{"id":38257,"date":"2020-08-27T12:37:44","date_gmt":"2020-08-27T19:37:44","guid":{"rendered":"https:\/\/www.avawomen.com\/?p=38257"},"modified":"2020-11-08T15:06:56","modified_gmt":"2020-11-08T23:06:56","slug":"low-sperm-count","status":"publish","type":"post","link":"http:\/\/www.avawomen.com\/avaworld\/low-sperm-count\/","title":{"rendered":"What to Do About Low Sperm Count when You&#8217;re Trying to Conceive"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">You probably know that all it takes to make a baby is one egg and one sperm. But in order for a single sperm to make it all the way to the egg, you actually need quite a <\/span><i><span style=\"font-weight: 400;\">lot<\/span><\/i><span style=\"font-weight: 400;\">\u2014we\u2019re talking millions\u2014to begin with. That\u2019s why low sperm count may decrease the chances of conceiving naturally.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Maybe your partner has done a <a href=\"https:\/\/www.avawomen.com\/avaworld\/semen-analysis\/\">semen analysis<\/a>, and your report indicates a low sperm count. Read on to understand what a low sperm count means, why it might be happening, and what you can do about it at home\u2014or at your doctor\u2019s office.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Sperm basics<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sperm is the male sex cell, also known as a \u201cgamete,\u201d that carries half of the genetic material for a new baby. Sperm are produced in the testicles in a process called spermatogenesis; in a healthy reproductive system, approximately 50 \u2013 100 million viable sperm are produced each day. Spermatogenesis begins at puberty and typically continues until death, but some of the sperm health parameters are negatively affected with aging.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Sperm count<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sperm count refers to the total number of sperm in the \u201cejaculate\u201d (the semen that\u2019s released from the penis during ejaculation). Sperm concentration, on the other hand, is the density of the sperm within the semen\u2014in other words, it\u2019s the number of sperm per milliliter of semen. For example, a sample may include 3 milliliters of semen (also known as semen volume) and a total sperm count of 45 million; that would be a concentration of 15 million sperm per mL.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Though they\u2019re not exactly the same value, both sperm count and sperm concentration measures test the same basic idea: if there are enough sperm being produced and ejaculated to make a natural pregnancy likely.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Normal sperm count vs. low sperm count<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">What\u2019s a normal sperm count? Technically, 15 million sperm per mL of semen is considered a <\/span><a href=\"https:\/\/www.who.int\/reproductivehealth\/topics\/infertility\/cooper_et_al_hru.pdf\"><span style=\"font-weight: 400;\">normal sperm concentration<\/span><\/a><span style=\"font-weight: 400;\"> according to the World Health Organization 5th Edition, and anything under that threshold would be considered a low sperm count. But some researchers <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3739681\/\"><span style=\"font-weight: 400;\">argue<\/span><\/a><span style=\"font-weight: 400;\"> that concentrations under 40 million\/mL may impede chances of pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Low sperm count\/concentration is known as oligospermia, while having no sperm in your semen at all is known as azoospermia.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What a low sperm count means for your fertility<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The natural conception process begins with ejaculation, when sperm (floating within semen) are released from the penis into the female reproductive system, in hopes of making it to the egg. There are many obstacles along the way, including the acidic vagina, the cervical mucus (which can sometimes be helpful to sperm, but if abnormal, can destroy sperm), and the possibility that sperm will move toward the wrong fallopian tube (in a normal cycle, only one fallopian tube, either the left or the right, will hold an egg at the time of ovulation). Most abnormal sperm will fall prey to these dangers, along with a good percentage of healthy sperm.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While approximately 80 million sperm are typically released in one ejaculate, only about 400 make it to the egg. When you consider that failure ratio, it makes sense that having a lower sperm count would make it less likely that one sperm will be able to fertilize the egg and result in pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While low sperm count may indicate that natural conception might be more challenging, it doesn\u2019t mean that a couple is infertile, or can\u2019t get pregnant without reproductive assistance.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Measuring sperm count (and other sperm health parameters)<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The test to measure sperm count is called a <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/sperm-analysis\/\"><span style=\"font-weight: 400;\">semen analysis<\/span><\/a><span style=\"font-weight: 400;\">. During this test, a sample of semen\u2014typically produced via masturbation\u2014is examined under a microscope to determine sperm count along with motility (how well sperm are moving) and morphology (how many sperm are the proper shape and size). <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Traditionally, a semen analysis is performed at a fertility clinic, urologist\u2019s office, or a lab.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Can I check my sperm count at home?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Yes! There are several options for sperm analysis tests that don\u2019t require a visit to a doctor\u2019s office. Some test only for sperm count, while others\u2014like Legacy\u2019s <\/span><a href=\"https:\/\/www.givelegacy.com\/sperm-analysis\/\"><span style=\"font-weight: 400;\">at-home sperm testing kit<\/span><\/a><span style=\"font-weight: 400;\">\u2014evaluate many factors to provide a more comprehensive picture of male fertility.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What can cause low sperm count?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are <\/span><i><span style=\"font-weight: 400;\">many<\/span><\/i><span style=\"font-weight: 400;\"> lifestyle factors and medical conditions that can be associated with low sperm count. These are just a few.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medical causes<\/span><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\">Fever: <\/span>Fever increases the temperature of the testicles above the ideal for sperm production. This can cause a temporary but significant decrease in sperm count. In <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17434502\/\">one case study,<\/a> sperm count, motility, and genetic health was decreased for over two months after the patient\u2019s fever resolved.<\/li>\n<li>Varicocele: Varicocele, the term for a swollen vein or veins within the scrotum, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4770480\/\">can contribute<\/a> to low sperm production. Experts believe that the swelling causes an increase in the temperature and oxidative stress within the scrotum, once again impeding sperm production.<\/li>\n<li>Congenital absence of the vas deferens: The vas deferens is the duct through which sperm pass on their way from the testicles to the urethra in the penis. It\u2019s rare, but some people are born without this duct; they may orgasm and ejaculate normally, but their sperm never make it into their semen, resulting in azoospermia.<\/li>\n<li>Chemotherapy: Chemotherapy works by using medications called \u201ccytostatics\u201d and \u201ccytotoxins\u201d to attack fast-dividing cancer cells. But because the medication is usually administered through the bloodstream to the entire body, it can also kill or damage other cells. High doses of chemotherapy can<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6479085\/\"> temporarily or even permanently impair sperm production<\/a>. (That\u2019s why doctors often recommend <a href=\"https:\/\/www.givelegacy.com\/sperm-freezing\/\">sperm freezing<\/a> prior to chemotherapy treatment.)<\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Lifestyle factors<\/span><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\">Diet: <\/span>An extensive body of research tells us that diet has a significant impact on sperm health. The common \u201cWestern\u201d diet\u2014high in fried foods, refined grains, added sugars, and red meat\u2014can be <a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2761546\">associated<\/a> with lower sperm counts as well as poorer sperm motility and morphology.<\/li>\n<li>Exercise and body weight: Higher levels of physical activity are <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22234399\/\">associated<\/a> with higher sperm counts, as well as improved sperm motility and morphology. On the other hand, being overweight or obese has been <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5312225\/\">associated<\/a> in research with lower sperm counts and decreased motility.<\/li>\n<li>Smoking: Cigarette smoking has long been considered a risk factor for male infertility. A <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27113031\/\">2016 review<\/a> examined 20 different studies of tobacco use and found that sperm count and motility were both significantly reduced by smoking\u2014and that the more someone smokes, the stronger these effects are.<\/li>\n<li>Boxers or briefs: <a href=\"https:\/\/academic.oup.com\/humrep\/article\/33\/9\/1749\/5066758\">One study<\/a> found that loose-fitting underwear may be related to higher sperm concentration, total sperm count, and total motile count, compared with those who regularly wore tight-fitting briefs. This is likely because tight underwear holds the scrotum closer to the body, raising the temperature of the testes and hindering sperm production.<\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Getting pregnant with low sperm count<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">What is the treatment for low sperm count? That really depends on what\u2019s causing it in the first place. For some people, simple lifestyle changes might be enough to increase sperm count and achieve pregnancy, while others might need intervention from a urologist or reproductive endocrinologist.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">The Legacy sperm analysis report<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One of the advantages of testing sperm count with a Legacy at-home kit is that, in addition to a comprehensive evaluation of all sperm parameters, the Legacy report includes customized recommendations for improving sperm count and sperm health, based on the subject\u2019s lifestyle and results.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Changes associated with improved sperm count<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Improving diet, upping exercise, and quitting smoking are associated with improved sperm count. <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28627195\/\"><span style=\"font-weight: 400;\">One study<\/span><\/a><span style=\"font-weight: 400;\"> demonstrated that a 16-week aerobic training program, consisting of hour-long workouts on a treadmill three times a week, improved the sperm count, motility, and normal morphology of obese patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a smoker quits, there\u2019s evidence that their sperm count and health can improve fairly quickly. In one follow-up study of men who quit smoking, sperm motility and morphology began to return to normal within six months, and research shows that former smokers who quit more than six months ago have similar semen parameters to non-smokers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Which foods may boost sperm count? Fruits and vegetables are an excellent source of many of the vitamins and nutrients required for the body to create healthy sperm, such as folic acid, vitamin C, and antioxidants. The <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28333357\/\"><span style=\"font-weight: 400;\">best diet for sperm count<\/span><\/a><span style=\"font-weight: 400;\"> and sperm health is high in fruits and vegetables (specifically leafy greens and cruciferous vegetables like broccoli and Brussels sprouts); nuts and seeds such as walnuts, Brazil nuts, and pumpkin seeds; and fatty fish such as salmon.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are also a number of nutritional and herbal <\/span><a href=\"https:\/\/www.givelegacy.com\/sperm-supplements\/\"><span style=\"font-weight: 400;\">supplements that are associated with increased sperm count<\/span><\/a><span style=\"font-weight: 400;\">, including D-aspartic acid, ashwagandha, omega-3 fatty acids, and fenugreek. (Always talk to a doctor before incorporating any new supplements into your diet.)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Remember that spermatogenesis\u2014the process of making sperm\u2014takes around 74\u201390 days. So if you or your partner have made lifestyle changes, it won\u2019t be an immediate improvement; it\u2019ll take about 3 months to see those changes reflected in their semen analysis results or your real-life attempts at pregnancy.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How often to have sex when you\u2019re trying to conceive<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you\u2019re trying to conceive and your partner has a low sperm count, you may be wondering <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/how-often-should-you-have-sex-to-get-pregnant\/\"><span style=\"font-weight: 400;\">how often you should have sex to get pregnant<\/span><\/a><span style=\"font-weight: 400;\">. If your partner goes more than a day or two without ejaculating, his sperm count will rise\u2014but so will the proportion of dead, immotile, or abnormal sperm. <\/span><\/p>\n<p><a href=\"https:\/\/www.fertstert.org\/article\/S0015-0282(05)00540-6\/fulltext\"><span style=\"font-weight: 400;\">A study<\/span><\/a><span style=\"font-weight: 400;\"> of about 6,000 men found that for men whose sperm counts were already low, sperm motility decreased after one day of abstinence, and sperm quality decreased after two days of abstinence.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So contrary to outdated recommendations that men avoid ejaculating for several days in order to \u201csave up\u201d sperm, it\u2019s now believed that having sex every day during the fertile window may increase pregnancy rates for couples dealing with low sperm count. The fertile window is about 5 days; it\u2019s best to have sex about 2 days before ovulation (since sperm can live up to 5 days in the uterus) as well as the day following.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Fertility treatments for couples trying to conceive with low sperm count<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In most cases, having a low sperm count <\/span><i><span style=\"font-weight: 400;\">doesn\u2019t<\/span><\/i><span style=\"font-weight: 400;\"> mean you can\u2019t get pregnant naturally. But some male-factor infertility cases might require assisted reproductive technology to boost chances of conception.<\/span><\/p>\n<h4><strong>Intrauterine insemination (IUI)<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">IUI is a procedure in which a healthcare provider places washed sperm directly into a female patient\u2019s uterus. Because this procedure bypasses the vagina and cervix to place the sperm closer to the egg, it can slightly increase chances of pregnancy for couples diagnosed with low sperm count. The chance of pregnancy with IUI is around 20%.<\/span><\/p>\n<h4><strong>Intracytoplasmic sperm injection (ICSI) during IVF<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">During an in vitro fertilization (IVF) cycle, the female partner\u2019s eggs are retrieved from the ovaries and fertilized in an embryology lab. In traditional IVF, the embryologist places the egg and sperm together in a dish for natural fertilization. When the ICSI technique is used, the embryologist uses a needle to inject a single sperm directly into the egg.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">ICSI is an option for those to produce too few sperm to result in natural fertilization, as well as for those sperm motility and morphology issues that make it difficult for sperm to penetrate the egg on their own. It can also be used alongside sperm extraction (see below) for those with azoospermia. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">IVF and ICSI is the most successful reproductive treatment option; the chance of pregnancy is around 40\u201345%, depending on the age of the female partner and other factors.<\/span><\/p>\n<h4><strong>Sperm retrieval or extraction<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">There are several techniques\u2014including TESE (testicular sperm extraction), TESA (testicular sperm aspiration), PESA (percutaneous sperm aspiration), and micro or microdissection TESE \u2014that can be used to surgically retrieve sperm directly from the testes. These techniques may be used in the rare case that a patient has an anatomical issue, such as absence of the vas deferens, that prevents sperm from reaching the ejaculate, resulting in azoospermia.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sperm freezing to proactively manage male factor infertility<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The process of sperm freezing <\/span><i><span style=\"font-weight: 400;\">doesn\u2019t<\/span><\/i><span style=\"font-weight: 400;\"> elevate a low sperm count. But, younger men do generally have higher concentrations of sperm, plus better sperm morphology, motility, and genetic health. Freezing sperm at its youngest and healthiest can help increase your chances of pregnancy using IUI or IVF later on, and protect your fertility in the case of injury or illness.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While sperm preservation is traditionally done at a fertility clinic or sperm bank facility, some <\/span><a href=\"https:\/\/www.givelegacy.com\/sperm-freezing\/\"><span style=\"font-weight: 400;\">sperm freezing kits<\/span><\/a><span style=\"font-weight: 400;\">, like Legacy\u2019s, allow you to preserve your sample from the comfort of your own home.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You probably know that all it takes to make a baby is one egg and [&hellip;]<\/p>\n","protected":false},"author":10048,"featured_media":38258,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[772,775],"tags":[89,400],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.3 (Yoast SEO v18.8) - 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