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Low sperm count and infertility in men is more common than most couples think. There is an the same chance that male factor fertility can be the cause of not getting pregnant as much as a fertility issue being with the woman. The male or the female partner arouses the penis by fondling it. When the discharge is just about to occur, the glens are squeeze with the thumb and the forefinger. This avoids the semen from receiving ejaculated, and the penis becomes limp as the blood gets disgorge out of it. After a minute or so, the penis is aroused again, and again squeeze when the man is about to ejaculate.
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Semen Analysis: – In almost half the cases of sub fertility, there is a male contribution to the problem. The initial study requires a sample of semen for analysis. This is usually created at home after abstaining from ejaculation for 2 to 3 days. A shorter time than this will reduce the total number and longer abstinence can lead to a falsely high number of poorly motile sperms. The sample needs to be deliver to the laboratory within one hour for analysis.

The following are careful a normal result:

•    Volume: 2-5mls
•    Concentration: more than 20 million per ml
•    Motility: more than 50% progressively motile
•    Form: more than 30% normal appearance
•    White blood cells: less than 1 million per ml

What is normal sperm motility?

The quality of the sperm is often more significant than the count. Sperm motility is the ability to move. Sperm are of 2 types – those which swim, and those which don’t. Remember that only those sperm which move onward fast are able to swim up to the egg and fertilize it the others are of little use.

Motility is graded from a to d, according to the World Health Organization (WHO) Manual criteria, as follows.

•    Grade a (fast progressive) sperms are those which swim forward fast in a straight line – like guided missiles.
•    Grade b (slow progressive) sperms swim forward, but either in a curved or crooked line, or slowly (slow linear or non linear motility).
•    Grade c (no progressive) sperms move their tails, but do not move forward (local motility only).
•    Grade d (immotile) sperms do not move at all.

Lifestyle Changes to improve low sperm count: -

•    Get regular exercise: While you should avoid vigorous training programs, regular and moderate exercise helps you maintain a healthy body weight, helps control stress, and gives you a healthier overall body.
•    Perform relaxation exercises: Since infertility and life in general can be stressful, learn to relax. Stress is sometimes responsible for certain infertility problems such as hormonal problems.
•    Maintain a healthy weight: Not too under or overweight since weight influences estrogen and testosterone levels.
•    Vitamin C: – Vitamin C is an antioxidant that improves sperm quality and keeps it from clumping together (thus improving sperm motility too). Vitamin C also protects the DNA within sperm from damage.
•    Watch your body temperature: Avoid vigorous exercise, hot tubs, and saunas since they raise the body temperature and may cause changes in ovulation and reduced sperm count.