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How low can
sperm counts drop before men become infertile? In many instances,
men are considered infertile if their sperm counts drop as low as
20 million per ml, although it is still possible for a man with
that sperm count to sire a child if other factors are all favorable.
If sperm count drops much below that, however, reproduction becomes
increasingly unlikely. Below 5 million, a man is definitely sterile.
Diminished sperm
count is not the only factor in male sterility. If sperm quality
is compromised, higher sperm counts are needed for reproduction
to take place. As sperm motility (the ability of the sperm to move)
is impaired, the sperm may be unable to pass through the cervical
mucous or penetrate the hard outer shell of the egg. When sperm
motility is reduced, sperm become increasingly incapable of fertilizing
the egg.
Abnormally shaped
sperm also have difficulty fertilizing an egg. In one study, if
14% or more of sperm had round enlarged heads (indicating early
unraveling of genetic material) the chances for pregnancy fell to
about 20%. (2)
It appears increasingly
certain that in today’s world both the quantity and quality of male
human sperm are declining. The New England Journal of Medicine reported
in 1995 that not only had sperm count declined 33% during the past
20 years among fertile, healthy men in Paris, France, but also that,
during the same period, the proportion of motile sperm (sperm able
to swim) declined at the rate of 0.6% per year, and the proportion
of normally shaped sperm (compared to misshapen sperm) declined
at the rate of 0.5% per year. (3)
We now have
a scientific consensus that both sperm counts and the quality of
sperm are declining. Yet the chemical industry has only stepped
up its efforts to convince the public and elected officials that
the data is too ambiguous and controversial to justify alarm. To
do so, they point to possible "confounding factors," such as subject
abstinence time before sampling, and differing methods of analysis,
that can influence the accuracy of sperm count data. Their tactic
is to take legitimate but relatively minor issues and blow them
out of all proportion to imply that nothing conclusive has been
learned.
In 1999, however,
the journal BioEssays published a major report by University of
Missouri epidemiologist Shanna Swan that found the dramatic decline
of average sperm density in the U.S. and Western Europe to be even
greater than previously estimated. (4) In a meta-review of
data from more than 60 studies, Swan found that average sperm counts
among healthy American men dropped from 120 million sperm per milliliter
of semen in 1938 to just over 50 million in 1988. In Europe, she
found, sperm counts dropped to roughly the same level, and have
been dropping by the staggering rate of 3.1% each year between 1971
and 1990.
Despite the
efforts of the Chemical Manufacturer’s Association, Monsanto, DuPont,
etc., to cloud the issue, the evidence of declining sperm levels
continues to mount. It was the New Yorker Magazine that, in 1961,
first published Rachel Carson’s Silent Spring. In 1996, the New
Yorker Magazine ran a long feature story called "Silent Sperm."
(5) The author, Lawrence Wright, interviewed dozens of prominent
researchers in the field of endocrinology and reproductive health
and made some interesting points:
- Danish endocrinologist
Niels E. Skakkebaek said it has become difficult for sperm banks
to establish a core of donors. In some areas of Denmark, for example,
they are having to recruit ten potential donors to fine one with
good semen quality.
- Skakkebaek
also reported that 84% of the Danish men he studied had sperm
quality below the standards set by the World Health Organization.
- There has
been a three-fold increase in men whose sperm count is below 20
million, the point at which fertility is jeopardized.
- Researchers
at the Washington Fertility Study Center report that the sperm
counts of their donors, largely medical students, have suffered
a steady decline for many years, to the point that the researchers
are now worried that, if the decline continues at the same rate,
by the year 2002 there will be no potential donors who can meet
the approved or recommended standards.
- The fact
is that the number of morphologically normal sperm (meaning sperm
with a normal shape) produced by the average man has dropped below
the level of those of a hamster, which has testicles a fraction
the size of a man’s.
Why is all this
happening? The prevailing explanation implicates environmental chemicals
called endocrine disrupters that masquerade as hormones. Specifically,
synthetic chemicals that mimic the female sex hormone estrogen may
influence male development in utero or during the formative years
of early childhood when hormone sensitivity is high.
In 1993, a study
published in The Lancet traced the decline to males being exposed
in the womb to female sex hormones that permanently alter their
sexual development, and greatly reduce a man’s ability to produce
sperm. (6) The study, along with one published later in 1993
in the Journal of Endocrinology established several diet-linked
sources of increased estrogenic exposure to males in the womb (7):
- The modern
diet increases the levels of natural estrogen in women. Fiber
in the diet today is lower than it was 50 years ago. Natural estrogens
excreted in the bile are more readily reabsorbed into the bloodstream
when the lower intestine contains little dietary fiber. Thus,
a fetus today may be exposed to higher levels of the mother’s
own natural estrogens, compared to a fetus 50 years ago. (Fiber
is found in all whole grains, vegetables and fruits; and is absent
in all meats, dairy products, and eggs.)
- Another source
of increased estrogens in women today is the many synthetic organic
chemicals and heavy metals that have been released into the environment
in massive quantities since world war II. Some of these compounds,
such as PCBs and dioxins, concentrate in ever higher levels on
higher rungs of the food chains. Vegetarians, and even more notably
vegans, thus enjoy some degree of protection.
- A study
published in The Lancet in 1994 found that organic farmers had
much higher sperm counts than farmers using chemicals. (8)
Many animals
produce up to 1,400 times as much sperm as is needed for fertility.
( 9) Human males are not nearly so prolific. The average
human male produces only five or six times as much sperm as is needed
for fertility. In the best of circumstances, humans don’t have much
sperm to spare.
To summarize,
in the last 50 years, the sperm count of the average American male
has dropped from 120 million sperm per milliliter of semen to just
over 50 million, and there have been losses in sperm quality that
markedly enlarge the impact and significance of these reductions.
At levels of 20 million, many men experience an inability to reproduce,
but with the decline in sperm motility and in normally shaped sperm
we may in the future see higher sperm counts needed for fertility.
Meanwhile, sperm counts continue to drop. At what point will our
elected officials wake up?
In recent years,
we have seen the tobacco industry defend its products by trying
to create a smokescreen of controversy -- and the result has been
millions of deaths to lung cancer, emphysema, etc. Now we are seeing
the chemical industry doing the same thing, only the result may
eventually come to jeopardize the survival not just of countless
individuals, but of our species itself.
Notes:
1 -- Elizabeth Carlsen and others, "Evidence for decreasing quality
of semen during the past 50 years," British Medical Journal Vol
305, 1992, pgs 609-613
2 -- "Infertility In Men," Sept 1998; http://my.webmd.com/content/dmk/dmk_article_40051
3 -- Jacques Auger and others, "Decline in Semen Quality Among Fertile
Men in Paris During the Past 20 Years," New England Journal of Medicine,
Vol 332, No. 5, February 2, 1995, pgs 281-285
4 -- Brian Halweil, "Sperm Counts Are Dropping" World Watch, March/April,
1999, pgs 32-33 Rochelle Jones, "Is the Environment Hurting Men?"
WebMD.com, January 3, 2000
5 -- Lawrence Wright, "Silent Sperm" the New Yorker Magazine, January
15, 1996
6 -- Richard M. Sharpe and Niels E. Skakkebaek, "Are oestrogens
involved in falling sperm counts and disorders of the male reproductive
tract?" The Lancet, Vol. 341, May 29, 1993, pgs 1392-1395
7 -- R.M. Sharpe, "Declining sperm counts in men ? is there an endocrine
cause?" Journal of Endocrinology, Vol 136, 1993, pgs. 357-360
8 -- Annette Abell and others, "High sperm density among members
of organic farmers’ association," The Lancet, Vol 343, June 11,
1994, pg 1498
9 -- Peter K. Working, "Male Reproductive Toxicology: Comparison
of the Human to Animal Models," Environmental Health Perspectives,
Vol 77, 1988, pgs 37-44
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