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Low sperm count in semen will make conception difficult because less sperm is able to reach and fertilize an egg. To know the number of sperm in semen, a semen analysis is required.
1. How much sperm count is normal?
A man's sperm count is an important factor if a couple is trying to get pregnant. Abnormal sperm counts can also be a sign of an underlying health condition in men.
Normal male sperm count ranges from 15 million to over 200 million sperm per ml of semen. If there are less than 15 million sperm per milliliter of semen or less than 39 million sperm per ejaculation, it is considered low sperm count (the obstetric term is oligospermia, meaning very few sperm). If the sperm count is more than 200 million per milliliter of semen, it is considered a high sperm count.
2. How to analyze sperm count?
To analyze the sperm count , you need to do a semen analysis . This is a test you can have at your doctor's office, a reproductive health center, or use a special test to do at home.
Semen analysis is a useful test in evaluating male reproductive health. The results of the semen analysis will tell a lot of information about the sperm's status, especially the factors that play an important role to check for male infertility factors, which are:
Số lượng tinh trùng của nam giới là một yếu tố quan trọng nếu hai vợ chồng đang cố gắng có thai
Sperm count Sperm shape Sperm motility For accurate test results, your doctor will order multiple tests with different semen samples. Home tests only check sperm count and do not evaluate other factors. Therefore, for a comprehensive assessment of sperm health, you should see your doctor for a complete semen analysis.
3. How to take a sample for a semen analysis test
To perform a semen analysis, you need to provide your doctor with a semen sample. There will be a private room at the hospital where you can masturbate and ejaculate into a sterile cup. You can also collect a semen sample at home and take it to a lab. When you are at home, there are two ways to collect a semen sample, you can either collect the semen sample into a sperm collection cup like the way in the hospital or your doctor will give you a special condom used to collect sperm. When having sex, however, you absolutely should not use a normal condom to take a sample because these condoms often contain lubricants and spermicides, which will affect the quality of the semen sample. After collecting a semen sample at home, you need to store the semen at a temperature close to body temperature, then bring the semen sample to the laboratory within 1 hour. If the sample is brought to the laboratory too late, the sperm may become immobilized, and the semen analysis results will be less accurate.
Xét nghiệm tinh dịch đồ là xét nghiệm hữu ích trong đánh giá sức khỏe sinh sản nam giới
Your doctor will ask you not to ejaculate for 2 to 5 days before the test to make sure the sperm count in your semen will be as high as possible. However, if you do not ejaculate for more than 2 weeks before the sample is collected, the number of dead, dormant sperm in the semen sample will increase.
You should also limit alcohol, tobacco, and stimulants before the semen analysis test. If you are taking any medications, talk to your doctor to see if you need to stop taking them before taking a semen sample.
Semen samples can vary between ejaculations, so for accurate results the test is usually done at least twice. The second semen sample is obtained 2-3 weeks after the first sample. In many cases, the doctor will order 2-3 semen samples over 3 months.
4. Analysis of sperm count based on semen analysis test results
The semen sample brought to the laboratory will be examined under a microscope. Semen analysis results are considered healthy or normal if within the ranges recommended by the World Health Organization (WHO) as follows:
A normal sperm count is at least 15 million sperm per milliliter of semen. A low sperm count if semen test results show a sperm count less than this number. Less sperm in semen makes conception difficult because fewer sperm are able to reach and fertilize an egg.
Sperm count is also a parameter that reflects a man's health status. One study found that men with a low sperm count were more likely to have a high percentage of body fat, a large waist circumference, a BMI as well as a higher blood pressure than men with a normal sperm count. often. These men also had a higher risk of metabolic syndrome, diabetes, cardiovascular disease, and stroke.
For these reasons, if diagnosed with a low sperm count, your doctor will likely order an assessment of your testosterone levels, lifestyle, and general health.
5. How is low sperm count treated?
There are many possible causes of low sperm count, it can be genetic, lifestyle, damaged reproductive organs due to a surgery performed in the past, disease sexually transmitted infections, due to diseases affecting the reproductive function of the body,...
Depending on the condition of each patient, the doctor will prescribe appropriate treatment:
If If you have varicocele or blocked vas deferens, your doctor may recommend surgery to improve fertility. If you have an infection of your genitals, your doctor will prescribe antibiotics to treat it. For cases where high or low hormone levels affect infertility, your doctor will consider hormone therapy. Drug therapy combined with counseling will be performed when there are sexual problems such as premature ejaculation or erectile dysfunction.
Nếu mắc bệnh lý nhiễm trùng cơ quan sinh dục, bác sĩ sẽ kê đơn kháng sinh để điều trị
Besides medical intervention, lifestyle changes will also help improve sperm count:
Weight loss: Being overweight or obese can cause low sperm count. Therefore, try to maintain a healthy lifestyle through diet and exercise. Quit smoking and stimulants, limit the use of alcohol and beer. Wearing loose underwear to keep the intimate area cool, too hot scrotal temperature will affect sperm production. Diet with a variety of nutrients, vitamins and minerals under the guidance of a doctor. If the sperm count does not improve after the treatment, the doctor can advise the couple on assisted reproductive methods such as: intrauterine insemination (IUI), in vitro fertilization (IUI), and in vitro fertilization (IVF). IVF), intracytoplasmic sperm injection (ICSI),...
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