Tcm clineek

Acupuncture, Herbs, Reiki

Male Fertility Acupuncture

If you have tried to father an embryo and eventually a child for 2 years with no success, and there is no infertility findings with your female partner, there is a chance of low sperm count, or abnormality/slow motility or other causes for your infertility.​

Click here to watch a 3 minute video on reasons for male infertility.​

The Semen Analysis​

What are they looking for?

  • Sperm count
  • Ability of sperm to swim (motility)
  • Velocity or forward progression of the sperm
  • Size and shape of the sperm (morphology)
  • Total semen volume
  • The liquefaction of the semen (the ability to go from normal gel-like state at ejaculation to a liquid state)

The Factors Reported in a Semen Analysis

A semen analysis is usually done at a laboratory or a physician's office. After collection of the semen sample, the semen should then be examined within a few hours, to achieve the most accurate results. The following is evaluated:

Total Volume

2 5 milliliters is a normal volume. A very low volume indicates that the seminal vesicles may not be making enough fluid or that these ducts may be blocked. It may also indicate a problem with the prostate gland.

Sperm Count

40 million to 300 million is the normal range for the number of sperm per milliliter. Counts below 10 million are considered poor; counts of 20 million or more may be fine if motility and morphology are normal.

Motility and Velocity

2 aspects of motility will be evaluated

The number of active cells as a percentage of the total number of cells (rated from 0-100%, at least 50% should be active)
The quality of the movement of the sperm (rated from 0-4. A score of 2 or more is satisfactory.)


At least 30% of cells should be of normal shape according to the WHO (world health organization)

Kruger (strict) morphology test

Examines the shape and size of the sperm head. Normal results are when 14% or more of the sperm have normal shaped heads. Men with less than 4% of normal shaped sperm may have a significant infertility problem.


Normal semen which is liquid at ejaculation immediately coagulates into a pearly gel that liquefies within 20 minutes. Failure to coagulate and then liquefy may indicate a problem with the seminal vesicles, as would increased thickness or the presence of white blood cells.

Seminal Fructose

If no sperm are present, the semen will be tested for seminal fructose, normally produced by the seminal vesicles. If no fructose is present, congenital absence of the vas deferens or seminal vesicles or obstruction of the ejaculatory duct


The physician may test the semen and/or the urethra for the presence of ay STD's or other bacteria.

Causes of Male Infertility

Sperm has to be made in the testes, travel through the spermatic ducts, and find the egg. 

Radiation, environmental toxins, undescended testis, varicocele, traumatic injury, infectious injury, testicular atrophy, drug effects, prolonged fever, certain endocrine disorders, congenital abnormalities, past surgery in the lower abdomen, tight underwear, poor diet, antihypertensives, antiinflamatories, antihistamines, stress, lack of sleep, alcohol, nicotine, marijuana, and cocaine, all have a large effect on sperm health and male fertility. 

A man may also produce antibodies to his own sperm, this means that the immune system attacks the tails of the sperm that they are producing. Sometimes the woman produces antibodies toward her partners sperm, they generally attack the head of the sperm. 

Diagnosis of Male Infertility:

Medical history will be taken; childhood disease, undescended testes, mumps, sexual disease.

Structural abnormalities will be examined; varicocele (swelling of the scrotum), size and shape of testes.

Secondary sex characteristics will be evaluated. 

Hypothyroidism, hypopituitarism, adrenal disorders, hypogonadism, diabetes, and other endocrine disorders will be checked for.

2-3 specimens of sperm will be needed for a proper evaluation. Volume and other characteristics vary from time to time. The semen should look somewhat viscous and opaque. The volume should be between 1-5 ml (remember that one shot of alcohol is 30 ml). There should be over 20 million sperm per ml of semen.

Surgery may be needed. Although, many sperm abnormalities and male fertility problems can be effectively treated with diet and lifestyle changes, avoiding what can be harmful, supplementation with vitamins, minerals, acupuncture and herbs. 

TCM differentiations for male infertility:

Kidney Yang deficiency
Low libido, weak ejaculation, impotence, seminal emission, low sperm count, slow motility,
Yang deficiency symptoms (coldness, fatigue, pale bright face, copious clear urine)

Kidney Yin deficiency
seminal emission, slow mobility, low count, thick sticky semen from Heat &/or lack of fluids, 
Kidney Yin deficiency symptoms (nights sweats, anxiety, irritable, fidgety)

Liver Qi stagnation
Liver meridian blockage in the local area (genital) makes it difficult to ejaculate, related with impotence and low libido, stress, easily angered, irritability

Damp/Heat in low Jiao
Alcohol and diet leads to this condition, generally overweight, sperm count is low, may be sperm deformities, Damp/Heat symptoms (scanty urine, fullness in hypogastrium, loose stools, feeling overheated) 

Qi and Blood deficiency
Worry, over-thinking, stress, chronic illness, impotence, low sperm count, short sperm life, slow mobility, 
anxiety, palpitations

How do acupuncture and TCM work for male fertility?

​For male fertility treatments, usually acupuncture is done to activate the DU channel which is one of the main Yang activiating channels of the body, in addition needles are inserted on Kidney, Spleen, Liver, Heart, Ren, and other necessary meridians based on the TCM differentiation.

Some points are selected on specific meridians on the lower abdomen, as in TCM the lower abdomen or Dan Tian is called the room of Esscence.

Treatment plan

Normally a minimum of once a week treatments are recommended for male individuals with fertility challenges. Chinese herbal medicine can also be administered for people who have a lower sperm count and motility to complement the effect of acupuncture. The treatments should be continued untill the pregnancy occurs with the female partner, then we recommend that the female individuals continue the treatments throughout the pregnancy.

Your initial visit is usually about 1.5 hrs and includes an evaluation based on TCM and an acupuncture treatment for fertility. Follow up visits are only one hour long.

A customized herbal medicine treatment plan, can start from your second visit. Herbs are administered as raw herbs that you take home and cook them once a week, and keep the decoction in a glass jar in the fridge and normally drink it 2-3 times a day. You also follow a reasonable diet as well as proper exercises.​