Low Sperm Count Does Not Always Mean Infertility

Reviewed by Dr. Sourabh Welling, Founder

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Hearing that your semen report is “abnormal” can be alarming, but a sperm count below the textbook value does not automatically mean a man cannot father a child. Large studies of fertile men have shown that many with counts that were once labelled abnormal conceive naturally.

Reference values have changed

For decades a count of 20 million sperm per millilitre was treated as the threshold. More recent World Health Organization reference ranges, based on men whose partners conceived within a year, set the lower limit lower (about 15–16 million per millilitre). Laboratories also now report lower reference limits for motility and the percentage of normally shaped sperm.

The count is only one part of the picture

  • Motility (movement), shape, volume and the presence of antibodies or infection matter too
  • Results vary from sample to sample; a single abnormal report should be repeated after two to three months
  • Fertility also depends on the female partner’s age and health, and on the timing of intercourse

What to do

Repeat the test, review lifestyle (smoking, alcohol, heat, weight, stress), look for varicocele or infection, and see a urologist or fertility specialist if the problem persists or if you have been trying for a year. Homeopathic treatment is individualised and can be considered for male fertility concerns alongside proper evaluation.

Learn more

To discuss your situation with a Welling Homeopathy doctor, contact a clinic or call +91 80 80 850 950 for a consultation in person or online.

Disclaimer: this page is for information only and is not a substitute for professional medical advice, diagnosis or treatment. Results vary from person to person.

Dr. Sourabh Welling, founder of Welling Homeopathy

Reviewed by

Dr. Sourabh Welling — Founder

Dr. Sourabh Welling is a practicing homeopathy doctor and founder of Welling Homeopathy, Mumbai, with 24 years of clinical experience. A multiple award winner at national and international levels, he focuses on individualized homeopathic care for chronic and complex health conditions. He leads a team of experienced doctors providing personalized consultations based on each patient’s symptoms, health history and individual circumstances.

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Bring your reports. We will tell you honestly whether this is something we can help with.

Bring us the whole history.

Book a consultation at a Welling Homeopathy clinic in Mumbai, or online from wherever you are.

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