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Oligospermia (Low Sperm Count)

Diagnosis, symptoms, and treatment methods.

General Information About Oligospermia

Oligospermia is the condition where the number of sperm in the male ejaculate (semen) is below fifteen million per milliliter, and it is a primary cause of male infertility. It can develop as a result of varicocele or hormonal imbalances. In our Urology department, following a detailed spermiogram analysis, it is resolved with medication, microsurgery (varicocelectomy), or assisted reproductive techniques.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Oligospermia?

It is the condition where the number of motile and viable sperm cells in the fluid (semen) expelled during male sexual ejaculation is below the normal values required to achieve pregnancy naturally.

What Should a Normal Sperm Count Be?

According to World Health Organization (WHO) criteria, a healthy male should have at least 15 million sperm in 1 milliliter of semen, and at least 39 million sperm in the total ejaculate. Figures below these are considered oligospermia.

Does It Mean Total Infertility?

No. Oligospermia (low sperm count) does not mean there is no sperm at all (azoospermia). It merely indicates that the probability and speed of fertilizing an egg naturally are low; the individual can still father a child.

What Causes It?

The enlargement of veins that increases testicular temperature (Varicocele) is the most common cause. A history of undescended testicles, infections (orchitis), testosterone hormone deficiencies, overly hot baths, smoking/alcohol use, and genetic defects can suppress sperm production.

How is it Diagnosed?

Definitive diagnosis is made following an examination by a urologist through a 'Spermiogram (Semen Analysis)', a laboratory evaluation of a semen sample collected after 3-5 days of sexual abstinence (no ejaculation).

How is it Treated?

If varicocele is the cause of low sperm count, the veins are ligated using microsurgical techniques (Varicocelectomy), and the sperm count increases within months. Medication is prescribed if there is a hormone deficiency. If the count cannot be naturally increased sufficiently for pregnancy, conception is achieved through Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF/ICSI) methods.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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