The physicochemical conditions recorded at the sampling sites, with pH ranging from 5.5 to 6.0 and water temperatures between 24.0 C and 32.5 C (Table 1), are consistent with the well-documented characteristics of Amazonian white-water rivers, which are typified by near-neutral pH and nutrient-rich sediments derived from Andean erosion (Ros-Villamizar et al., 2013
So, talk with your doctor, discuss the options available to you, and decide on an appropriate course of action
Keep in mind, though this is all animal data
Insulin resistance and inflammatory markers, both linked to obesity, appear to reduce sperm motility, the ability of sperm to swim, and increase sperm DNA fragmentation, a form of genetic damage within sperm cells
Grosicki GJ, Dhurandhar NV, Unick JL, Arent SM, Thomas JG, Lofton H, et al