I have seen men with anti sperm antibodies have children, and the place to start usually is IUI (as recommended by Canadian RE's). There is some evidence that the washing of the sperm 'shakes-off' antibodies, so it is definitely worth a few tries (especially after a TCM course of treatment) before jumping into IVF/ICSI.

There are many genetic reasons for male infertility, and many are still being discovered.  The fact that many of these can be passed down to our offspring puts a new responsibility on people wishing to become parents.  Epigenetics is a new area of genetic science that studies how lifestyle affects the way our genes express themselves in our lives.  Yes, this means that the way we live our lives effects whether or not certain genetic factors will manifest or not.  Conclusion; live a healthy life and reduce the incidence of genetic disease.  The following are just a few male genetic causes of infertility.

 Just read a study from the Asian Journal of Andrology on scrotal temperature and sperm counts.  To the group with lowered sperm counts and higher scrotal temperature they added acupuncture, and what they found is a scientifically significant number of these men had a lowering of scrotal temperatures and increases in sperm counts.  Read study abstract here.

In my experience, and I know with many of my peers, the major inhibiting factor in the successful treatment of male disorders is treatment compliance.  Bottom line, unless something is literally falling off or aesthetically grusome, men most often fall short of finishing a course of recommended treatment.  One way of improving fertility/sperm rates, would be to actually complete treatment protocols given by their healthcare provider.  I was looking looking through my past treatment schedules, and whether they are dragged in by their girlfriend or wife, or they actually decided on their own to 'check it out', most men stop treatment very early into the program protocol.  OK guys, its time to take more responsibility for your health, especially when it is affecting someone you love.

OK men, I just want you to understand that there is hope out there for many of our ailments.  Even though western medical techniques offer little in the way of improving sperm, managing chronic prostate issues, and getting to the bottom of WHY your erections are not what they used to be,...herbal medicine is showing more and more that these alternatives are something worth trying.

Viagra (Sildenafil) stimulates erections primarily by enhancing signaling through the nitric oxide pathway in the penis.  This means that we need nitric oxide to obtain and sustain erections.  Guess what, Fructose, a simple form of sugar (that is in everything sweet, look at the label) is an inhibitor of nitric oxide.  So boyz, the sugar has got to go!
 

A recent presentation at the 64th annual meeting of the American Society for Reproductive Medicine in San Francisco expressed that there is a five-fold increase in the number of men who developed abnormal sperm DNA while being treated with paroxetine (Paxil).  This suggests SSRI antidepressant medications have an adverse effect on fertility.