oligospermia

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WHO semen analysis oligozoospermia definition 2021 reference limit

Oligospermia, also called oligozoospermia, means a lower-than-expected sperm concentration in semen.
  • Current WHO-based reference: <16 million sperm per mL of semen.
  • It can reduce fertility, but does not mean pregnancy is impossible. Sperm motility, shape, total sperm number, female-partner factors, and timing also matter. EAU male infertility guideline
Common contributing factors include varicocele, hormonal or testicular disorders, genital-tract obstruction or infection, heat exposure, smoking, heavy alcohol/drug use, obesity, some medicines including testosterone/anabolic steroids, prior chemotherapy/radiation, and genetic causes. A semen test can vary, so clinicians generally confirm an abnormal result with repeat semen analyses and assess for reversible causes.
If this is from a report, share the sperm concentration, total count, progressive motility, morphology, abstinence duration, and test date and I can help interpret it. A reproductive urologist/andrologist is appropriate, especially if results are markedly low or conception has not occurred after 12 months of regular unprotected intercourse.
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