How long should a man abstain before conceiving a child?

Does sexual abstinence increase the chances of conceiving a child?

Should a man hold back when conceiving???
How does containment affect sperm???Rinat Hello, Rinat! To be honest, I don’t understand at all why a man should hold back if he really wants to become a father. In my opinion, this is some kind of strangeness... Or did you mean in your question not restraint during sexual intercourse, but abstinence from sex for a certain period of time? Then it's a completely different matter.

When planning a pregnancy, the quality of sperm plays a significant role. Sperm quality can be negatively affected by alcohol, smoking, unbalanced diet, vitamin deficiency, chronic stress and low-grade inflammatory diseases of the genital area.

For many years, scientists believed that in order to successfully conceive a child, a man should abstain from sex for several days in order to accumulate more seminal fluid. But this is only partly true. The number of sexual acts (or, more correctly, ejaculations) really affects the amount of seminal fluid.

However, it is important to remember something else. The quality of sperm and its ability to fertilize an egg depends on the frequency of sex and in the opposite sense. The determining factor for success is not the quantity, but the quality of sperm, or more precisely, their motility. The more frequent the ejaculation, the more motile the sperm.

The above, however, does not mean that in order to increase your chances of getting pregnant, you need to have sex every day. In fact, couples who make love every other day will have no less chance of conceiving a child - 22% of them achieve this result.

Of course, there is no talk of any abstinence.

Most doctors urge young couples not to get too carried away with calculating favorable days, positions, etc. If the future father and mother are healthy, they will succeed even without ticks on the calendar and the Kama Sutra. All you have to do is make love with pleasure – when you want. Pregnancy is highly likely to occur within a few months of regular sex.

You only need to sound the alarm and run to a doctor for advice if you cannot get pregnant after a year of constant, targeted attempts.

Can a man drink alcohol when planning a pregnancy?

Vitamins supplied through food may not be enough. The main vitamins that have a beneficial effect on conception are:

Folic acid
Zinc
Selenium
L-carnitine
Vitamins C and E

Vitamin E affects male fertility. The higher your fertility, the greater your chances of creating offspring.
Vitamin E improves sperm motility and viability.

There are multivitamins for men that can help them become fathers. Here are the names of some of them:

Spermactiv
Speroton
Orthomol
Spermstrong

Speroton - multivitamins for conception
Often men are interested in the question of whether it is possible to drink alcohol when planning a child. The answer is categorical - no.

Some men are sure that they should only give up strong alcoholic drinks. However, even alcoholic drinks with a low percentage of alcohol (for example, beer) can have a detrimental effect on the health of the fetus.
The semen of a non-drinking man contains about a quarter of damaged sperm. That's a lot, you might think. But if a man drinks alcohol, the percentage of defective sperm increases. Hence there is a risk of conceiving an unhealthy child
Smoking has the same negative impact. It’s better to give up bad habits, because the health of the unborn baby is at stake

No alcohol.
A competent approach to conception is an indicator of a man’s responsible attitude towards impending fatherhood. Such a man will be a loving and caring father. Support your man in his desire to continue a healthy birth.

First, let's repeat: the best way to increase fertility is proper nutrition. Because vitamins and minerals are best absorbed from food. However, if for some reason you cannot balance your diet, then nutritional supplements will help.

Folic acid (vitamin B9);
Vitamin D;
Vitamin C;
Zinc and selenium preparations;
Iodine;
L-carnitine (levocarnitine);
D-aspartic acid.

This is an approximate list of vitamins that a man needs to take before pregnancy. But let us repeat once again: they will be useless if you eat incorrectly and violate the regime.

Efforts to conceive a child can be ruined by just two things: alcohol and cigarettes. This is especially true for men over 40

Drinking alcohol lowers zinc levels and also dramatically reduces sperm quality.

The same goes for smoking. Tobacco smoke not only kills healthy sperm and makes them less active, but also affects the health of the expectant mother.

And, of course, when planning a pregnancy, you should completely avoid drugs and other psychotropic substances. It is known that marijuana impairs spermatogenesis, however, there is no evidence yet that its use increases the risk of miscarriages and intrauterine malformations.

We suggest that you familiarize yourself with Aching pain in the lower back on the left in men

Here are some more tips to help you when planning a pregnancy

Why should a man prepare to plan a child?

Modern couples are increasingly practicing abstinence before conception. Especially those who approach child planning with great responsibility.

A man and a woman must undergo a full examination, pass all tests, and make sure that there is no sexually transmitted infection. Qualified specialists recommend that future parents conceive a baby in a calm psychological environment.

At the same time, it is important to give up various bad habits, including smoking and alcoholic beverages.

Female abstinence

Before conceiving a child, the body of the expectant mother should be in a measured and calm state. All women know that the most suitable period for conceiving a child is the middle of the menstrual cycle. It is during this period that many married couples plan sexual intimacy.

Before the decisive time comes, a woman needs to be in psychological peace for 3-5 days. Refrain from negativity, walk more in the fresh air, eat well and stick to positive emotions.

During this period, it is important not to think that conception may fail. It is necessary not only to prepare yourself, but also to think about the women's system. If there are minor inflammatory processes in the vaginal area, it is recommended to undergo effective treatment after a doctor’s prescription. The acidity of microflora increases against the background of various diseases. This is a dangerous factor for sperm.

Abstinence for men

Male abstinence before conception

Fertilization of the egg directly depends on the condition of the sperm. Many married couples are confident that if they have sexual intercourse every day, the chances of conceiving soon will increase. But this is a mistaken opinion. Increased activity of partners reduces the chances of any possibility of conceiving a child.

The problem is that male sperm takes a certain amount of time to mature. The process of ejaculation can occur every day, but its quality will not correspond to that required for conception.

To find out how long a man needs to abstain before having sexual intercourse with his partner, he should undergo a special test. It will show sperm activity. By its nature, sperm must be mature and full of energy. This is the only way sperm can reach the uterus after passing through numerous obstacles. Moreover, they will need more energy to fertilize her.

But abstinence for a man is not only the absence of sexual intercourse. He should stop abusing bad habits. Eliminate cigarettes and alcohol from your life. These are the factors that negatively affect the condition of sperm. If a man is planning a future with a woman and wants healthy offspring, he must quit smoking completely.

For 2-3 days before conceiving a child, take more walks and breathe fresh air. The diet should be diluted with healthy foods, namely meat, eggs, fish and fresh vegetables. Food should not only be tasty, but also healthy. Positive emotions will help you tune in to the process of conception so that everything goes well.

No qualified professional can guarantee that abstinence before conception will produce positive results. But many young families confirm the origin of the real miracle. Everything is in the hands of future parents; you not only need to want a child, but also do everything for it, even endure it.

Basic rules of abstinence before conception

Conception is best done during ovulation

Many parents do not know how to abstain correctly and how many days this period lasts. Medical data shows that all young couples have the same chance of conceiving. This applies to those who did not limit themselves in many things and people who abstained during the period of planning a baby.

Despite the data obtained, there are general rules that will be useful to all parents who are planning to have children:

The most suitable time to conceive a child is the time of ovulation in women. Short abstinence before this period will help increase the chances of fertilization of the egg. 1-2 days is enough. These are approximate figures, since it has always been difficult for women to determine the exact day of ovulation.
A man should take a break for 24 hours after the first sexual intercourse. The fact is that after each of them, the testicles cannot produce the required amount of sperm. Against this background, its most important indicator, fertility, is declining.
Male prolonged abstinence before conception is not maximally beneficial. This is not the main indicator for achieving the desired result. Not only does the quality of sperm deteriorate, but male strength is negatively affected.
If you stick to a set schedule during sexual activity, both partners will get tired. This process is quite tedious, and the desired effect is not always achieved. From making love, a man and a woman receive not pleasure, but stress. Abstinence for a long period of time, which does not bring positive results, can disturb the peace of a young family.

All men are different, each has a certain temperament, excitability, and all have their own needs. Medical scientists do not recommend creating the same schedule for everyone when it is necessary to abstain. According to statistical data, there is a certain pattern for conceiving a baby.

Partners should have regular sexual intercourse with a frequency of at least 2 times a day. in Week. If a man has a desire to make love more often, he should not limit it. Some doctors recommend that their patients make more love during the period of ovulation in women.

Supporting factors

It is necessary to abstain from alcohol and smoking

There are numerous folk tales that indicate the timing of abstinence, for example, if parents want a girl. There are also corresponding opinions for planning a male baby. But this is more and more a theory; in practice, there are additional factors that help increase the chances of conceiving a child.

Partners are advised to stop smoking and drinking alcohol, especially during the planning period. In this case, a man needs to abstain for 3 months, the same period that his cells need to renew themselves.
The external genitalia should be protected from overheating. High temperature negatively affects the condition of sperm. Before conception, it is recommended to avoid visiting a bathhouse or sauna.
You should not wear underwear or clothing that interferes with or compresses the male genital organs.
Physical activity should be reduced; a large amount of it has a negative effect on the condition of sperm.
It is important to maintain psychological balance. A positive attitude will only contribute to conceiving a child.

Responsible parents know whether abstinence is necessary. They are ready to sacrifice a lot just to have children. Even men can withstand a certain period without sexual intercourse if they have serious motivation.

In most cases there is no need to abstain. After a thorough examination, diagnosis and tests, qualified specialists recommend that their patients make love regularly.

Many children are born precisely at the moment when their parents are distracted from their goal and simply enjoying life.

Today, more and more married couples are taking planning for a future child seriously. Both partners try to undergo a full examination of the body, to exclude all kinds of diseases and sexually transmitted infections.

Future parents try to conceive against the backdrop of a favorable moral and psychological environment, completely abandoning bad habits. In the process of planning a new addition to the family, a logical question often arises: is abstinence necessary before conceiving in men?

In this article we will try to consider the pros and cons of such tactics.

Positive and negative sides

As is known, the formation of sperm is a continuous process that begins in adolescence under the influence of hormonal levels. Formed sperm are waiting in the wings in the male genitals.

It is based on these features of male physiology that many argue that abstaining from sex during the process of planning a child is practically necessary for conception. Indeed, there is a rational grain in such statements.

The benefit of abstinence is to increase the number of sperm entering the female genital tract during ejaculation.

This leads to another feature of male physiology - if you abstain from sex for a long time, the quality of the ejaculate deteriorates. For men, such an indicator as the mobility of germ cells is important. It is thanks to forward movements that sperm enter the upper third of the fallopian tube, where fertilization occurs.

https://www.youtube.com/watch?v=9DjjgJi5hxU

It has been proven that if you practice abstinence from sex for a long time, the mobility of germ cells is greatly reduced. Moreover, even a large number of sperm produced will not increase the likelihood of conceiving a child. We must not forget about the psychological factor; a long absence of sexual relations leads to a decrease in sexual desire for a partner and even a deterioration in erection.

With abstinence, the number of sperm increases.

How to draw conclusions correctly

Should one practice abstinence from relationships, how many days should one endure, is it possible to lead an ordinary life and not abstain at all - all these questions concern future young dads.

Available statistics suggest that the likelihood of conception is approximately the same for couples who limited their contacts and for those who did not pay attention to the restrictions.

You can develop the following simple rules for yourself:

It is known that the greatest chance of becoming pregnant occurs during a woman’s ovulation. Theoretically, short abstinence - 1 day or 2 before the expected date of ovulation - can increase the likelihood that children will be born as a result of sexual intercourse. However, it is very difficult to determine the exact timing of ovulation. Therefore, such calculations are approximate.
Avoid repeated sexual intercourse for 24 hours. It has been proven that if sexual intercourse is too frequent, the testicles do not have time to produce the required number of sperm, and sperm fertility is greatly reduced.
Long-term abstinence recommended for a man before conceiving a child is absolutely useless. The quality of sperm deteriorates, and in some men libido suffers.
Having sex on a schedule and accurately counting days of abstinence only tire both partners and do not bring the desired result. Making love turns into frantic attempts to have a child. And if these attempts are also unsuccessful, discord in the family is guaranteed.

For questions regarding abstinence

There is a statement that before conception, spouses require prolonged abstinence - supposedly in this way fertilization will be carried out accurately. The above statement is partly true - during the absence of sex, a man will accumulate a larger number of sperm, one of which will certainly reach the egg during ovulation. Scientists believe that before conceiving a child, spouses should not have sexual intercourse for three days. This time is required for sperm to accumulate and sperm concentration to increase.

Surprisingly, having sex once a week is also unfavorable for conception, since it raises the problem of tracking the days of a woman's ovulation. Due to the fact that conception requires the male sex seed (sperm) and the female reproductive organ (uterus), the movement of sperm directly to the cervix is considered an ideal condition for the process of conception. During sex, the uterus rises and moves slightly away from the entrance to the vagina, while the path of sperm travel lengthens slightly. When a woman is sexually active, the position of the cervix will become distant.

Drugs

What a man needs to know before conceiving a child is that he should not use any medications on his own. Self-medication with medications can lead to serious complications, including infertility and deformities in the baby. Therefore, if a couple is planning a baby, the man should consult with his doctor about the possibility of taking certain medications.

If, according to the results of a spermogram, the quality of the semen is poor, then the question arises of what a man should do before conception so that his wife becomes pregnant. To improve sperm quality, it is imperative to undergo treatment for the underlying disease; doctors can also prescribe dietary supplements. Vitamin complexes for men will help improve the quality of ejaculate and increase the chances of natural conception.

These drugs include:

Speman;
Spermaplant;
Viardot;
Speroton;
Verona;
Spermactin;
Tentex forte, etc.

Currently, on the pharmaceutical market you can find a large number of products to prepare a man for conception. It is better that they contain substances such as L-carnitine and L-arginine, as they improve sperm motility and quality. It will also be useful for a man to consume royal jelly, folic acid, and a complex of vitamins.

Medical examination of the male body

The first thing a man needs to do before conceiving a child is to be examined by a urologist for the presence of certain diseases. After the doctor forms the initial picture, he prescribes several tests for the patient that fill in the lack of information.

These tests include:

PCR;
Spermogram;
Study of prostate secretion;
General and biochemical blood test;
General urine analysis.

Other general blood tests, ECG and ultrasound may also be additionally prescribed. In general, these methods are aimed at identifying bacterial and viral infections. A spermogram gives an idea of the quality and motility of sperm, which shows a man’s ability to naturally conceive a healthy child.

If, during an examination, a urologist finds problems with the prostate gland, examining its secretions will help determine the cause of the abnormalities and how to get rid of them. Blood and urine tests make it possible to form an idea of the general health of a man, the presence of genetic diseases , and the degree of risk of transmitting these diseases to the unborn child.

All research is aimed at identifying pathologies, followed by the development of measures to get rid of them. Only after complete relief from illness can a man confidently begin to conceive a child.

Abstinence before conception in men: benefits and harms

It is difficult to say how much truth there is in this statement, since experts have differing opinions on this matter.

In order to assess the benefits or harm that sexual abstinence has on a man’s body during the period of planning conception, one should first of all consider how many days this process lasts.

Effect on the mechanism and quality of ejaculate

Australian scientists conducted a study of the influence of ejaculation frequency on the quality and quantity of seminal fluid and calculated the probability of conception.

The results of the experiment force us to reconsider some established views among the stronger sex. The experiment involved 118 men who had abnormalities in their spermogram.

Participants in the experiment were asked to have sex every day.

After 7 days, a repeat analysis of sperm volume and quality was performed. It turned out that in 81% of men the number of sperm with damaged DNA decreased by 12%. However, in 19%, the quality of the ejaculate deteriorated by 10%. Calculations for the group showed that the average number of normal sperm in the ejaculate is 23%, which gives a significant chance of successful conception.

Scientists explain these results by the fact that with prolonged abstinence (more than 7-8 days), the cells are exposed to heat, which reduces their mobility.

Abstinence increases the percentage of abnormal sperm due to aging and decreased sperm motility.

In addition, the condition of the germ cells is affected by negative radicals, and with prolonged abstinence, the time of their exposure increases, and consequently, the percentage of damaged sperm and the degree of damage increase.

With abstinence, sperm motility decreases.

It turned out that the spermogram results worsened on the fourth day of abstinence. A natural question arises: “Does a man need to abstain before conceiving a child?” There is no clear answer to this question, since too many factors influence a man’s fertility.

To objectively assess the benefits and harms of sexual abstinence in preparation for conception, you should consider:

Number of days of abstinence.
A man’s sexual activity, his temperament.
Expressiveness of sexual desire of partners.
Individual characteristics of the sexual constitution.
Personality traits.
Health of the reproductive system, etc.

If, taking into account the listed factors, we consider the benefits and harms of abstinence before conception, we will get an ambiguous picture, which cannot be confirmed by scientific calculations, since all the factors are very individual.

What are the benefits of reducing sexual activity?

The recognized favorable period of abstinence in preparation for conception in men is considered to be 3-5 days. Scientists have significantly reduced this time interval to 2-3 days.

What happens in a man’s body during this period? To conceive a child, an optimal volume of ejaculate with a maximum number of normal sperm is required. The average man releases from 2 to 10 ml of sperm during one act of ejaculation.

A man’s body synthesizes up to 1000 sperm per second, which take time to “mature.” The time during which the selection, culling and maturation of the sperm occurs is 70-72 days.

The optimal amount of seminal fluid in a man accumulates within three days.

Scientists acknowledge that daily sex affects the amount of ejaculate, but, as a rule, it remains sufficient for conceiving a child.

If abstinence does not exceed 3 days, then the optimal volume of seminal fluid accumulates, increasing the chance of conception.

Therefore, abstinence for no more than 2-3 days immediately before ovulation is favorable for conception and is beneficial by increasing a man’s fertility. But here it should be noted that the benefit will only be if the man leads a regular and active sex life.

During a 2-3-day period of abstinence, the production of testosterone increases, which stimulates sperm production and is responsible for its characteristics. After 3-4 days of sexual abstinence, the level of male sex hormone drops, which reduces the chance of conception. Therefore, a minimum period of abstinence is beneficial for men due to increased activity of sex hormones.

The research results were published in the journal Human Reproduction, and scientists suggest an indirect effect of stress on conception. Obviously, the hormone has an effect on sexual activity. Abstinence will be beneficial if during this period the couple is distracted from the problems of conception, thereby reducing the importance of the problem and, accordingly, the level of stress hormone.

Often the result is not achieved due to psychological problems.

Paradoxical theories of the benefits of abstinence are given in his book by FG Lydston, an endocrinologist and professor at the University of Illinois. The benefits of abstinence are confirmed by J.-A. Fournier, D.H. Kellogg, E. Kraepelin and others.

From the above facts it follows that short-term abstinence in a man during the period of planning conception is beneficial for:

Restoring the volume of seminal fluid.
Improvements in sperm characteristics.
Normalization of psycho-emotional state.
Sublimation of energy and increase the physical condition of a man.

Although these conclusions cannot be considered unambiguous, the results of studies from major European scientific institutions indicate in favor of short-term abstinence. However, it must be recognized that there is an equally extensive scientific literature showing that abstinence can cause harm rather than benefit to the male body and negatively affect the function of the reproductive system.

Justification for negative impact

When a dilemma arises - should one abstain from sex before conception or should one lead an active sex life - the next question that arises is: “What harm can abstinence cause to the body?” Naturally, long-term refusal of sex can lead not only to physiological, but also psychological problems. Scientists have convincingly proven that abstinence for more than 4-7 days reduces sperm quality.

During this period, the male body “reserves” a larger volume of seminal fluid, but this factor is not always beneficial for conception. For example, the normal volume of sperm should be 2-8 ml.

It is believed that an increase in the amount of ejaculate is necessary for normal conception, since a certain amount of sperm is spent on neutralizing the acidic environment of a woman’s vagina, the rest is involved in the fertilization process.

Fertilization by one of these sperm can cause spontaneous abortion or the birth of children with various anomalies. Therefore, long-term abstinence harms sperm composition.

In addition, inflammatory and infectious pathologies of the reproductive system are increasingly observed during childbearing years. Long-term abstinence provokes:

Stagnant processes.
Increases inflammation.
Causes tissue hyperplasia.

This harms not only the functioning, but also the condition of the reproductive system.

When the question arises whether it is possible to abstain from sex with prostatitis, doctors unanimously recognize the harm of abstinence in this pathology.

Cessation of sexual activity can lead to chronic disease. Therefore, the recommendations according to which regular sex life serves as a prevention of prostatitis are not without foundation.

Long-term abstinence can harm the functioning of the reproductive system. Scientists note a decrease in libido and frequent sexual dysfunctions in a group of men who are forced to go without sex for a significant period of time. In medicine and psychology there is even a special term that describes this condition - widower's syndrome.

Long-term abstinence harms the composition of sperm.

For men with high levels of sex drive, even short-term abstinence can be detrimental to their mental well-being. According to statistics, about 79% of neuroses are the result of irregular sex life. With prolonged abstinence in a man:

Self-esteem decreases.
Doubts about sexual attractiveness arise.
Irritability, nervousness, and aggressiveness increase.

To normalize the psycho-emotional state during abstinence or excessive sexual activity in men with a neurotic disposition, the help of a psychologist may be required. Thus, it is impossible to unambiguously answer the question: “What should be the optimal rhythm of sexual activity in the run-up to conception?” Since the reaction of a man’s body and psyche to abstinence is very individual.

We can only definitely say that regular, measured sex life during the period of planning conception is the most justified decision.

But you should not subordinate your sex life only to the “necessity” of conception, since the extensive experience of psychologists confirms that the relationship of a couple who devotes all their efforts and emotions to achieving this goal quickly becomes insipid and forced and often leads to a break.

Abstinence for women

To successfully become pregnant, a woman must lead a measured rhythm of life, including intimate life. As you know, in order to conceive, you need to be in the middle of a woman’s menstrual cycle. Spouses need to properly plan abstinence so that at least three days without sexual intercourse pass during this period. To fully conceive, a woman needs to abstain for 3-5 days. At this time, she needs to spend more time in the fresh air, eat well and properly, and receive only positive emotions.

This is important: A woman additionally needs to prepare the vagina by curing possible inflammation, because an acidic environment is dangerous for sperm. To treat inflammation, a woman needs to douche with a soda solution during the preparatory period at night. Therefore, abstinence for a woman is also necessary even from this point of view.

Diet

If a man is healthy and his sperm is of high quality, it means that he is capable of conceiving. In this case, no specific therapeutic measures will be needed; to prepare for pregnancy, you only need to lead a healthy lifestyle and take vitamins if prescribed by a doctor.

Proper nutrition is the most important part of preparing for conception, for both men and women. If the doctor does not give any special instructions, then the diet is as follows:

The diet must be balanced, the energy value must correspond to the physical condition and activity of the man.
It is necessary to observe a drinking regime, at least 2 liters of clean water per day.
The diet should include only approved healthy products, only fresh and prepared with your own hands; there should be no semi-finished products or fast food on the menu.
It is very important to eat in small portions, 5-6 times a day.
All harmful products from the prohibited list are excluded.
The use of alcohol, drugs and cigarettes in any form and quantity is completely prohibited.

It is important to note that if a man is completely healthy and his sperm quality is normal, then he may not adhere to such a strict diet. The diet should be balanced, but you can allow yourself to eat small amounts of tasty and slightly unhealthy food. If the sperm quality is poor and the man is still obese, the diet must be strictly followed.

Prohibited

Prohibited foods:

fatty meat, sausages, canned food;
any food fried in oil;
ketchups, mayonnaise and other sauces from the store with harmful additives;
foods with a lot of salt;
very spicy food;
smoked;
very sweet foods, chocolates, candies, etc.;
baked goods, cakes;
chips, flavored crackers, and other snacks.

Allowed

Before conception, a man must compose his diet from natural products:

cereals, for example, rice, buckwheat, oatmeal, etc.;
wholemeal bread;
durum wheat pasta;
vegetables, greens;
fruits, berries, nuts;
milk and fermented milk products;
eggs;
lean meat, poultry, fish, seafood;
vegetable oils.

When preparing to conceive a child, a man is advised to eat enough protein and vegetables. You should not neglect carbohydrates and fats, as they are very important for the functioning of the body and the performance of a man.

Video the effect of alcohol on sperm quality

In the video, a specialist talks about the negative effects of alcohol on a man’s sperm.

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Conception success rate

Indeed, slight abstinence affects the amount of sperm, it becomes larger, but at the same time sperm motility decreases. Hence the conclusion: the quality of seminal fluid is not getting better. During everyday sexual intercourse, spermatozoa, on the contrary, are very active. This begs the logical question, so which is better quality or quantity? Studies in this area have shown the following:

with everyday sex, about 25% of couples managed to get pregnant;
with contacts after 1 day, 22% already achieved positive results;
intimacy only once every 7 days - the chances dropped to 10%;
sexual contact once a month. infertility is possible in the future, especially in males;

It is worth paying attention to the situation when a couple, with regular contacts, fails to get pregnant for a long time. In this case, the man will need to take an hba test. In other words, an analysis for the binding of sperm to hyaluronic acid. Perhaps it's all about the initially low sperm motility. Read all the details about the hba test here https://fertilnost.com/analizy/hba-test.