MAIN CAUSES OF LOW SPERM COUNT

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MAIN CAUSES OF LOW SPERM COUNT

A man has several numbers that serve as indicators of good health: cholesterol, blood pressure and weight/BMI to name a few.

What most people refer to as a sperm count is actually a sperm concentration, as it represents the number of sperm present in one milliliter (mL) of semen. A standard semen analysis (or sperm test) actually measures three primary factors: sperm concentration, sperm motility (or the percent of sperm that are actively swimming), and sperm morphology (shape).

A normal sperm concentration is at least 20 million per mL, whereas normal motility is at least 50% and normal morphology is at least 15%. While there are many other important factors involved in a semen analysis such as seminal volume, the presence or absence of white blood cells, and the quality of sperm movement (to name a few), most lay people focus on sperm concentration.

CAUSES OF LOW SPERM COUNT

SURGERIES, INFECTIONS, CURRENT AND PAST HEALTH ISSUES
Mumps, sexually transmitted diseases such as Chlamydia, or urinary tract infections can leave scars that block the delicate tubes that transport sperm from the testes to the penis. Spinal cord injuries, diabetes, and certain surgeries can block the normal flow of sperm, and/or lead to retrograde (backward) ejaculation.

GENETIC OR CHRONIC DISEASE
while most genetic causes of low or the complete absence of sperm production are rare, many chronic conditions and medications used to treat them are common causes of male infertility. Conditions such as cancer of the testicle or prostate, diabetes, high blood pressure and peripheral vascular disease can cause a man to have a low sperm count.

LIFESAVING CANCER TREATMENT

Surgery, chemotherapy, or radiation therapy can destroy sperm cells, and greatly decrease a man’s sperm count.

STRUCTURAL PROBLEMS WITH THE PENIS OR TESTICLES
Structural problems with the penis that can cause a man’s sperm count to plummet include Peyronie’s disease (in which plaque and/or scar tissue builds up in the penis), as well as problems with inflammation and scar tissue that can interfere with the normal ejaculatory process.

HORMONAL IMBALANCES
Hormones drive the production of sperm, and sometimes the hormonal signals between the brain, pituitary and testicles can stall or cease altogether. A blood test can confirm whether all systems are functioning, or if an imbalance is causing a low sperm count.

PREVIOUS VASECTOMY
Side effects of the surgery, however, may lead a man to produce antibodies that can attack his own sperm.

ENVIRONMENTAL AND LIFESTYLE FACTORS
Certain habits and occupations put men at risk for fertility problems, and a lower sperm count can make it difficult to become a father. Embrace a healthful lifestyle and weight while trying to conceive, and you will increase your chances for success. The most common threats to a man’s fertility include:

Alcohol abuse
Anabolic steroids
Cigarette smoking
Exposure to toxic chemicals, heavy metals, pesticides, paint and solvents
Illegal drugs, including cocaine and marijuana
Obesity

In extreme cases, prolonged exposure to heat and long-distance cycling can also affect a man’s fertility and leave him with a low sperm count. In these cases, a change of habits may be the only necessary course of action.

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