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Does milk increase sperm?

Low fat dairy, particularly low fat milk was related to higher sperm concentration and motility. Cheese intake was also noted to be deleterious to sperm concentration, particularly among past or current smokers. So, real men should drink low fat milk.

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Real Men Drink Low Fat Milk

It is obvious that if you think about the source of milk, milk contains female hormones. They are not powerful, but they certainly are present, and they become a source of estrogen in the diet of many people. It is natural to wonder if then if this could lower the sperm count and motility in men. A Harvard study published recently in Fertility and Sterility, evaluated the diet history of a group of men and compared men who regularly ingested full fat versus low fat milk. The subjects’ diets were also studied, comparing a “prudent pattern” diet of fish, low fat diet, fruit, vegetables, whole grain to the Western diet. The Western diet, a much maligned diet pattern, contained processed and red meat, fried fish, butter, margarine, full fat dairy, french fries, refined grains, pizza, snack, high energy drinks, mayonnaise and sweets. They found that there was a drop in fertility in this group of men who were 36 years of age in an infertility clinic. Low fat dairy, particularly low fat milk was related to higher sperm concentration and motility. Cheese intake was also noted to be deleterious to sperm concentration, particularly among past or current smokers. So, real men should drink low fat milk. As far as I could tell from the study, the other elements of the diet pattern did not correlate with sperm parameters. This is reassuring. Often men ask their infertility specialist if they can do anything to their diet, and, based on this study, a Western diet is not a bad thing for male fertility. And of course, make the choice to drink low fat milk instead of whole milk. However, obesity in men is another topic altogether, with definite risk factors related to sperm quality and obesity, which we will cover in another post.

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Does saw palmetto affect mood?

It is however known that saw palmetto affects hormones in the body, and risks of mood changes like depression and sexual dysfunction may be real (albeit low) risk.

A number of studies have suggested that saw palmetto can help hair loss. These studies are small and few in number. Nevertheless, countless numbers of patients turn to these natural products. Furthermore, because they are natural, most assume they are without side effects. The side effect profile of saw palmetto is not entirely clear. It is however known that saw palmetto affects hormones in the body, and risks of mood changes like depression and sexual dysfunction may be real (albeit low) risk. A recent report provided additional evidence that this natural product might best be classified among chemicals and molecules that affect the hormone and endocrine system of the body (so called "endocrine disruptors"). A 2015 paper from Italy reported development of hot flashes in a 10-year-old girl using saw palmetto. When she stopped treatment, the hot flashes stopped. When she started back up again ("ie a rechallenge'), the hot flashes returned. However, 4 months after starting saw palmetto, the 10 year old got her first menstrual cycle. This report reminds us that use of saw palmetto requires counselling of at least the low possibility of side effects. I advise my own patients of the generally well tolerated nature of saw palmetto but remind them of possible risks of mood changes and even the rare possibilities of sexual side effects. More studies are needed to not only document the successes of saw palmetto in medicine but the incidence of side effects.

Reference

Morabito et al. Pharmacology 2015.

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