Fertility is lower among men with BMIs of 26 or greater, and decreased as BMI rises. For every three-point increase in BMI, the risk of infertility rose by 12 percent. There are a number of mechanisms by which being overweight could affect fertility in males. For example, excess weight may reduce sperm concentration / count, alter hormonal balance and increase scrotal temperature, or overweight men may simply have lower libidos and less sex than normal-weight men.
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The serum FSH (follicle-stimulating hormone) level test is a useful one for assessing testicular function. If the reason for the azoospermia is testicular failure, then this is reflected in a raised FSH level. This is because, in these patients, the testis also fails to produce a hormone called inhibin (which normally suppresses FSH levels to their normal range). A high FSH level is usually diagnostic of primary testicular failure, a condition in which the seminiferous tubules in the testes do not produce sperm normally, because they are damaged. A nocturnal ejaculation may have more prostatic fluid in it (which is whiter and thicker), while a daytime ejaculation may have more sperm and fluid from the seminal vesicles, which tends to be more clear and less viscous. Most of the time when I masturbate, my semen smells like Clorox bleach. This just started about a month ago, and I am getting really worried. The smell is completely normal.
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