Sperm count

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Sperm count is a key biomarker measured in a semen analysis to evaluate male fertility. It refers to the number of sperm present in a milliliter (mL) of semen. A normal sperm count is typically considered to be 15 million or more sperm per milliliter. A higher sperm count increases the chances of fertilization, as more sperm are available to reach and fertilize the egg.

What Does Sperm Count Mean?

- Normal sperm count: A healthy sperm count is important because it increases the likelihood that sperm will reach the egg for fertilization. A count of 15 million sperm per mL or higher is considered normal by the World Health Organization (WHO).

- Low sperm count: If the sperm count is less than 15 million sperm per mL, it is called oligospermia, which may reduce the chances of conceiving naturally. However, even with a lower sperm count, pregnancy is still possible, though it might be more challenging.

- No sperm count: If there is no sperm found in the semen, this condition is called azoospermia, which can be caused by blockages, genetic factors, or issues with sperm production in the testicles.

Why Sperm Count Matters

A higher sperm count gives more sperm the opportunity to swim through the female reproductive system and fertilize an egg, which is crucial for conception. Sperm count is one of several factors in fertility, and while having a lower count might make conception more difficult, it does not always prevent it. Factors such as sperm motility (how well the sperm swim) and morphology (sperm shape) also play key roles in fertility.

Factors That Affect Sperm Count

Sperm count can be influenced by many factors, including:

- Age: Sperm count may naturally decrease as men age.

- Lifestyle: Smoking, excessive alcohol use, drug use, and poor diet can lower sperm count.

- Health conditions: Hormonal imbalances, infections, or conditions like varicocele (enlarged veins in the scrotum) can impact sperm production.

- Environmental factors: Exposure to chemicals, radiation, or excessive heat (such as frequent use of hot tubs) can affect sperm count.

If a semen analysis shows a low sperm count, doctors may recommend further tests to understand the underlying cause and suggest treatment options, such as lifestyle changes, medications, or fertility treatments, depending on the individual case.

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