If a person has a sperm count that ranges from 20 million to 40 million sperm per ml, this is a lower-than-average count, but doctors may order other tests to determine the quality of the sperm. If the sperm count is low but the sperm is of high quality, with a good shape, size and swimming speed, a doctor may consider these sperm count levels in the normal range. A high sperm count is more than million sperm per ml, according to Resolve.
However, researchers have not identified a positive correlation between sperm counts greater than 40 million and increased fertility. These include:. According to research from , there are two major determinants of sperm count. These are the number of cells needed for sperm production, or Sertoli cells, and the time since a person last ejaculated. The longer the time since the last ejaculation, the higher the sperm count is likely to be in a test.
Anyone who is concerned about their sperm count can talk to their doctor about recommendations for lifestyle changes that could help. Some treatments may depend on the underlying cause of a low sperm count. For example, if a person has a blockage in the seminal vesicles, a doctor may recommend surgery to remove or correct the obstruction.
Doctors may also prescribe medications, such as anti-estrogens or gonadotropin therapies, which are hormones that can boost fertility. Sperm count is only one aspect of fertility. Doctors can also evaluate additional factors, such as shape and motility, to determine the likelihood of pregnancy occurring. It's better to see your GP for a proper semen analysis at an accredited laboratory if you're concerned about your fertility.
See how to use self-test kits safely for more about the issues of home-testing. If you or your partner has been diagnosed with a low sperm count, there are several options available.
Your doctor may initially suggest trying to conceive naturally for a little longer. Many couples conceive within the second year of trying. Read more about how to improve your chances of becoming a dad. In vitro fertilisation IVF may be an option if you have a slightly low sperm count and you've been trying to conceive naturally with your partner for at least 2 years.
During IVF, an egg is removed from the woman's ovaries and fertilised with sperm in a laboratory. The fertilised egg is then returned to the woman's womb to grow and develop. Intracytoplasmic sperm injection ICSI is a type of IVF technique, in which a single sperm is injected directly into an egg to fertilise it. The fertilised egg is then transferred to the woman's womb. ICSI may be offered if you've been trying to conceive naturally with your partner for at least 2 years and you have either few or no sperm in your semen or poor quality sperm.
Infertility or a low sperm count may be caused by a number of factors, including: genetics past surgeries general health sexually transmitted diseases Your doctor can assess your sperm count and recommend treatment. Possible treatment options include: Surgery. If you have a varicocele or obstructed vas deferens, surgical correction or repair may be recommended.
If a bacterial infection is affecting your sperm count or fertility, your doctor may prescribe antibiotics. Medication or counseling. These may be used for sexual intercourse problems such as premature ejaculation or erectile dysfunction. Hormone treatments and medications. For cases where high or low hormone levels influence infertility, hormone treatments may help. Improving sperm count. The following may improve sperm count: Lose weight.
Being obese or overweight can cause a low sperm count. Try to maintain a healthy lifestyle through diet and exercise. Take vitamin supplements. Ask your doctor for a blood test to test for vitamin deficiencies. They may recommend adding new foods to your diet, or taking supplements to help restore vitamin and mineral levels. Avoid substance abuse, including heavy drinking and drug or tobacco use.
Wear loose, cotton boxers. 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: intrauterine insemination IUI in vitro fertilization IVF IVF with intracytoplasmic sperm injection ICSI Talk to your doctor about your concerns and options.
Parenthood Pregnancy. Read this next. How to Prepare for the Test. How the Test will Feel. Talk to your provider if you are uncomfortable with how the sample is to be collected. Why the Test is Performed. The test may also be performed for the following condition: Klinefelter syndrome.
A few of the common normal values are listed below. The normal volume varies from 1. The sperm count varies from 20 to million sperm per milliliter. What Abnormal Results Mean. Many of these problems are treatable. The following may affect a man's fertility: Alcohol Many recreational and prescription drugs Tobacco.
Alternative Names. Male fertility test; Sperm count; Infertility - semen analysis.
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