Have you ever had to give a semen analysis for your fertility evaluation? Well, it can be quite
an awkward experience for some people! I'm Dr. Rena Malik, urologist and pelvic surgeon,
and today I'm reacting to the try guys test their sperm count. I previously reacted to their video
getting a prostate exam which was so great and really well done and I'm excited to watch this
one as well. If you're new here, I make videos on urologic content, sexual health, bladder health,
and much much more so if you like what you see make sure you subscribe and share this channel
with your friends and I want to thank legacy for sponsoring this video. Let's get to it!
when we talk about fertility we talk about women having to get tested a lot but not as
much about men do you think that's true so infertility is defined as the inability to
conceive or get pregnant after trying to have a baby for over 12 months but sometimes infertility
specialists will see couples within six months if they have other risk factors such as age
or have concerns about fertility because they can start the work up before then
in men about 20 of infertility is due to male causes and they do make up another 30
where they also contribute and women contribute so about half of infertility issues have some
male issue as well but it's very common that women have undergone a full evaluation long
before men ever make it to a urologist to get a fertility evaluation themselves and not to worry
it's actually pretty straightforward for men to undergo a fertility evaluation compared to women
every guy is terrified of having a baby but i feel like secretly we're more terrified of
not being able to have a baby i'm nervous don't be nervous it's really easy you've
done this at home a thousand times more than that basically you're going to collect sperm
into a cup we were planning on making it a race we're going to try and be the quickest
now to think about my wife so i'm in the masturbatorium
you have to get things ready and it couldn't be weirder i don't what do i um
yeah you just came out what time was it 507. you're fast at jerking it
won't work guys we did it 6 54. that's respectable how long does it normally take maybe
10 minutes is average okay 12 25. i took time to wash my hands after i think i'm just going
to use my imagination i hope everyone washed their hands outside he's done 16 minutes
37 minutes in i'm just worried well i'm done that was a disaster i did it
bad news is that i missed it happened it happened not not much where did the rest of it go
i'd rather not see you jeans so yeah actually when you come to an office to give a sperm sample we'll
usually have some paraphernalia for you to use whether it's a video or magazines in fact one
of our clinics in our old hospital has some very old magazines that that can be used to help get
you in the mood but yeah it's really not a ideal situation because you're trying to do something
that's sort of intimate in a sterile environment with white walls and know that someone's waiting
for you especially in this case they're racing so that's really stressful in order to produce
a sample sperm and semen together are analyzed in something called a semen analysis well actually
take the sample we'll put it into the machine and it calibrates reads the semen gives us a report
it's almost fully loaded which is a choice term a little nervous because actually seeing it in
numbers on paper is going to be really eye opening i'm not feeling very optimistic right now i just
hope that i'm okay i just hope that i'm normal what these guys are getting done is called a
semen analysis and so it's pretty straightforward you want to avoid having any sort of ejaculation
for at least two days before giving a sample and then you give a sample which is sent to a
lab which is evaluated for a number of factors to check the health of your sperm what that includes
at a baseline is a number of things that are recommended by the world health organization which
includes sperm count the motility or how well the sperm moves the morphology the shape of the sperm
and the volume of the ejaculate and in addition to seeing a fertility specialist and getting a
full history where they talk about how many times you've ever fathered children before potentially
if you have other risk factors like having a history of certain exposures certain illnesses
when you were younger and a number of other things as well as a physical examination a semen analysis
required to see the health of the sperm so giving a semen sample in a doctor's office can be pretty
uncomfortable if you're looking to try and do this from the comfort of your own home make
sure to check out legacy they make this process super seamless you fill out your order form you
get a box in the mail with everything you need it comes with the specimen cup the instructions and
the transport media from the time of collection to the time of analysis takes about one week it's
super easy super straightforward anyone can do it and it costs about the same price as semen
analysis in any standard labs and they give you all the results you need in addition they offer
cryotherapy where you can store frozen sperm if you need them for a later date the sperm like to
be about two degrees colder than the rest of the body the heat from a laptop is enough to
cook those sperm right so anything that can get in the way of sperm cooling is a bad thing i've
been wearing boxers all week just as preparation boxers are great exercise exercise is wonderful
i'm gonna over three on that and stress is another big one we didn't allude to yet there's a lot of
toxins that are bad for spring alcohol it's okay anything in moderation is probably okay so one
of the biggest ways to make your sperm counts go to zero is taking supplemental testosterone
things that are pretty neutral caffeine it makes them move right smoking smoking it's a sign of
stress on the sperm but it's not a deal breaker weed we don't really have a lot of data on pot
perfect i think that your sperm are really a good bell weather for how the rest of your body
the quantitative part is how much volume or how much liquid comes out when a man ejaculates
0.4 0.4 what milliliter that's not much it's not the highest volume of a jacket it's ned
comes in a close second well he didn't win so that's all that matters the other quantitative
thing is how many sperm come out in that ejaculation this is how many million per
milliliter ned and eugene both are in the 70 million 3.4 was your volume 1073.1 gives
you a total sperm count of 248.6 million eugene 237.6 million per ejaculate we're still competing
on a molecular level zach was at 37.9 million keith is extremely high concentration at 128.1
million that's why i don't need all that he's really only at about 60 million were made mistakes
mistakes were definitely made but it takes one right i wonder what my boys look like
so yeah there's a lot of stuff they talked about in there and i completely agree with everything
i've talked about a lot of these things in other videos before i've talked about boxers versus
briefs i've talked about cell phones and your sperm and i've also talked about all the different
things that can affect your sperm production and so the things i recommend typically to people who
may be trying to conceive is don't put your cell phone in your front pocket put it in your back
pocket make sure you don't put your laptop on your lap and you can consider certain supplements to
help sperm production try to avoid smoking in excess smoking marijuana and excess or alcohol
in excess avoid stress and eat an overall healthy diet with lots of fruits and vegetables as much
as we all enjoy the competition between these guys this is a spectrum right if you had some stressful
activity one day your sperm count might not be as great the next day in fact if you're having a
infection or you've had the flu you may have no sperm the next day so you want to wait a
couple weeks before you give a semen sample to make sure that your sperm have time to recover
we just take out a dropper and put it in a special slide and we look at
it under a microscope i bet keith sperm are really good at wiggling
like oh zach is gonna have the hairiest sperm eugene's has the kind of sperm to like
other sperm on the way to the egg my only hope is that ned has the strongest fastest sperm
they're pretty cool right yeah the qualitative aspects are the shape of the sperm is what we
call morphology and there's your sperm there they are look at them oh look at them go
look at those little idiots that one has two tails right there whoa only four percent of them
have to be considered morphologically normal which means you've got 96 of your sperm or knuckleheads
knuckleheads wow so we'll focus in that they are oh man doing a dance the other
qualitative thing is how fast they're moving to get up to an egg that sperm
is running the microscopic equivalent of running from los angeles to san francisco
guys oh they look happy and healthy and fun can we all have kids you guys are all
armed and dangerous yeah that was a super fun episode and i'm glad that the try guys
do things like this to help raise awareness and help men go and feel comfortable getting
an infertility analysis i hope you all do if you're struggling and if not i hope you enjoyed
this episode anyways thanks as always and remember to take care of yourself because you're worth it