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Low Sperm Count - Symptoms And Causes

Low Sperm Count - Symptoms And Causes

Are you and your partner struggling to conceive? One of the potential factors that could be hindering your efforts might be low sperm count. This condition, medically known as Oligospermia can significantly impact a couple’s ability to conceive naturally. Understanding the symptoms and causes of low sperm count is crucial in seeking appropriate treatment and achieving your dream of parenthood. In this blog, we’ll delve into the details of low sperm count and shed light on its symptoms, causes and possible solutions.

Symptoms of Low Sperm Count

▶️ Difficulty Conceiving: The most apparent symptom of low sperm count is the inability to conceive despite regular, unprotected intercourse. If you and your partner have been actively trying to conceive for over a year without success, it’s essential to consider the possibility of male factor infertility including low sperm count.

▶️ Abnormal Semen Analysis: A semen analysis often conducted as part of fertility testing, can reveal crucial information about sperm count, motility, and morphology. A low sperm count, typically defined as having fewer than 15 million sperm per milliliter of semen, can indicate potential fertility issues.

▶️ Sexual Dysfunction: In some cases, men with low sperm count may experience sexual dysfunction, such as erectile dysfunction or ejaculation problems. While these issues may not directly cause low sperm count, they can contribute to difficulties in achieving pregnancy.

▶️ Testicular Pain or Swelling: In certain instances, low sperm count may be accompanied by testicular pain or swelling. These symptoms could indicate underlying medical conditions, such as infections or hormonal imbalances, which may affect sperm production.

Causes of Low Sperm Count

Low sperm count and other abnormalities in sperm count can have many causes. The following are the causes:

  1. Medical Conditions: Various medical conditions can interfere with sperm production, leading to low sperm count. These include infections, hormonal imbalances (such as hypogonadism), anatomical abnormalities, and genetic disorders like Klinefelter syndrome.
  2. Lifestyle Factors: Certain lifestyle choices can also impact sperm count and overall fertility. These include smoking, excessive alcohol consumption, drug use, obesity, and exposure to environmental toxins such as pesticides and heavy metals.
  3. Heat Exposure: Prolonged exposure of the testicles to high temperatures can adversely affect sperm production. Activities or habits that increase scrotal temperature, such as frequent hot tub use, prolonged sitting, or wearing tight underwear, may contribute to low sperm count.
  4. Age: Advanced paternal age has been linked to decreased sperm quality and quantity. While men continue to produce sperm throughout their lives, sperm quality may decline with age, increasing the risk of low sperm count and infertility.
  5. Certain Medications: Some medications, including chemotherapy drugs, anabolic steroids, and certain antidepressants, can impair sperm production and reduce sperm count. If you’re concerned about the potential impact of medications on fertility, consult your healthcare provider for personalized advice.


Low sperm count can pose significant challenges for couples trying to conceive, but it’s important to remember that effective treatments and solutions are available. By understanding the symptoms, causes, and available options for addressing low sperm count, couples can take proactive steps towards realizing their dream of parenthood.

If you’re concerned about low sperm count or fertility issues, don’t hesitate to seek guidance from a qualified healthcare provider or fertility specialist. Remember, you’re not alone on this journey, and there is hope for building your family with the support of professionals like those at Shivam IVF Centre, led by Dr. Bhavana Mittal, known for their expertise and compassionate care in Delhi.

Frequently Asked Questions (FAQs)

Yes, depending on the underlying cause, low sperm count can often be treated or managed effectively. Treatment options may include lifestyle modifications, medications to address hormonal imbalances, surgical interventions to correct anatomical abnormalities or assisted reproductive techniques such as in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI).

Low sperm count is relatively common, affecting about one in every 20 men. However, the prevalence may vary depending on factors such as age, lifestyle choices, and underlying medical conditions.

While some factors contributing to low sperm count such as genetic predisposition cannot be prevented, adopting a healthy lifestyle can help optimize sperm production and overall fertility. Avoiding smoking, limiting alcohol intake, maintaining a healthy weight, and practicing safe intercourse to prevent sexually transmitted infections can all contribute to reproductive health.

Advanced paternal age, typically considered to be over 40 years old is associated with a decline in sperm quality and quantity. While men continue to produce sperm throughout their lives, the genetic integrity of sperm may deteriorate with age, increasing the risk of infertility and genetic abnormalities in offspring.

Yes, IVF (In Vitro Fertilization) combined with ICSI (Intracytoplasmic Sperm Injection) is a widely used assisted reproductive technique for couples facing male factor infertility including low sperm count. During ICSI, a single sperm is injected directly into an egg to facilitate fertilization, bypassing the need for a large quantity of motile sperm. This technique has helped many couples achieve successful pregnancies despite male infertility issues.

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