Can low sperm count have children?

My husband and I have been married for over a year but have no children. My test results are normal, my husband has low sperm count, can we have children? (Hoa, 29 years old, Hanoi).


For men, having children or not depends a lot on the quality of sperm. If the sperm is healthy, the chances of conception will be higher and vice versa.

In theory, a man needs only one motile sperm to conceive naturally. However, the ability to conceive will be greatly affected if the quality of sperm decreases. With a regular cycle of ovulation and sex, the odds of a healthy couple getting pregnant naturally range from 15 to 20 percent. In the case of reduced sperm quality, depending on the degree of decline, this ratio will decrease. There are also some cases of sperm abnormalities, the conception rate is almost zero.

Sperm are only a small part of semen and cannot be seen with the naked eye. However, some changes may suggest a decline in sperm quality such as low semen volume, dilute semen, lumps, solidification, or color change from milky white to red or blue. To most accurately assess the quality of sperm, you should go to the hospital for a semen analysis when there are abnormal signs above or when the couple has regular sex for 6 months or more but still not pregnant.

In addition, men can improve sperm quality by adding some foods such as oysters and shellfish such as shrimp and crab; red meat and poultry; whole grains; yogurt and dairy foods; vegetable oil. Some green vegetables, spices such as broccoli, cabbage, asparagus, tomatoes, garlic, sweet peppers. Avoid stimulants such as alcohol, coffee, tobacco, processed foods…

In case you and your husband have been expecting a child for more than a year but have not had a child, active medical support and intervention is required. You should go to a reputable facility to check and choose the most effective treatment plan.

Hope you both have good news soon!

Dr. Le Duy Thao
Department of Andrology, Hong Ngoc General Hospital


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