What is the normal sperm count per ejaculation for natural conception?

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I have seen the attached reports (attachment removed to protect the patient's identity). The semen analysis shows the absence of fructose in the seminal fluid ejaculate, which indicates blockage of the vas deferens. It is required for metabolism and motility of sperm. Also, the sperm count is low and has low motility for even natural conception. The next step would be an ultrasound of the scrotum for your husband to check for vas deferens obstruction or absence. However, with these reports, an IUI (intrauterine insemination) procedure would be a better option for conception rather than trying naturally, as in absence of fructose, sperm would not be able to stay alive for long in the female genital tract.

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I suggest you get ultrasound and doppler studies of your husband's scrotum to rule out varicosities and also blockage of vas deferens or its possible absence.

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Yes, your husband needs to be treated. The scan is called ultrasound scrotum and Doppler studies.

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The report has given normozoospermic, which is wrong for natural conception. WHO standard guidelines and reference levels are for IVF (in-vitro fertilization) standards. The normal count per ejaculation should be more than 150 million per ejaculation to have a good chance for natural conception. Also, the rapid progressive should be more than 80 percent.

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I suggest you take medications for PCOS (polycystic ovarian syndrome) but they have to be started from day two of your next cycle. There is no natural way to increase counts but medications can work for him if fructose is restored.

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In his case, he would have to undergo evaluation first and medications can be prescribed only after that if needed or if would be helpful. If there is a block of the vas deferens then surgical intervention would be required.

Thank you.