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How does sperm count affect fertility?
Are there treatments for low sperm count?
Medically reviewed by Rachel Tavel β Written by Jane Chertoff on August 29, 2018
Medically reviewed by Suzanne Falck, MD
Medically reviewed by Virginia Pelley
Medically reviewed by Stacy Sampson, DO
Medically reviewed by Carolyn Kay, MD
Medically reviewed by Carolyn Kay, MD
Medically reviewed by Jake Tipane, CPT
Medically reviewed by Carolyn Kay, MD
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Sperm count can be important if youβre trying to conceive a child. An abnormal sperm count may also indicate an underlying health condition.
A normal sperm count ranges from 15 million sperm to more than 200 million sperm per milliliter (mL) of semen. Anything less than 15 million sperm per milliliter, or 39 million sperm per ejaculate, is considered low. A low sperm count is often referred to as oligospermia . A high, or above average, sperm count is over 200 million sperm per millimeter.
You can determine your sperm count through a semen analysis . You can get the analysis done at your doctorβs office, a fertility clinic, or with an at-home test.
A semen analysis tests for the following:
The number, shape, and mobility of sperm are important for testing for male factor infertility. Your doctor may recommend testing up to three samples of sperm at different visits to get an accurate analysis.
At-home tests only test for the number of sperm. Talk to your doctor if you are interested in a full analysis.
The following are the healthy or normal semen analysis results, as determined by the World Health Organization (WHO) . Since results can vary from person to person, results are given as a range.
If youβre trying to conceive naturally, a healthy sperm count is often necessary. Even though it only takes one sperm and one egg to get pregnant, more healthy sperm will increase your chances of pregnancy each month.
Even if you arenβt trying to conceive, your sperm count may be an important measure of overall health. One study found men with a low sperm count were more likely to have a higher percentage of body fat (bigger waistline and higher BMI) and higher blood pressure than men with higher sperm counts. They also experienced a higher frequency of metabolic syndrome, or higher chance of developing diabetes , heart disease , and stroke .
For these reasons, if youβre diagnosed with a low sperm count, your primary care doctor may want to evaluate your testosterone levels, lifestyle, and overall health.
Sperm count can affect fertility because your chance of getting your partner pregnant decreases with a lower sperm count. Problems with the quality of sperm can also affect your chances of getting a woman pregnant.
Male infertility factor, often due to a low sperm count, is a common reason many couples have trouble conceiving. But couples may also experience other health issues that can affect fertility. In some cases, infertility may be due to female factors, like:
Lack of conception may also be the result of not trying to conceive for long enough. In many cases, it can take six months to a year to get pregnant when there are no fertility concerns.
If you are over 35, and you and your partner have been trying to conceive for six months, your doctor may refer you to a fertility specialist. If you have been trying to conceive for over one year, and you and your partner are under 35, see your doctor for a referral.
Infertility or a low sperm count may be caused by a number of factors, including:
Your doctor can assess your sperm count and recommend treatment.
Possible treatment options include:
While many causes of a low sperm count require medical intervention, lifestyle choices can also factor in. The following may improve sperm count:
There are many factors that can affect your sperm count, including lifestyle choices or underlying medical conditions. If you have a low sperm count, your doctor may recommend options for you to raise your sperm count, or they may refer you to a urologist or fertility specialist, if needed.
If you have a low sperm count and are hoping to conceive a child, there are many fertility options available today, including a range of treatments like:
Talk to your doctor about your concerns and options.
Last medically reviewed on August 29, 2018
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