Normal Sperm Count: When to Seek Urology Advice - Urology

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I would like to ask the doctor?


I would like to ask what is the normal sperm count per cc of semen? For example, if I have 25 million sperm per cc, do I need to seek medical treatment? My lifestyle is normal; I don't smoke or drink alcohol.
Is there anything I need to improve?

Da Wei, 20~29 year old female. Ask Date: 2011/03/17

Dr. Xu Weikai reply Urology


Hello, Dawei:
1.
60 million (no ejaculation for 3-5 days).
2.
25 million is considered low, but conception is still possible, although the chances are reduced.
Treatment is only necessary if infertility is diagnosed.
3.
Regular exercise and a balanced diet are recommended.
If you have any further questions or need clarification, feel free to ask, and we can discuss it further.
Best regards,
Department of Urology,
Director Hsu Wei-Kai,
Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2011/03/17

More Info


Understanding normal sperm count is crucial for assessing male fertility. The World Health Organization (WHO) defines a normal sperm count as being greater than 15 million sperm per milliliter (ml) of semen. Therefore, if your sperm count is 25 million per milliliter, you are within the normal range, which is a positive sign regarding your fertility potential.

However, it's important to consider not just the quantity of sperm but also their motility (movement) and morphology (shape). A healthy sperm sample typically has at least 40% motile sperm, and at least 4% of sperm should have a normal morphology. If your sperm count is normal but you have concerns about motility or morphology, it may still be beneficial to consult a urologist or a fertility specialist.

In your case, since you mentioned that your sperm count is 25 million per milliliter, this is a good starting point. However, if you have been trying to conceive without success, it might be worthwhile to undergo a comprehensive semen analysis that includes motility and morphology assessments.
Regarding lifestyle factors, maintaining a healthy lifestyle can positively impact sperm quality. Here are some recommendations:
1. Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can improve overall health and potentially enhance sperm quality. Foods high in antioxidants, such as berries, nuts, and leafy greens, can help combat oxidative stress, which can negatively affect sperm.

2. Exercise: Regular physical activity is beneficial for overall health and can help maintain a healthy weight, which is important for hormone balance and fertility. Aim for at least 150 minutes of moderate aerobic activity each week.

3. Avoiding Toxins: While you mentioned that you do not smoke or drink alcohol, it's also important to avoid exposure to environmental toxins, such as pesticides, heavy metals, and industrial chemicals, which can adversely affect sperm quality.

4. Stress Management: Chronic stress can impact hormone levels and sperm production. Engaging in stress-reducing activities such as yoga, meditation, or hobbies can be beneficial.

5. Sleep: Ensure you are getting adequate sleep, as poor sleep patterns can affect hormone levels and overall health.

6. Regular Check-ups: Even if you feel healthy, regular check-ups with a healthcare provider can help monitor your reproductive health and address any potential issues early on.

If you have been trying to conceive for over a year without success, or if you have any concerns about your sperm quality or fertility, it is advisable to seek the advice of a urologist or a fertility specialist. They can provide a thorough evaluation and recommend appropriate tests or treatments if necessary.

In summary, your sperm count of 25 million per milliliter is within the normal range, and maintaining a healthy lifestyle is beneficial. However, if you have concerns about fertility or have been trying to conceive without success, consulting a healthcare professional is a prudent step to ensure your reproductive health is optimized.

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