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and pelvic inflammatory disease. A recent study conducted by researchers from Emory University in Atlanta and the Federal Centers for Disease Control and Prevention found that women who douched were almost four times as likely as those who had not to develop an ectopic pregnancy. The longer a woman douched regularly, the greater her risk. After fifteen years of regularly douching, the risk of an ectopic pregnancy was seven to eight and a half times that of a woman who had never douched. An estimated 37 percent of American women douche; if you are among them, discontinue the practice, at least until you have finished having children.

Take Cough Syrup

Guaifenesin, the active ingredient in Robitussin and several other cough syrups, works by thinning the mucus in the lungs. As an added benefit, it also thins the cervical mucus, making it better suited for moving sperm through the reproductive organs. Take one to two teaspoons a day, starting three or four days before ovulation.

HIS

Ejaculate Every Two or Three Days

You’re going to have to pace yourself: Ejaculating too much—or too little—can lower your sperm count. Don’t believe the old wives’ tale about “storing up” sperm to promote conception.

Most infertile couples focus on the timing of intercourse near the anticipated time of ovulation, but it is helpful to enjoy your sex life all month long. While absence may make the heart grow fonder, studies have found that abstinence makes the sperm grow weaker. Researchers have found that waiting more than two or three days between ejaculations (whether through intercourse or masturbation) can lead to a diminished number of active sperm and inferior sperm quality. Regular sexual activity increases testosterone levels, which stimulates sperm production and maturation. So to maximize your sperm count, enjoy a rewarding sex life all month long, not just around the time of ovulation.

Take a Cold Bath—Before Sex, Not Instead of It

“Go take a cold shower” may be one way of turning down the heat when someone’s amorous ambitions cannot be acted on, but evidence suggests that a cold bath or shower thirty minutes before intercourse can actually improve fertility. Evidence indicates that a cold bath increases the flow of oxygen in the body and the level of testosterone in the blood. So you might as well try a five-minute soak to cool things off—then enjoy yourself as things heat up.

Consult a Doctor if You Have Very Little Seminal Fluid

In some cases, a physical problem can cause a man to ejaculate into his bladder, rather than out through the end of the penis. He enjoys the pleasurable sensations associated with an orgasm, but no fluid is released. Then, the next time he urinates, a milky white fluid—semen—is excreted along with the urine.

In many cases, this problem, known as retrograde ejaculation, stems from a neurological disorder that causes a lack of control of the muscles at the base of the bladder that normally close off just before ejaculation. (The nerve damage can be a complication of diabetes.) Retrograde ejaculation can also be a side effect of certain medications, including those used to treat depression and hypertension. A change in medications or, in some cases, surgery can be effective in treating the problem.

Keep in mind that the volume of ejaculate is not a reflection of the number of sperm a man is producing. A man can be sterile and produce a tablespoon of semen, while potent men can release just a drop or two. As for average, most men release between one-half and one teaspoon of ejaculate.

A SEASON FOR LOVE

If your sperm count is low, check the calendar. According to researchers at the University of Texas Health Center in Houston, sperm counts fluctuate throughout the year, peaking between February and March, and falling to the lowest levels in September. No wonder Valentine’s Day is February 14.

Treat Impotence

Don’t be embarrassed: Sooner or later, most men experience occasional episodes of impotence. However, an ongoing problem with impotence—the inability to achieve and maintain a successful