Can I Get Pregnant with This Level of Sperm Activity?

Could this level of activity lead to pregnancy?

Hello Doctor, I have a question: Last night I masturbated, and tonight I had intercourse with my girlfriend (we used a condom, but it slipped a bit since it was our first time).
I pulled out, but it slipped near her buttocks and I’m not sure if any semen came into contact with her pubic area or if there was any leakage.
Does this mean that the sperm motility would be lower and the chances of pregnancy are reduced? (I usually sleep very late.) I'm a bit worried, so I wanted to consult with you.

Xiao Xiao, 20~29 year old female. Ask Date: 2015/12/27

Dr. Lin Wenbin reply Obstetrics and Gynecology

This essentially means there is no contraception.
To determine the motility of sperm, a test must be conducted.

Reply Date: 2015/12/27

More Info

When it comes to the question of whether you can get pregnant with a certain level of sperm activity, it's essential to understand several factors that contribute to male fertility, including sperm count, motility (the ability of sperm to move), morphology (shape), and overall semen quality.
From the information provided, it appears that your sperm analysis shows some concerning results, particularly in terms of motility. In your case, you mentioned having a rapid progressive motility of 0%, which indicates that none of the sperm are moving in a straight line, and a high immotility rate of 90%. These results suggest that the majority of your sperm are not capable of swimming effectively, which is crucial for reaching and fertilizing an egg.
Sperm motility is a critical factor in fertility. According to the World Health Organization (WHO) guidelines, a minimum of 32% of sperm should exhibit progressive motility for optimal chances of natural conception. Your results indicate a significant deficiency in this area, which could indeed reduce the likelihood of achieving pregnancy naturally.
Regarding the sperm count, you mentioned a count of 86 million sperm per milliliter, which is within the normal range (typically considered normal if above 15 million sperm per milliliter). However, the combination of low motility and potentially abnormal morphology (35% abnormal sperm) can still impact fertility, even if the sperm count is adequate.

As for the timing of ejaculation and the potential for sperm to be present during intercourse, it is important to note that sperm can remain viable for a short period after ejaculation. If you engaged in sexual activity shortly after ejaculation, there is a possibility that some sperm could have been present, even if you used a condom. However, if the condom slipped and there was any spillage, the risk of pregnancy could increase, depending on how much sperm was lost and whether any made contact with the vaginal area.

In terms of lifestyle factors, you mentioned that you have irregular sleep patterns, which can affect hormone levels and overall sperm production. Stress, diet, and environmental factors can also play a significant role in sperm health. It is advisable to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep, to improve your chances of conception.

If you have been trying to conceive for several months without success, it may be beneficial to consult with a fertility specialist. They can provide a comprehensive evaluation and suggest potential treatments or lifestyle changes to improve your sperm quality. In some cases, assisted reproductive technologies, such as in vitro fertilization (IVF), may be recommended if natural conception proves challenging.

In conclusion, while your sperm count is within the normal range, the low motility and high immotility rates could significantly impact your chances of conceiving naturally. It is essential to address any underlying health issues and consider consulting a healthcare professional for further evaluation and guidance on improving your fertility.

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