WHEN IS LOW SPERM COUNT

WHEN IS LOW SPERM COUNT

     Doctors specializing in infertility South Florida Institute for Reproductive Medicine in the United States, now respond to various queries about low sperm count and explain the differences between ICSI and GIFT technique. 

Dr. Ellen Wood is responsible for clarification. Here are some that are available online.

Questions : In a espermiograma with a score of 14.5 m sperm, is a low level of generation of sperm? Could a pregnancy without using any fertilization technique? I just made a semen analysis and my results are: Volume: 2 ml, density: 4 million Motility: 17% Morphology: 8%, Viscosity: hyper viscous, white cells: 1.7. I know the origin gives each semen alterations individually, but these results surprised me, that all parameters very bad result. Can you please tell me what can be the cause of such poor semen? Let me know what you think of fertility method called GIFT. Is it better than ICSI? 

Answer : A normal sperm count is about 20 million sperm, although 10 million, which is a boundary count, could achieve a pregnancy. If you are at the limit some vitamin supplements available today in the market could achieve an increase thereof, as well as adjustments in lifestyle, such as quitting smoking, drinking alcohol or marijuana, avoid toxic chemicals that often are present in the workplace, for example, glue furniture used by carpenters. But with less than 10 million is not worth it, because all these changes could not achieve the miracle needed to raise the count to acceptable levels. The low sperm count may depend on several things, such as medical history of man (cystic fibrosis, for example, it is found many times in this way), if you have an anatomical problem such as varicocele, or one genetic; if you have habits or are in an environment that may impair sperm production. The best way to make sure , going to a urologist. If there is a problem of low sperm count, do not despair. Today there is a technique of artificial fertilization involves removing sperm from the epididymis or testis (a procedure called TESA) and then inject them one by one with a fine glass needle into the egg in a procedure called ICSI, for its acronym in English. The fertilized or embryos / os are then transferred to the uterus. These techniques are used with men whose sperm count in the semen is very, very low, or men who do not produce sperm. Also in men who do not have enough sperm for a good pregnancy rate per IUI or who could not produce a pregnancy using this method. Not all men who undergo ICSI need a TESA. The possibility of pregnancy by intrauterine insemination is possible only when it has at least a count of 10 million. The GIFT is a technique that was used much before getting pregnant. It involves placing sperm and eggs in the fallopian tubes for fertilization to take place in the most similar to the natural. It is good especially when laboratories with which it works are not entirely reliable as to produce quality embryos for transfer by in vitro fertilization. However, if the quality of the embryos is guaranteed artificial fertilization is preferable because GIFT involves performing laparoscopic surgery, while IVF is a minor procedure. However, if the specialist has previously hesitated about whether to use or ICSI GIFT, chances are that sperm count is low; then the only possibility is ICSI.  Dr. Ellen Wood is certified in obstetrics and gynecology and has qualified for the subspecialty of Reproductive Endocrinology and Infertility. He graduated from the University of Pennsylvania and graduated with honors from Pennsylvania Hospital and Thomas Jefferson Medical College. He also received the Philadelphia Area Reproductive Endocrine Society Research Fellow Award in 1998 and 1999. Integra the American Society for Reproductive Medicine and is a fellow of the American College of Osteopathic Obstetricians and Gynecologists