Why is there a difference in sperm count between per milliliter and per ejaculate?

Hi,

Welcome to icliniq, and thank you for choosing us as your provider for health care.

I have gone through your history and understand your concerns.

Take healthy precautions and try to be consistent. Less than 15 million per ml and less than 39 million per ejaculate are considered abnormal. Continue taking folic acid 5 mg daily. The sperm count per ejaculate is normal, but there is a significant difference per ml. This could be due to a reporting defect as well. It is better to repeat the sperm count after three to six months. In the meantime, he should maintain a healthy nutritious diet, exercise, practice yoga, and quit recreational drugs that reduce fertility and can cause congenital anomalies in the fetus. Here are my suggestions:

1. Engage in recreational activities as a couple.
2. Maintain a normal BMI (body mass index) and healthy weight.
3. If both of you have any other health issues, try to have a full check-up and treatment.
4. Have intercourse during the fertile period of the regular cycle, which is from day 8 to day 13, or from day 8 to day 19 on alternate days of the irregular cycle.

I hope you understand my point. Your husband can also consult with a fertility specialist.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.