| A man
will be considered at risk of being infertile if his sperm count is less
than 20 million/mL of semen. This level is defined by the World Health Organisation
but it is important to realise that some men with low sperm counts will
still prove fertile whilst others with higher counts prove infertile. So
a measure of sperm count is not a completely reliable method of assessing
fertility. If you are concerned that you may have a low sperm count then
you can test yourself reliably using our
sperm count test kit.
What
can be done ?
If you suffer from 'oligospermia' - the
term used to describe when the sperm count is low you should take a look
at some of the possible causes below. It is almost certain that you should
seek some medical advice. The only self-help option that we promote is
to use Proxeed since recent
clinical trials of this supplement have shown excellent results.
If there are no sperm at all in
the semen sample, the condition is termed azoospermia. In such cases, you will need to be followed up by a
doctor who will ask you questions about your history and also give you a detailed physical examination (see
below).
Possible
causes of a low sperm count.
- Infected semen
can be a cause of infertility. Your doctor can test for this. It was
previously thought that mumps could cause sterility in men but in fact
it is now known to be extremely rare for mumps to lead to sterility.
- Heat can reduce sperm
production. This is why the testicles are outside the body in the scrotum
rather than in the abdomen like the ovaries. Medical opinion is divided
on how important the following are but we would suggest you take account
of whether they might apply to you - Some men soak themselves in a bathtub
full of scalding water, some obese (overweight) men can become sterile
because the sagging layers of fat can overheat the testicles, some men
whose jobs involve long hours of sitting may also have a reduced sperm
count because of overheated testicles.
- Very frequent intercourse
can lead to a dramatic reduction in sperm count and cause the man to
be effectively infertile. If you ejaculate as much as 2-3 times a day
you are likely to have a problem. If you want to be at your most fertile
you have to wait at least 3 days between each ejaculation!
- Smoking over 20 cigarettes a day has
been shown to reduce both the sperm count and the sperm motility. So
stop smoking or reduce it to minimal levels!
- Excessive alcohol intake
can lead to low sperm counts for a variety of reasons.
- The workaholic man can
find that fatigue can have similar effects on his interest in intercourse
as well as stimulate a desire for excessive alcohol intake.
What
will the doctor look for during an examination?
The doctor will pay attention to your general
physical condition but of course he will have a careful look at your genitals
! However, examination of the external genitalia in the male rarely shows
anything out of the ordinary. Only occasionally are one or both testicles
very small or rarely may even be absent. He may also discover that each
of the vas deferens are missing - these are the ducts through the sperm
must pass during intercourse.
Other factors which may contribute to reduced
fertility, and which can be identified on examination include:
- Varicocele is a term
used to describe a condition where there are varicose veins around the
testicle and vas deferens. In the case of varicoceles, there is an increase
in the blood flow and temperature around the testicle. Even a small
varicocele may be significant and affect sperm production. Fortunately
this can usually be corrected by surgery.
- The presence of excessive fluid around
the testicle is known as a hydrocele.
- There can occasionally be anatomical
defects in the development of the penis. Consequently, during intercourse
and ejaculation the sperm cannot be deposited within the vagina very
easily. Retrograde ejaculation is a rare condition when some men ejaculate
backwards into the bladder. This could be the result of earlier surgery
to the urethra (the outflow tube from the bladder).
- A rectal examination can help determine
whether the prostate gland may be a source of chronic infection.
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