{"id":90088,"date":"2026-05-25T10:07:36","date_gmt":"2026-05-25T10:07:36","guid":{"rendered":"https:\/\/duxmd.ro\/?p=90088"},"modified":"2026-05-25T15:20:59","modified_gmt":"2026-05-25T15:20:59","slug":"factorul-masculin-conteaza-50-si-poate-fi-imbunatatit","status":"publish","type":"post","link":"https:\/\/duxmd.ro\/en\/factorul-masculin-conteaza-50-si-poate-fi-imbunatatit\/","title":{"rendered":"Factorul masculin conteaz\u0103 50%. \u0218i poate fi \u00eembun\u0103t\u0103\u021bit."},"content":{"rendered":"
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B\u0103rbatul nu e \u201e\u00een regul\u0103” doar pentru c\u0103 spermograma e bun\u0103<\/strong><\/h4>

M\u0103 opresc des la acest moment: un cuplu \u00eemi poveste\u0219te c\u0103 au f\u0103cut toate investiga\u021biile, au urmat toate recomand\u0103rile, au cheltuit sume considerabile pe tratamente, \u0219i totu\u0219i, \u00eenc\u0103, sunt cu bra\u021bele goale.<\/p>

C\u00e2nd \u00eentreb despre investiga\u021biile partenerului, r\u0103spunsul vine aproape invariabil la fel: \u201eA f\u0103cut spermogram\u0103 \u0219i e bine.”<\/p>

\u0218i atunci \u00een\u021beleg c\u0103 am \u00een fa\u021b\u0103 un cuplu care a s\u0103rit un pas esen\u021bial pentru c\u0103 nu \u0219tie c\u0103 mai lip\u0219e\u0219te ceva.<\/p>

Spermograma spune doar jum\u0103tate din poveste<\/strong><\/h4>

Spermograma clasic\u0103 evalueaz\u0103 ce se vede: c\u00e2\u021bi spermatozoizi exist\u0103, c\u00e2t de repede se mi\u0219c\u0103 \u0219i cum arat\u0103. Este un punct de start util. Dar este doar at\u00e2t , un punct de start, nu o concluzie.<\/p>

Ceea ce nu evalueaz\u0103 spermograma standard este integritatea ADN-ului din interiorul spermatozoidului. Po\u021bi avea o spermogram\u0103 perfect normal\u0103, normozoospermie, cum se nume\u0219te \u00een limbaj medical \u0219i totu\u0219i un grad ridicat de fragmentare a materialului genetic. Asta \u00eenseamn\u0103 c\u0103 spermatozoidul ajunge la ovocit, \u00eel fecundeaz\u0103, embrionul \u00eencepe s\u0103 se formeze. Dar \u201cinstruc\u021biunile de asamblare sunt deteriorate\u201d. \u0218i procesul se opre\u0219te.<\/p>

Conform ghidurilor ESHRE, c\u00e2nd gradul de fragmentare a ADN-ului spermatic dep\u0103\u0219e\u0219te 25-30%, riscul de pierdere de sarcin\u0103 \u00een primul trimestru cre\u0219te semnificativ. Embrionul nu se poate divide corect pe baza unui cod genetic incomplet, iar sarcina se pierde, de obicei \u00eentre s\u0103pt\u0103m\u00e2nile 6 \u0219i 9. De c\u00e2teva ori, iar explica\u021bia general\u0103 r\u0103m\u00e2ne \u201cprobabil a avut o problem\u0103 genetic\u0103\u201d.<\/p>

Am lucrat cu un cuplu care trecuse prin 3 pierderi de sarcin\u0103. Partenerul avusese o singur\u0103 spermogram\u0103 ,cu rezultat de normozoospermie. Doamnei i s-a spus explicit: \u201eEl te las\u0103 \u00eens\u0103rcinat\u0103, deci nu el este problema.”<\/p>

C\u00e2nd am recomandat o evaluare complet\u0103 care includea \u0219i testul de fragmentare a ADN-ului spermatic, rezultatul a ar\u0103tat tot normozoospermie dar cu un grad de fragmentare de 53%. Evaluarea uro-andrologic\u0103 ulterioar\u0103 a descoperit varicocel bilateral, neidentificat p\u00e2n\u0103 atunci. Problema nu era la ea.<\/p>

Cele 74 de zile care schimb\u0103 totul<\/strong><\/h4>

Un lucru pe care foarte pu\u021bini b\u0103rba\u021bi \u00eel \u0219tiu: producerea unui spermatozoid matur dureaz\u0103 aproximativ 74 de zile. Asta \u00eenseamn\u0103 c\u0103 orice schimbare pe care o faci ast\u0103zi , alimenta\u021bie, renun\u021barea la fumat, reducerea alcoolului, evitarea saunei ,va deveni vizibil\u0103 \u00een analize abia peste 3 luni.<\/p>

Aceast\u0103 fereastr\u0103 de timp nu este o scuz\u0103 pentru a am\u00e2na. Este o oportunitate concret\u0103 de a interveni \u00een calitatea materialului genetic cu care se va forma embrionul.<\/p>

Ce face stresul oxidativ \u00een interiorul spermatozoidului<\/strong><\/h4>

Una dintre cauzele principale ale fragment\u0103rii ADN-ului spermatic este stresul oxidativ . Explic: dezechilibrul dintre radicalii liberi produ\u0219i de organism \u0219i capacitatea sa de a-i neutraliza. Spermatozoizii nu au cum s\u0103 se apere singuri, au prea pu\u021bine resurse proprii de protec\u021bie \u00eempotriva radicalilor liberi.<\/p>

\u00a0De aceea, mediul \u00een care tr\u0103iesc \u0219i ce m\u0103n\u00e2nc\u0103 b\u0103rbatul conteaz\u0103 at\u00e2t de mult.Fumatul, alcoolul, expunerea la c\u0103ldur\u0103 excesiv\u0103, sedentarismul, o alimenta\u021bie s\u0103rac\u0103 \u00een antioxidan\u021bi naturali , toate contribuie la cre\u0219terea stresului oxidativ. \u0218i stresul oxidativ crescut \u00eenseamn\u0103 ADN mai deteriorat, motilitate mai slab\u0103, morfologie afectat\u0103.<\/p>

Ce spun studiile despre suplimentarea antioxidant\u0103<\/strong><\/h4>

Exist\u0103 literatur\u0103 \u0219tiin\u021bific\u0103 solid\u0103 care arat\u0103 c\u0103 suplimentarea cu antioxidan\u021bi de calitate ortomolecular\u0103 poate \u00eembun\u0103t\u0103\u021bi parametrii spermei \u00een mod semnificativ , nu spectaculos, nu magic, ci m\u0103surabil \u0219i documentat.<\/p>

Un studiu clinic publicat \u00een literatura interna\u021bional\u0103 de specialitate a urm\u0103rit 160 de b\u0103rba\u021bi subfertili care au primit suplimentare antioxidant\u0103 specific\u0103. Rezultatele au ar\u0103tat \u00eembun\u0103t\u0103\u021biri semnificative ale tuturor parametrilor spermei evalua\u021bi inclusiv prin criterii MSOME , o metod\u0103 avansat\u0103 de analiz\u0103 morfologic\u0103 a spermatozoidului la m\u0103rire \u00eenalt\u0103, care identific\u0103 defecte invizibile \u00een spermograma clasic\u0103.<\/p>

Un alt studiu, publicat \u00een Fertility and Sterility, a evaluat impactul supliment\u0103rii antioxidante la b\u0103rba\u021bii subfertili \u00een cadrul procedurilor de FIV \u0219i IMSI. Concluzia a fost c\u0103 rata blastoci\u0219tilor de calitate superioar\u0103 ,adic\u0103 embrionii care ajung \u00een ziua 5 cu cel mai mare poten\u021bial de implantare, a crescut semnificativ \u00een grupul care a primit suplimentare fa\u021b\u0103 de grupul de control.<\/p>

Nu este un detaliu minor: mai mul\u021bi blastoci\u0219ti de calitate \u00eenseamn\u0103 mai multe \u0219anse reale de sarcin\u0103.<\/p>

O meta-analiz\u0103 recent\u0103 publicat\u0103 \u00een PubMed Central, care a sintetizat datele din 9 studii clinice, a confirmat c\u0103 suplimentarea antioxidant\u0103 reduce indexul de fragmentare a ADN-ului spermatic, \u00eembun\u0103t\u0103\u021be\u0219te concentra\u021bia, motilitatea \u0219i morfologia, \u0219i \u00een studiile care au urm\u0103rit \u0219i acest parametru a crescut rata de sarcin\u0103.<\/p>

Important de \u00een\u021beles<\/strong>: aceste rezultate nu apar \u00een 2 s\u0103pt\u0103m\u00e2ni. Ele apar dup\u0103 minimum 3 luni de suplimentare consecvent\u0103, pentru c\u0103 exact at\u00e2t dureaz\u0103 s\u0103 se formeze o nou\u0103 genera\u021bie de spermatozoizi.<\/p>

Ce \u00eenseamn\u0103 \u201ecalitate ortomolecular\u0103” \u0219i de ce conteaz\u0103<\/strong><\/h4>

Nu toate suplimentele sunt egale. Diferen\u021ba dintre un produs de calitate otomolecular\u0103 \u0219i un supliment generic de pe raft const\u0103 \u00een mai multe lucruri: puritatea \u0219i biodisponibilitatea ingredientelor active, dozele validate clinic, absen\u021ba aditivilor inutili \u0219i, cel mai important, combina\u021bia de nutrien\u021bi care ac\u021bioneaz\u0103 sinergic.<\/p>

Micronutrien\u021bii cel mai frecvent studia\u021bi \u00een contextul fertilit\u0103\u021bii masculine includ: Vitamina C, Vitamina E, Acid Folic, Seleniu, Zinc, Glutation, N-acetil-L-cistein\u0103, L-carnitin\u0103, Coenzima Q10, Licopen \u0219i L-citrulin\u0103. Fiecare are un mecanism specific: unii protejeaz\u0103 membrana spermatozoidului \u0219i materialul genetic, al\u021bii sus\u021bin producerea de energie celular\u0103 necesar\u0103 motilit\u0103\u021bii, al\u021bii reduc direct radicalii liberi din plasma seminal\u0103. Combina\u021bi corect \u0219i \u00een dozele potrivite, ac\u021bioneaz\u0103 la nivelul \u00eentregului proces de spermatogenez\u0103, pe parcursul celor 74 de zile.<\/p>

Pe pia\u021b\u0103 exist\u0103 produse de sus\u021binere a fertilit\u0103\u021bii masculine cu formulare ortomolecular\u0103, dezvoltate pe baza ingredientelor active documentate \u00een studii clinice.<\/p>

Dac\u0103 e\u0219ti la \u00eenceputul drumului sau dac\u0103 investiga\u021biile au ar\u0103tat c\u0103 exist\u0103 spa\u021biu de \u00eembun\u0103t\u0103\u021bire, aceasta este o conversa\u021bie pe care s\u0103 o ai cu uro-andrologul sau cu un specialist informat.<\/p>

De unde \u00eencepi concret<\/strong><\/h4>

Primul pas este s\u0103 \u0219tii cu ce te confrun\u021bi. Dac\u0103 nu ai posibilitatea s\u0103 te duci la un centru de fertilitate s\u0103 efectuezi analiza de spermogram\u0103, pentru c\u0103 locuie\u0219ti \u00een provincie, sau pentru c\u0103 nu ai niciun centru de fertilitate \u00een ora\u0219ul t\u0103u, sau pur \u0219i simplu lucrezi prea mult \u0219i nu po\u021bi s\u0103 lipse\u0219ti de la munc\u0103, e important s\u0103 \u0219tii c\u0103 exist\u0103 kituri de autotestare a spermei la domiciliu care permit o prim\u0103 evaluare a parametrilor esen\u021biali acas\u0103. Volum, concentra\u021bie, motilitate, num\u0103r total de spermatozoizi mobili. Studiile efectuate arat\u0103 o precizie de peste 95% fa\u021b\u0103 de rezultatele de laborator.<\/p>

Nu \u00eenlocuie\u0219te evaluarea complet\u0103 la uro-androlog \u0219i nici testul de fragmentare a ADN-ului, dar este un punct de start rapid \u0219i discret, care poate semnala dac\u0103 este nevoie s\u0103 mergi mai departe.<\/strong><\/p>

Dac\u0103 rezultatele ridic\u0103 semne de \u00eentrebare, sau chiar dac\u0103 nu le ridic\u0103, pasul urm\u0103tor este evaluarea complet\u0103 f\u0103cut\u0103 la un specialist: spermogram\u0103 cu fragmentare ADN, profil hormonal, consult uro-andrologic. Nu spermogram\u0103 singur\u0103.<\/p>

Ce vreau s\u0103 \u00een\u021belegi din toate acestea<\/strong><\/h4>

Infertilitatea masculin\u0103 nu \u00eenseamn\u0103 neap\u0103rat c\u0103 spermograma este proast\u0103. Uneori \u00eenseamn\u0103 c\u0103 nimeni nu a c\u0103utat mai departe de suprafa\u021b\u0103. Alteori \u00eenseamn\u0103 c\u0103 s-a g\u0103sit o problem\u0103 real\u0103, dar nu s-au luat m\u0103suri concrete \u00een fereastra de 3 luni \u00een care corpul poate r\u0103spunde.<\/p>

B\u0103rbatul face parte din ecua\u021bie \u00een propor\u021bie de 50%. Investigarea lui trebuie s\u0103 fie la fel de serioas\u0103, la fel de complet\u0103 \u0219i la fel de timpurie ca a femeii. Nu dup\u0103 al doilea FIV e\u0219uat. De la \u00eenceput.<\/p>

Dac\u0103 vrei s\u0103 \u00een\u021belegi mai bine unde v\u0103 afla\u021bi \u0219i ce pa\u0219i urmeaz\u0103, sunt aici.<\/p>

Andrada C\u00e2mpean Navigator de Pacien\u021bi Independent \u00een Infertilitate www.invingeminfertilitatea.ro<\/p>

\u00a0<\/p>

\u00a0<\/p>

Aceste informa\u021bii au scop educativ \u0219i informativ \u0219i nu \u00eenlocuiesc evaluarea medical\u0103 efectuat\u0103 de un medic specialist \u00een context clinic.<\/em><\/p>

\u00a0<\/p>

Surse: <\/em><\/p>

ESHRE Guideline on the Management of Recurrent Pregnancy Loss (Update 2023) \u2014 <\/em>https:\/\/www.eshre.eu\/Guidelines-and-Legal\/Guidelines\/Recurrent-pregnancy-loss<\/em><\/a><\/p>

WHO Laboratory Manual for the Examination and Processing of Human Semen, edi\u021bia a 6-a (2021) \u2014 <\/em>https:\/\/www.who.int\/publications\/i\/item\/9789240030787<\/em><\/a><\/p>

Ajayi et al. \u2014 Impact of antioxidative supplementation on semen quality according to MSOME criteria, Journal of the Brazilian Society of Assisted Reproduction, 2013 \u2014 <\/em>https:\/\/www.researchgate.net\/publication\/272907569_Impact_of_antioxidative_supplementation_on_semen_quality_according_to_MSOME_criteria<\/em><\/a><\/p>

Anthon et al. \u2014 Antioxidant Supplementation of Subfertile Men Improves Top-Blastocyst Rate in Couples Undergoing IVF\/IMSI \u2014 <\/em>https:\/\/www.scitechnol.com\/antioxidant-supplementation-of-subfertile-men-improves-top-blastocyst-rate-in-couples-undergoing-ivfimsi-WUZ7.php?article_id=2415<\/em><\/a><\/p>

Vanlint et al. \u2014 Dietary Supplementation of Antioxidants Improves Semen Quality of IVF Patients in Terms of Motility, Sperm Count, and Nuclear Vacuolization \u2014 <\/em>https:\/\/www.researchgate.net\/publication\/245027678<\/em><\/a><\/p>

Sengul et al. \u2014 The impact of antioxidants on antioxidant capacity, DNA fragmentation, and chromatin quality in subfertile men, PubMed Central, 2024 \u2014 <\/em>https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC11554325\/<\/em><\/a><\/p>

Meta-analiz\u0103: Antioxidant Supplementation on Sperm DNA Fragmentation and Sperm Parameters, PubMed Central, 2022 \u2014 <\/em>https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9623341\/<\/em><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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B\u0103rbatul nu e \u201e\u00een regul\u0103” doar pentru c\u0103 spermograma e bun\u0103 M\u0103 opresc des la acest moment: un cuplu \u00eemi poveste\u0219te c\u0103 au f\u0103cut toate investiga\u021biile, au urmat toate recomand\u0103rile, au cheltuit sume considerabile pe tratamente, \u0219i totu\u0219i, \u00eenc\u0103, sunt cu bra\u021bele goale. C\u00e2nd \u00eentreb despre investiga\u021biile partenerului, r\u0103spunsul vine aproape invariabil la fel: \u201eA…<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[285],"tags":[],"class_list":["post-90088","post","type-post","status-publish","format-standard","hentry","category-aria-fertilitate-comunitate"],"yoast_head":"\nFactorul masculin conteaz\u0103 50%. \u0218i poate fi \u00eembun\u0103t\u0103\u021bit. - Dux MD Pharma Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/duxmd.ro\/en\/factorul-masculin-conteaza-50-si-poate-fi-imbunatatit\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Factorul masculin conteaz\u0103 50%. \u0218i poate fi \u00eembun\u0103t\u0103\u021bit. - Dux MD Pharma Solutions\" \/>\n<meta property=\"og:description\" content=\"B\u0103rbatul nu e \u201e\u00een regul\u0103” doar pentru c\u0103 spermograma e bun\u0103 M\u0103 opresc des la acest moment: un cuplu \u00eemi poveste\u0219te c\u0103 au f\u0103cut toate investiga\u021biile, au urmat toate recomand\u0103rile, au cheltuit sume considerabile pe tratamente, \u0219i totu\u0219i, \u00eenc\u0103, sunt cu bra\u021bele goale. 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