A sperm count of around 1 million is severely reduced compared with the WHO lower reference value of about 16 million/mL. Motility of 5% is also markedly low. However, one semen analysis does not by itself establish permanent infertility, because semen parameters can vary considerably between samples. Current AUA/ASRM guidance recommends at least two semen analyses, preferably about a month apart, when the first is abnormal.
The 15â20 pus cells are also important. They may indicate inflammation or infection of the genital tract, but they should not automatically be assumed to be infection. Guidelines recommend evaluating men with pyospermia for an underlying infectious or inflammatory cause.
Next Steps
Because the count and motility are both very low, I would recommend consultation with us rather than starting fertility medicines blindly. The next step is usually confirmation with a repeat semen analysis in a specialized laboratory and evaluation for potentially reversible causes such as genital-tract inflammation/infection, varicocele, hormonal problems, previous infections/fever, medications, smoking/alcohol, obesity or other factors. Importantly, do not start
testosterone injections or testosterone âboostersâ if you are trying to conceive, because exogenous testosterone can suppress sperm production. Depending on the repeat results and examination, fertility treatment options can still be considered; very low sperm counts do not necessarily mean that biological fatherhood is impossible. You can connect with us at 9 3 1 5 6 6 1 5 6 5 for an individualized Ayurvedic assessment and guidance alongside appropriate fertility evaluation.
Health Tips
For now, avoid smoking, recreational drugs and excessive alcohol, maintain a healthy weight, exercise regularly and avoid unnecessary heat exposure to the testes. Don't take multiple herbal âsperm boostersâ without knowing the cause. Please share/upload the complete semen-analysis report if you have itâincluding volume, concentration, total sperm count, progressive/non-progressive motility, morphology, vitality, abstinence period and the exact pus-cell/round-cell reportâbecause these details are important for interpreting a count of 1 million and deciding the appropriate next step. Thank you