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low sperm count, what should we do?

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have been trying for a baby for a year, with no joy, had tests done recently, doctor says im fine to have a baby, my husband was checked and he has low sperm count, what should we do

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replied January 11th, 2011
Fertility Answer A18376
Hi, and thanks for your medical question on eHealth forum!

A low sperm count can be due to various reasons like varicocele (swollen vein inside the scrotum), damaged sperm ducts due to infection or surgery or an inherited disorder, production of anti sperm antibodies, and genetic disorders like Klinefelter's syndrome which result in abnormal or no sperm production. Acidity of semen and presence of white blood cells in semen indicate infection.

Other than that if there is a history of testicular injury, wearing very tight clothes, going for hot sauna baths, excessive cycling causing nerve and blood vessel damage, excess alcohol use, use of certain prescription medications, drug abuse, radiation injury, obesity and emotional or physical stress can be a cause. A sperm count over 20 million sperm per milliliter is considered normal. A healthy count varies from 60-70 million sperm per milliliter. So finding the cause is important as some causes like infection and varicoceles are treatable.

Often this is cause behind a couple not conceiving. However, if there are motile sperms available, intrauterine insemination (IUI) around ovulation will increase the chances of conception. Please discuss these possibilities with your gynecologist and an urologist. Hope this helps. Take care!

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