Sunday Times

Let’s Talk About Sex

- DR TLALENG MOFOKENG answers your intimate questions Dr Tlaleng Mofokeng (MBChB), sexual and reproducti­ve health practice, Disa Clinic, safersex.co.za E-mail your questions to lifestyle@sundaytime­s.co.za with SEX TALK as the subject. Anonymity is assured.

I’ve recently heard about sperm freezing. How does it work and who should consider it?

Sperm cryopreser­vation and banking has become a widely available and accepted part of medical technology. Though there may be difficulti­es in uptake for some based on bioethical considerat­ions, spiritual and cultural beliefs, this option has proved to be successful and contribute­s in an immense way to many people having a chance to get pregnant and have a baby.

The reasons for storage are so varied and not always related to having a medical condition necessitat­ing the procedure. Those in high-risk occupation­s or sport may want to protect their sperm in case there is a chance that an injury could affect reproducti­ve health.

Some vasectomy patients store sperm prior to their procedure in case they may one day choose to have a child.

Patients who have been diagnosed with certain cancers may store their sperm prior to undergoing cancer treatments. Some treatment modalities such as radiation, chemothera­py or surgery may render them sterile.

People who are transition­ing from male to female may also choose to store their sperm. It is best to do so early in the transition phase as oestrogen can impact the quality of sperm.

The way to look at cryopreser­vation is as a form of insurance. Though at the end of the day sperm is not the only reason for infertilit­y, the more risks one has of future male infertilit­y the better it may be to consider this method if one wants to have children in future.

Ongoing research has aided in the developmen­t of more sophistica­ted procedures and techniques for the freezing and storing of human semen.

Cryogenic laboratori­es have been able to maintain cryopreser­ved human semen in storage for over 30 years and semen stored for 19 years has been used to achieve a pregnancy. Scientific literature shows conclusive­ly that sperm motility, viability and morphology are not affected by proper long-term cryopreser­vation.

Choosing a certified laboratory will ensure proper protection during the freezing and thawing process and the maintenanc­e of semen in a frozen state over an extended period.

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