Low Sperm Count

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Low Sperm Count
Top 6 Symptoms of Low Sperm Count in Males Home Info Top 6 Symptoms of Low Sperm Count in Males
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Dr. Namita Kotia has been practicing infertility treatment at Aastha Fertility Care since 2010, and during this time, she has helped around 2000+ couples become parents through IVF treatment and also other assisted reproductive technology (ART) methods like ICSI, IUI, GIFT, etc. Dr. Namita provides her patients with the best possible care and treatment options.
Male infertility has become a severe problem globally; about 7 percent of men worldwide suffer from sexual diseases like low sperm count and early ejaculation. Research says that a million couples seek a diagnosis of infertility annually; half of the cases are of male infertility. Over the years, there has been a decline in semen quality in men, which could be environmental, nutritional, socioeconomic, or in some percentage, unknown causes. The other causes for low sperm count in men are complex lifestyles, stress, and unhealthy habits that have led to bad sexual health among adults, which has severe effects on the sperm count of males. Finding the early symptoms of low sperm count will help you fight against this cause with effective treatments. But how? But first, let us understand what low sperm count is.
Low sperm count is when the semen ejaculated has less sperm than otherwise usual. Less than 15 million sperm per milliliter of semen or less than 39 million total sperm per ejaculation is considered less than an average sperm count. A lower sperm count is referred to as Oligospermia . 
Other Symptoms causing Oligospermia
Low sperm count is considered present in men if either of these conditions is present, which is becoming quite familiar over the years.
The main symptom of Oligospermia is infertility.
When the low sperm count is caused by an underlying condition like hormone imbalance, testicular issue, chromosomal abnormality, or blockage, there may be other symptoms related to the situation, like:
Overexposure to a specific environmental element might cause low sperm count. So this includes:
Ejaculation usually happens after masturbation. Your sperm count will momentarily decrease, although this doesn’t have any long-term consequences on the quality or quantity of your sperm. Sperm will leave your body with each ejaculation. Regular masturbation might reduce your sperm count and make it harder to conceive if you’re trying to become pregnant with your partner. It is advisable to avoid masturbating if you are planning to start a family. The male will boost fertility if he lets sperm accumulate in the semen instead of continuously diminishing those stores.
 Low sperm count could also make it difficult or, in many cases, impossible for a man to provide quality sperm, leading to difficulty in natural conception. In such cases, the help of medical procedures like IUI and IVF are taken to conceive a biological child. Even with the help of Assisted Reproductive Technology (ART), the success rate in IUI and IVF could be affected because of low sperm quality. In such cases, a donor’s sperm can be used to fertilize a woman’s egg.
IUI can increase the chances of pregnancy in couples where a man suffers from low sperm count affecting his fertility. Since the sperm used is of the male partner, its quality plays a vital role in the success of this treatment. 
IVF Treatment is done using a couple’s eggs and sperm. In cases where a man has low sperm count or has sperms with poor motility, the sperms can still be used to fertilize an egg through IVF by placing the egg and the sperm closer to each other in a laboratory dish.
The good news is that Oligospermia can be treated both naturally and with professional medical help. Several foods can help boost sperm count, including those rich in Vitamin C and D, dark vegetables, Walnuts, fatty fish, and fenugreek. Astha Fertility clinic is amongst the foremost fertility care centers with the most advanced treatment for infertility caused by male Oligospermia or any other sexual issues. 
Avoid proven factors that could lower sperm quantity and quality to preserve your fertility. For example:
1. Are there any foods that increase sperm count in men? Many foods will help improve sperm counts like food rich in Vitamin C and D, dark and leafy vegetables, Walnuts, fatty fish, and fenugreek.
2. Does smoking affect sperm count? Yes, research has shown that smoking does affect sperm, making them smaller and slower. It also harms DNA.
3 What are the risks with IVF/ IUI? There are a few risks with IVF, like mild ovarian hyperstimulation that happens to about 10-20 women out of 100 who try IVF. Multiple births can also occur because of IVF.
According to a study , weight lifting, running, and jogging were connected with greater sperm levels than other forms of exercise, such as walking and aerobics. Some studies suggest that some forms of exercise, such as bicycling, may be related to a decrease in sperm count, but further study is essential to determine which forms of exercise are most beneficial.
5. How much sperm do you need to get pregnant?
If the sperm are healthy, 20 million sperm per milliliter may be enough for pregnancy.
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Low sperm count (medically known as oligospermia) is a very common cause of subfertility or infertility in couples. In fact problems with sperm number or quality contribute to around half all fertility problems. The good news is that low sperm count does not necessarily prevent pregnancy from occurring and there is a lot you can do to improve your chances of getting pregnant.
Click here to read couples’ success stories of conceiving with low sperm count.
Low sperm count means that the number of sperm in a man’s semen is below the threshold of what is considered normal. Sperm motility (their ability to move) and sperm morphology (their form or shape) may also be affected.
Sperm count is determined through a test called a semen analysis. It is usually the first test your doctor will request (after taking your clinical history and possibly carrying out a physical exam). Semen refers to the fluid that is released from the penis when a man ejaculates. It is made up of fluids from several glands (mainly the prostate and seminal vesicles) and sperm. Surprisingly, sperm make up only 5% of the total semen volume!
A semen analysis evaluates the quality and quantity of both the sperm and the semen. A basic semen analysis can be ordered by your family doctor and this is usually carried out through your local pathology laboratory. If further investigation is required, a more in depth analysis can be carried out at a fertility clinic.
The semen parameters that are usually tested during a semen analysis are listed below, along with the values that are considered ‘normal’.
* These ‘normal values’ reflect the lower reference limit adopted by the 5th edition of the WHO Laboratory manual for the Examination and Processing of Human Semen (ie. 5th percentile lower reference limit obtained from a population of approximately 2000 fertile men whose partners had a time-to-pregnancy of 12 months or less).
It’s important to remember, that there can be wide fluctuations in these values from day to day, so it is important to get 2-3 samples tested before a low sperm count is diagnosed.
Sperm counts vary considerably between individuals and unfortunately its impossible to say for certain whether or not a particular sperm count will assure fertility or infertility. If however, there is a complete absence of sperm in the semen (a condition known as azoospermia), natural conception will be impossible and this will require investigation through a fertility clinic.
The quality of sperm is often more important than the quantity . For example, small numbers of excellent quality sperm may provide a better chance of conception than large numbers of poor quality sperm.
In the Fertility Focus clinic, we have seen couples conceive naturally with a sperm count as low as 2 – 5 million per ml and research has shown that even in cases where sperm count is less than 2 million/ml, there is still a chance of natural conception.
There are many things you can do to improve sperm quality and boost fertility:
Learning the fertility awareness method to determine your most fertile day or days as a couple each cycle, is key to enhancing your chances of conception.
Cervical fluid produced by the female partner is absolutely critical for sperm transport and survival. Timing intercourse for the day(s) that the best quality cervical fluid is produced, will give sperm their greatest chance of survival and being able to swim towards the egg (1) (2) . Timing intercourse for these peak fertile days has also been shown to minimise the effect of lowered fertility due to male age (3) .
The Fast Track to Pregnancy Program™ teaches you step by step, how to use the empowering skills of fertility awareness and fertility charting to optimise your chances of conception with low sperm count.
Contrary to popular belief, in the case of low sperm count, it is NOT advisable to abstain from intercourse for extended periods, to build up sperm numbers.
While it’s true that abstaining will increase semen volume and the number of sperm, research has revealed that in men with low sperm count and quality, FREQUENT ejaculation has a significant benefit, improving sperm motility and sperm morphology, while reducing levels of DNA fragmentation. (4) (5)
In Step 3 of the Fast Track to Pregnancy Program™ , you’ll learn the ‘Ultimate Sex Timing Strategy’ which discusses in detail how to time intercourse to optimise your chances of getting pregnant with low sperm count.
A significant cause of male infertility is something called ‘free radical damage’. Free radicals are toxic metabolites produced by normal processes in our bodies. However, they are also produced through exposure to certain environmental factors. These highly reactive molecules damage cells, and an excess of free radicals in semen is also responsible for damaging sperm, which can lead to infertility and miscarriage.
Excess free radicals can be caused by poor diet, tobacco and alcohol consumption, illness and stress. They can also be caused by exposure to pollutants and chemicals in the environment.
Below are some tips on what you can do to fight free radical damage and improve the health of your sperm:
1. Eat a diet high in antioxidants . Antioxidants help to ‘mop up’ free radicals, reducing the amount of damage to sperm. Foods high in antioxidants include berries, fruit and vegetables (particularly those that are brightly coloured), nuts and seeds, cereals and dark chocolate.
2. Take a targeted multivitamin . If you have reduced sperm count or sperm quality, a specially formulated fertility multivitamin may help. The key vitamins and minerals that are important for healthy sperm production are: Vitamin C, Vitamin E, Zinc, Selenium, Folic Acid, L-Carnitine, CoQ10 and Glutathione.
3. Ditch the cigarettes! Smoking causes free radical damage to sperm DNA and lowers sperm quality. Men who smoke are four times as likely to have children who develop childhood cancer. Smoking marijuana is also thought to affect sperm health. Remember, it takes about 72 days for sperm to fully form, so even after you cease smoking, it may take several months for the effects to be reversed.
4. Reduce alcohol intake . Alcohol is a testicular toxin and affects sperm production and sexual function in men. Research suggests that alcohol should be limited to 5 standard drinks or less a week (one standard drink equates to a 330ml can or bottle of beer, a 100ml glass of wine or 30ml of straight spirits). Check out this blog article for more information.
5. Avoid hot baths and spas . Heat is bad for sperm production (that is why the testicles hang outside the body!). You may like to try wearing boxers instead of tight underpants.
6. Maintain a healthy BMI . Being overweight can reduce sperm count, particularly if excess fat leads to an increased temperature around the testicles. Keeping BMI within a normal range is advisable.
7. Avoid environmental toxins and pollutants . Organic solvents, pesticides, lead, toxic fumes, phthalates and other chemicals are suspected in lowering male fertility, so it is advisable to reduce exposure to these toxins where possible and wear protective clothing when necessary.
Discover the 5 BIGGEST FERTILITY MYTHS that could be STOPPING you from getting pregnant
(and the scientifically proven solutions to boost your pregnancy chances immediately!)
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5 treatment options for men with low sperm count
Note: This is not intended to be a substitute for professional medical advice, diagnosis or treatment. Information provided is for general educational purposes only and is subject to change without notice. Speak to your doctor directly with any questions you may have regarding a medical condition. Any information contained herein does not replace any care plan as determined by a physician. 
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Intended parents around the world experience a wide range of emotions when attempting to start a family, only to be repeatedly met with negative pregnancy tests. Most people experience feelings of heartbreak, frustration, and even shame. 
However, it’s important that those facing infertility to realize that they are not alone. Although many people are reluctant to share their struggles with infertility, this is a condition that affects millions of Americans. 
Fortunately, there are many fertility treatment options that can make pregnancy a possibility. Male infertility treatment addresses these challenges, from low sperm count to poor sperm motility. 
If you have a low sperm count, the semen you ejaculate during an orgasm contains fewer sperm than normal. Your sperm count is considered “lower than normal” if you have fewer than 15 million sperm per milliliter of semen. 
Low sperm count means your sperm are less likely to fertilize your partner’s egg, resulting in pregnancy. However, this does not mean you cannot father a child -- there are many possible treatments for men considering parenthood. 
A number of factors can lower sperm count, from smoking and drinking alcohol to certain medications or long-term illness. However, there are different steps men can take in an attempt to increase sperm count before considering the treatments below. 
While having a low sperm count may be resulting from health or lifestyle choices. To prevent this, it’s recommended that men trying to increase sperm count and health follow these guidelines: 
Successful conception is dependent on a variety of factors. In short, a healthy sperm must travel to a mature egg and fertilize it. If a male has low sperm count, there are far fewer sperms able to attempt that journey, so the odds of pregnancy decrease significantly.
Depending on the cause of infertility in the male, a specific treatment is necessary. Unfortunately, most treatments of men with severely depressed sperm counts or motility are not very successful, except for IVF with Intracytoplasmic Sperm Injection (ICSI). Some of the treatments available include the following:
For some men, low sperm count and motility aren’t addressed by the above steps. If this happens, don’t worry -- there are other fertility options available, and your clinic will work with you to successfully conceive and start a family. 
The first step to treating infertility is finding out what is likely causing it. If you have been unsuccessful in your attempts to conceive, it is time to work with a fertility clinic near you. 
Our experienced team of doctors at Pacific Fertility Center of Los Angeles are ready to help you start your family. Contact us at your earliest convenience to learn more about our comprehensive fertility services, including diagnostic testing and treatment.
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Note: This is not intended to be a substitute for professional medical advice, diagnosis or treatment. Information provided is for general educational purposes only and is subject to change without notice. Speak to your doctor directly with any questions you may have regarding a medical condition. Any information contained herein does not replace any care plan as determined by a physician.
¹Birth rate percentage using aggregate data from ALL age groups on the Live Births Per Intended Egg Retrieval (ALL EMBRYO TRANSFERS) of Patient's Own Eggs chart for 2020. Reference: PFCLA SART | NATIONAL SART
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