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What Causes Low S***m Count and How Is It Treated?

Medically reviewed by Kevin O. Hwang, MD, MPH — Written by Ashley Marcin on February 27, 2020

CausesSigns and symptomsDiagnosisTreatmentInfertilityIUI and IVFTakeaway

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S***m quality isn’t necessarily something you think about often. However, if you and your partner want to start or expand your family, the number and quality of swimmers you have may be foremost on your mind.

While it only takes one s***m to fertilize an egg, the journey getting there can be rough. The more s***m you have, the better your chances.

Let’s take a closer look at why you might have low s***m count, how you can find out for sure, and what treatments are available to help boost your reserves or otherwise increase your chances of achieving pregnancy.

Related: Why aren’t more men aware of their fertility status?

Causes of low s***m count

Low s***m count, also called oligos***mia, is a major cause of male infertility. S***m count is considered low if it dips below 15 million s***m per milliliter (mL) of semen, although the average is around 75 million s***m per mL.

Risk factors include having obesity or overweight, having experienced trauma or surgery in or around the testicles, and taking certain medications. Other things that may put you at risk include exposing your testicles to too much heat or having other medical issues.

Beyond that, there are various causes of low s***m quality, which can be divided into three main categories: medical, environmental, and lifestyle.

Medical

A history of testicular symptoms, injury, or surgeries, as well as genetic conditions like Klinefelter syndrome, may increase your chances of having a low s***m count.

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