Perhaps you should try some spelling variations:
quality processes » quality properties (Expand search), quality practices (Expand search), family processes (Expand search)
decrease quality » increase quality (Expand search), disease quality (Expand search), database quality (Expand search)
decreases sperm » decreased sperm (Expand search), decreases serum (Expand search), decreasing sperm (Expand search)
sperm decrease » term decrease (Expand search), speed decrease (Expand search), speed decreases (Expand search)
decrease akt » decrease at (Expand search), decrease and (Expand search), decrease after (Expand search)
akt decrease » and decrease (Expand search), not decrease (Expand search), any decrease (Expand search)
decrease to » decreased to (Expand search), decrease toc (Expand search), decrease the (Expand search)

You may be able to get more results by adjusting your search query.

• The words AND, OR and NOT may confuse the search; try adding quotes: "(( decreases sperm decrease quality processes ) OR ( decrease akt decrease to decrease ))~".
• Adding a wildcard symbol may retrieve word variants: (( decreases sperm decrease quality processes ) OR ( decrease akt decrease to decrease ))*.