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What do these results mean and is there any hope for me?
Syre_mi posted:
Hi guys,
I got married 3 years ago. we decided not to start a family until 13 months ago when we first started to have unprotected intercourse. we failed to conceive completely and so we went to a specialist and my wife came out to be normal. my sperm test came out as follows:

count: 02 million/ml
motility: nil
immotility: 100%
morphology: 65%
sperm volume: 2 ml.

i am so scared and i dont know what to do. i am yet to start any treatment but every one i talk to (doctors/consultants) gives me a different opinion. some say i should go on vitamins etc while other say i am infertile and i have no hope. please tell me what to do?


jon3brn responded:
Count means you have 2 million per mililiter as a total. I believe in a healthy ejaculate is around 100-200 million per mililiter. My husband has 60 million per ml total and then after the "sperm wash" has 12 million. Anything above 20 million is still considered normal. So you are on the lower end of the spectrum. Motility means how the sperm are moving and swimming once inside the vagina.

I am assuming since it says nil and immotility is 100% that your sperm are not moving. Morphology is the shape of the sperm. Healthy sperm have a spear-like head to burrow into the egg and a tail. Some abnormal sperm can have two tails, two heads, etc. And the sperm volume, now I am guessing here is the amount of fluid carried with the sperm.

For a better interpretation of this, you would need to consult your doctor and have them explain which criteria they followed. Some clinics use the Kruger test or the one regulated by WHO. Maybe to help improve you can take multivitmans such as the GNC Mega Man vitamin. It has all of the natural nutrients to help improve count and motility. You can also take additional vitamins such as a B-Complex vitamin to help jump start your hormones.

You can also have the doctor run a hormone or blood work up to make sure your hormones are all normal. And if there is a nutrient deficeiency, it can usually be correct with taking a really good vitamin or prescribed medication. Good luck.
AmyAALC responded:
You have a very low sperm count at only 2 million/ml, normal is 20 million/ml or higher, and no motility so there is no sperm swimming and it could possibly all be dead. You want to see 20 million/ml on your count and motility of 50% or higher. You need to be evaluated by a local urologist to see what is causing your low sperm production and quality.

Male infertility can be treatable so don't give up. Please review my sperm healthy lifestyle guideline post to make sure you are doing things day to day that will help ensure the production of healthy sperm cells but you still need the attention of an urologist since your numbers are so low. It could be as simple as a medication interaction, hormonal imbalance or something on the lines of a varicocele. Your urologist will start with a physical exam to check for the varicocele, review your medical history and order blood work to check hormone levels.

Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal

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