Fertility & sperm
Folate and Sperm Health: Why It Matters for Men Too
Folate isn’t just for women. Learn how folate supports sperm DNA, what research shows about folic acid and zinc for men, and top food sources.
In short: Folate and sperm health are linked because folate helps make and repair DNA – and sperm carry half of a baby’s DNA. Low folate is associated with poorer sperm quality. A large trial found folic acid plus zinc did not improve fertility in most men, so food first is the sensible approach.
Why men need folate
Folate (vitamin B9) is mainly known for preventing birth defects in pregnancy. But men need it too. Folate is essential for making new cells and copying DNA accurately – and sperm production involves millions of cell divisions every day.
Folate and sperm
- Low folate levels have been linked to lower sperm counts and more sperm with damaged DNA.
- Folate also helps control homocysteine, which in high levels may harm sperm and blood vessels.
What does research show?
Early studies suggested that folic acid combined with zinc might improve sperm counts. However, a large, well-designed trial found that folic acid and zinc supplements did not improve sperm quality or live birth rates in men from couples seeking fertility treatment. This suggests supplements are not a fix-all – but avoiding deficiency still matters.
Food sources of folate
- Leafy greens: spinach, morogo, kale and broccoli
- Beans, lentils and chickpeas
- Oranges and citrus fruit
- Avocado – see avocado benefits for men
- Fortified bread and cereals (maize meal and bread flour are fortified in South Africa)
Who may be low?
- Men who eat few vegetables or legumes
- Heavy drinkers – alcohol lowers folate; see alcohol and sperm quality
- Men with gut conditions that affect absorption
- Men taking certain medicines, such as some epilepsy medicines or methotrexate
Supplements: when to consider them
If your diet is poor or a blood test shows low levels, a supplement may help. High doses are not better and can mask B12 deficiency. Discuss with a qualified practitioner, especially if you take other medicines. See vitamin B12 and erectile dysfunction.
Other steps for sperm health
- Stop smoking and limit alcohol
- Keep a healthy weight
- Keep the testicles cool – see does heat affect sperm
- Manage stress and sleep well
When to get checked
If you and your partner have been trying for 12 months (six months if she is over 35), ask an appropriately registered medical professional about a semen analysis. Our naturopath in Sandton can support natural nutrition changes alongside that.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Have you noticed changes in the colour, amount or consistency of your semen?
- Do you have pain, burning or discomfort when urinating or ejaculating?
- Have you seen blood in your urine or semen, or any coloured discharge?
- Have you been trying for a baby for 12 months or more without success?
- Is this worrying you or affecting your sex life or confidence?
A yes to questions two or three means you should see an appropriately registered medical professional promptly. For lifestyle-related concerns, a naturopath can help with natural support alongside medical care.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our mens clinic prices for details.
Frequently asked questions
Do men need folate for fertility?
Yes. Folate helps sperm develop with healthy DNA, and low levels are linked to poorer sperm quality.
Does folic acid increase sperm count?
A large trial found folic acid with zinc did not improve sperm quality or birth rates in most men. Avoiding deficiency is still important.
What foods are high in folate?
Leafy greens, beans, lentils, citrus fruit, avocado and fortified bread and cereals.
Should men take folic acid before trying for a baby?
Most men can get enough from food. A supplement may help if your diet is poor or tests show low levels.
Can alcohol lower folate?
Yes. Heavy drinking reduces folate absorption and storage.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Walk in at our Sandton practice any time, day or night, or book ahead. Outside Gauteng? Book a remote consultation.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
