with this approach.

Book with Gabriel
EvidenceLow-Moderate
Evidence Score50/100
Categorynutrition
Duration3 to 6 months (sperm mature over about 74 days)

About Evidence Score

The Evidence Score (0 to 100) rates the strength of evidence from studies in people for the uses listed: higher means stronger, more consistent research. It does not measure safety. It is not medical advice.

For education, not medical advice. Talk with a licensed clinician before you start, and never stop or change a prescribed medication without your prescriber.