How to get the best sperm sample for IVF?

• 03 Nov, 2022
• IVF and Infertility
• infertility
• Medically Reviewed By: Dr. Nishi Singh
• Author: Prime IVF Centre

If you are advised a semen analysis or are pursuing fertility treatment like IUI or IVF, sperm collection will be necessary. As known, sperm plays an important role in fertilizing the egg. Thus it is crucial to collect sperm carefully because a minor mistake can affect the result. Below we have broadly described how the best sperm sample can be collected to make your IVF treatment a success.

The Andrologist can collect sperm from the male partner through normal ejaculation or using more complex techniques like testicular sperm extraction (TESE) or micro epididymal sperm aspiration (MESA). Patients must adhere to the clinic's semen collection instructions to acquire sperm of the highest quality. One must be aware of sperm collecting procedures for in vitro fertilisation and intrauterine insemination between clinics. 

The most common technique used to obtain a sperm sample is manual masturbation. Occasionally, electroejaculation or sexual contact with a specific condom is necessary for a successful collection. Some males lack sperm in their semen or are unable to ejaculate where the Urologists can frequently harvest viable sperm from the testis or epididymis in these unique situations with a quick minor surgical procedure.

Common Instruction For Sperm Collection

Some common instructions to obtain the best sperm sample for IVF are mentioned below:

• Before collecting the semen sample, refrain from sexual activity (ejaculation) for at least two days but no longer than five.
• A sterile, non-toxic plastic jar should be used and is best suitable for collecting the semen. None of the other containers are suitable.
• Most clinics prefer to collect the specimen on-site. There are frequently available private collecting rooms. 
• Before gathering the specimen, wash and dry your hands. Some programs suggested washing the penis and rinsing and drying it to remove any soap or water.
• Any difficulties while collection of semen should be communicated to your doctor. A vibrator or a specific non-toxic condom for collection during sexual activity could be used if the doctor recommends it as an alternate collection strategy. Commercial condoms are ineffective because they destroy sperm.
• Don't touch the cup's interior. DO NOT attempt to transfer any spilled semen to the cup.
• Lubricants shouldn't be used unless a doctor instructs you to.
• For marking and transferring the sample, adhere to the clinic's recommendations. It is essential that you carefully follow these guidelines. Keep the jar shut tight to prevent leaks. Let the lab know if some of the samples were lost or spilled. 
• Keep the temperature of your semen sample as close to your body temperature as possible. If the semen sample gets too cold or too hot, the sperm motility value may reduce.
• If you collect your sample outside the clinic, you have one hour after ejaculation to get it to the lab. Outside of the body or in situations with changing temperatures, sperm does not have a long life. Lower overall motile sperm counts and poor semen cryopreservation will result from delayed semen delivery and exposure to varying temperatures.
• Also, let your physician know if you've taken any medications, including herbal remedies.
• You'll also have to give up a few (perhaps harmful) habits. It is advised to refrain from using drugs, drinking alcohol, and smoking during the ten days before your sperm collection.
• Caffeine, alcohol, coke, hashish, cigarettes, and some medications, such as anabolic steroids, can impact sperm production. Hence they should be avoided.
• Eat healthily and exercise more: The quality of sperm obtained during IVF can be improved by a decreased BMI and improved metabolic nutrition.
• Avoid stress and indulge in good sleep: The quality of sperm and testosterone levels can be impacted by stress and not obtaining enough sleep. Therefore, you should avoid stress and get at least 7 to 8 hours of sleep every night.
• Extreme temperatures shouldn't be applied to any sperm samples. Avoiding hot flashes is advised. Wear breathable, lightweight clothing, and only spend time in air-conditioned areas.

Sperm Quality Improvement Strategies

Improving sperm quality for IVF involves embracing lifestyle changes, dietary adjustments, and targeted measures. Specialists often advocate a balanced diet rich in antioxidants, vitamins (C, D, E), and minerals like zinc and selenium. Regular exercise aids in maintaining a healthy BMI, crucial for optimal sperm production. Minimizing exposure to toxins, such as cigarette smoke and excessive alcohol, is advised. Additionally, targeted supplements like coenzyme Q10 or folic acid might be recommended based on individual needs. 

While medications aren’t universally prescribed, certain cases benefit from specific treatments aimed at addressing hormonal imbalances or sperm health issues. Consulting a healthcare professional before implementing any changes is strongly advised for personalized guidance.

Stress Management for Optimal Sperm Collection

Managing stress during sperm collection for IVF is crucial for optimal results. High stress levels can impact sperm quality. Engaging in relaxation techniques can help. Deep breathing exercises, meditation, or simple mindfulness practices can alleviate stress. Prioritize adequate sleep and incorporate gentle exercises like yoga or walking into your routine. Creating a calm environment during collection, with soothing music or a comfortable setting, can also aid in relaxation. Communicate openly with your healthcare provider about any concerns, as they might offer further guidance or support. 

Remember, minimizing stress not only enhances the experience but also positively influences the quality of the collected sperm, potentially improving outcomes during IVF procedures.

Post-Collection Handling and Transport of Sperm Samples

After sperm collection, maintaining sample viability during transit, especially when the clinic is distant, is crucial. Ensure the sample container is tightly sealed and insulated within a clean, temperature-stable container, such as a thermos or insulated bag. Keep the container close to body temperature and shielded from extreme temperatures. If traveling by car, avoid direct exposure to heat or cold. Aim for a prompt delivery to the clinic within an hour of collection, as extended transit times can impact sperm motility. Notify the clinic immediately if any delay occurs, ensuring the sample's integrity for successful processing and fertilization.

Takeaway

Typically, sperm collection for IVF occurs before egg retrieval. Before the collection, the sperm donor is instructed to refrain from having sex for two to five days, typically accomplished by masturbating. While collecting the sperm or the egg for the IVF procedure, the quality of the sample is more crucial than the quantity. When a specimen is required, stress can occasionally make a sperm donor less able to generate one. 

A semen specimen can be collected and frozen beforehand in those circumstances. Once the sample has been obtained, the sperm will be ready to fertilize the eggs collected in our lab. When the sample is being collected, the most concentrated portion of the sample has opted, and the andrology experts will try to process it.

It is typical to have trouble ejaculating during fertility testing and treatment. There's no need to be embarrassed or ashamed. Speak with your health professional if you think you might have ejaculatory difficulties or learn that you have. Ideally, do so before any scheduled treatments. They could help in your hunt for a solution. While collecting sperm samples for the process of IVF, consult your doctor and discuss all the essential steps and precautions to make your procedure a success

FAQs- How to get the best sperm sample for IVF?

1. Are there any specific instructions for collecting the semen sample?

When collecting the semen sample, it is important to use a sterile, non-toxic plastic jar provided by the clinic. Other containers are not suitable. Wash and dry your hands before collection, and avoid using lubricants unless instructed by your doctor. It is crucial to follow the clinic's guidelines for marking, transferring, and preserving the sample to maintain its integrity.

2. What lifestyle factors should I consider before collecting a sperm sample for IVF? 

To optimize the quality of the sperm sample, it is advisable to refrain from using drugs, drinking alcohol, and smoking at least ten days before collection. Additionally, caffeine, certain medications, and extreme temperatures should be avoided, as they can impact sperm production and motility. Maintaining a healthy diet, exercising regularly, managing stress levels, and getting adequate sleep can also contribute to better sperm quality.

3. What should I do if I experience difficulties with sperm collection?

It is not uncommon to encounter difficulties with sperm collection during fertility testing or treatment. If you experience any challenges or concerns, it is important to communicate with your healthcare professional. They can provide guidance, support, and potential solutions to help you overcome any issues you may encounter. It is recommended to discuss these matters with your doctor before any scheduled treatments to ensure a successful and comfortable experience.

4. Can I take medications or herbal remedies before collecting the sperm sample? 

It is important to inform your physician about any medications or herbal remedies you have taken before collecting the sperm sample. Certain medications, including anabolic steroids, can have an impact on sperm production and quality. By sharing this information with your doctor, they can guide whether any adjustments need to be made, ensuring the best possible sperm sample for your IVF treatment.

5. Can stress and lack of sleep affect the quality of the sperm sample? 

Yes, stress and inadequate sleep can have an impact on the quality of the sperm sample. High levels of stress and chronic sleep deprivation can affect hormone levels, including testosterone, and potentially reduce sperm quality. It is important to prioritize stress management techniques, such as relaxation exercises or counseling, and aim for sufficient sleep of 7 to 8 hours per night. By taking care of your overall well-being, you can enhance the quality of your sperm sample for IVF.

6. Can I consume alcohol or smoke immediately before collecting a sperm sample for IVF?

It is strongly recommended to avoid consuming alcohol and smoking before collecting a sperm sample for IVF. Both alcohol and smoking have been associated with decreased sperm quality and can potentially impair fertility. To optimize the chances of success, it is advisable to refrain from these habits for at least ten days before the scheduled sperm collection. By making healthy lifestyle choices, you can improve the quality of your sperm and contribute to the success of your IVF journey.