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Doctor insights on: Infertility In Men And Sperm Abnormalities

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Are men around 80 years old producing sperm considered unhealthy or infertile?

Are men around 80 years old producing sperm considered unhealthy or infertile?

No and no: Many men have fathered children after reaching 80. The aging male produces less semen and and in some cases NO semen. There is very little evidence to say the sperm would be unhealthy, but there is evidence that says the sperm lose some of their fertilizing capacity as a man ages. This is evident to some degree in the Male having a vas reversal. Even with viable sperm preg does not occur. ...Read more

Dr. Khurram Rehman
1,232 doctors shared insights

Infertility (Definition)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular ...Read more


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Does one sided cryptorchidism cause infertility in men? Does a man with one healthy testicle have a lower sperm count?

Does one sided cryptorchidism cause infertility in men? Does a man with one healthy testicle have a lower sperm count?

Likely fertile: Sperm count will probably be within normal limits because remaining testicle will grow larger (compensatory hy[pertrophy) and thus produce more sperm than if it were 1 of a pair, but count may be slightly reduced. Semen volume is unaffected and normal because >95% is produced by the seminal vesicles, prostate and cowper's glands. Sperm is no > 5% of ejaculate.. ...Read more

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Hcg will increase testosterone because it stimulates the leydig cells but what about sperm that comes from sertoli cells? Will men become infertile?

Hcg will increase testosterone because it stimulates the leydig cells but what about sperm  that comes from sertoli cells? Will men become infertile?

Possibly. : Human Chorionic Gonadotropin (HCG) is a hormone of pregnancy similar to lh in men. Hcg is approved as a fertility treatment in men & women. If the correct dose & frequency is given, it will raise testosterone (t) by leydig cells, & support sperm production by sertoli cells. If the incorrect dose is given, negative feedback will lower t & decrease sperm production. T must be monitored closely. ...Read more

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If it takes just 1 sperm to fertile egg, y r men with low sperm count infertile. Does precum really cause pregnancy?

If it takes just 1 sperm to fertile egg, y r men with low sperm count infertile. Does precum really cause pregnancy?

Odds ratio: Sperm have to swim upstream the equivalent of a human swimming 8 miles. Not all of them will survive. The odds are better of 1 making the journey if there are millions to start. Pre ejaculatory fluid can contain enough sperm per drop so one might make it to the egg. Thanks for trusting HealthTap! ...Read more

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Can spinal meningitis at age 3 cause infertility in men? My husband has 0 sperm count. Bloodwork normal and physical exam normal.

Can spinal meningitis at age 3 cause infertility in men? My husband has 0 sperm count. Bloodwork normal and  physical exam normal.

Probably not: This depends of course on the causative agent of the meninigitis (?Mumps, coxsackie virus?, etc.) and whether was accompanied by orchitis (inflammation of the testes). It would be, however, quite unusual to result in aspermia even if it had been present. Hubbie needs to see endocrinologist. ...Read more

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How long before gonorrhea causes sperm reduction, infertility, and spreads to blood / joints in men? Need to know if i infected my ex gf 4 months back

How long before gonorrhea causes sperm reduction, infertility, and spreads to blood / joints in men? Need to know if i infected my ex gf 4 months back

Untreated Gonorrhea: This is a difficult question because there is no one right answer. It is very rare to have disseminated gonorrhea. But, the common question here is could one have been infected for months and not know it. And, the answer to that is a resounding yes. Your ex-girlfriend should be tested and/or treated. ...Read more

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Can you tell me what you suggest if a man is infertile does that mean that he has no sperm?

Can you tell me what you suggest if a man is infertile does that mean that he has no sperm?

Yes, here is...: A personal hx of impregnating any females in the past will suggest; otherwise, there's no quick easy way to tell. But remember: some 10-15% of couples may have the issue of possible infertility; some 50% of the time from women's factors, some 30% from male's factors, and some 20% from both. If still in doubt, go to see expert for a good history, physical exam, and semen analysis, and others. ...Read more

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What is the sperm count of an infertile man?

What is  the sperm count of an infertile man?

Sperm count: Its usually below 20 million with less then 4% normal morphology and amotility of less then 50%.However this is is arbitrary because with ivf men are not the problem any more. ...Read more

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I am a 30-year-old man. I have been taking on Lexapro (escitalopram) 10mg for 22 days. Could I use it forever? does it cause male infertility? low sperm?

I am a 30-year-old man. I have been taking on Lexapro (escitalopram) 10mg for 22 days. Could  I use it forever? does it cause male infertility? low sperm?

Your doctor to guide: Anytime you receive a medication from your doctor, you are expected to ask questions about the medication.Did you not have any such conversation? Anyway Lexapro (escitalopram) is a fairly safe medicine , it will not affect your sperms or fertility. So it can be taken for the long term if needed although most doctors try to stop your antidepressant after the depression has resolved, but some patients need it for ...Read more

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Does a semen analysis with 70% immotile sperm and zero fast progressive sperm mean that a man is infertile? Can the sperm quality be improved?

Does a semen analysis with 70% immotile sperm and zero fast progressive sperm mean that a man is infertile? Can the sperm quality be improved?

Here are some...: The parameters of your semen analysis for male infertility strongly suggests a very low likelihood to fertilize a timely waiting egg. How to improve it? You should bring this Q to your doctor assessing your infertility since s/he is the one who knows more about your individual specific situations than anyone online. Besides, female factors are known to contribute to some 45-55% of all infertility. ...Read more

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What are the causes of sperm infertility?

What are the causes of sperm infertility?

Sperm: Sorry but I don't fully understand your problem. For example, what do you mean by "sperm infertility". A consult with an Endocrinologist would be in order. Please keep me informed. ...Read more

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Does low sperm volume has to do anything with infertility ?

Does low sperm volume has to do anything with infertility ?

Yes in some instance: Are you talking about low volume as in total cc of ejaculate or low numbers of sperm? The normal ejaculate is 1-5 cc and if very low can effect fertility. The normal sperm numbers we like to see is 20 million per cc of ejaculate and lower numbers might effect fertility. Also there are other parameters on a semenanslysis that are important. I recommend you get a formal semenNalysis ...Read more

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My boyfriend has lumpy sperm does this mean that he is infertile?

My boyfriend has lumpy sperm does this mean that he is infertile?

Not: Certain what lumpy sperms means but it will not indicate infertility. A fertility clinic can evaluate his sperms for viability and adequate quantity ...Read more

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My partner has smelly sperm is that a sign of infertility as we trying for a baby?

My partner has smelly sperm is that a sign of infertility as we trying for a baby?

Smelly sperm: Seminal plasma has a strong odor due to it's components. You may be sensitive to the smell or the components. Have a semen analysis to be sure that he doesn't have an infection.I. ...Read more

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My husband's sperm is kinda clumpy and it has a grainy texture does this mean he is infertile/have trouble having kids?

My husband's sperm is kinda clumpy and it has a grainy texture does this mean he is infertile/have trouble having kids?

Not really: Texture is a small part of the character of semen, but it doesn't necessarily determine fertility, the activity and structure/function of the sperm cells determines viability, as well as viscosity and other more specific qualities of semen... ...Read more

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Is low sperm count linked to infertility?

Is low sperm count linked to infertility?

Yes: The normal sperm count is between 40 and 200 million sperm/cc. Counts below 20 million make it difficult to achieve pregnancy without intra uterine insemination.(iui). ...Read more

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Will watery like sperm cause infertility ?

Will watery like sperm cause infertility ?

Maybe: Watery sperm may indicate that the semen is dilated and may have a decreased number of sperm therefore decreasing your chances of getting pregnant. Best to discuss this with your doctor and maybe do a semen analysis. Good luck and i hope this helps. ...Read more

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How long does sperm live in infertile mucus?

Cervical mucus: In normal mucus, sperm can live for 24-48 hours. I'm not sure what you mean by 'infertile mucus'. If the cervical mucus is abnormal, sperm survival would be shorter. The best thing to do is to evaluate the mucus and, if it's abnormal, determine the cause and treatment. ...Read more

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Does having a high rate of abnormal sperm morphology make you infertile?

Does having a high rate of abnormal sperm morphology make you infertile?

Not always: Abnormal morphology should be investigated but many men initiate pregnancies with abnormal morphology. ...Read more

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My husband has been smoking for 15 years. Whats the chance of him being "infertile"? If he stops will his sperm "regrow" per say?

Sperm generally: "regrow" within 75-90 days; if he stops smoking, he should see results in that time. Smoking does not make men infertile (it's not a form of contraception, ) many smokers are fathers, after all. Estimates are it reduces per-cycle conception by about 15%. ...Read more

Men (Definition)

Men are adult members of the male sex. The acropnym men also stands for multiple endocrine neoplasia, a hereditary condition that involves benign and malignant tumors of various glands. There are two main types, men ...Read more


Sperm (Definition)

This sperm is a reproductive cell from the male that either carries a x or an y chromosome that will fertilize the egg cell from the female in order ...Read more