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When you have a low sperm count

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A low sperm count or complete absence of sperms is the main reason some men are not able to father a child. We tell you what low sperm count means, how it can be diagnosed, and what interventions are available.

When the fluid (semen) you ejaculate during an orgasm has fewer sperms than normal then you have a low sperm count, also referred to as oligospermia. A complete absence of sperm is called azoospermia. A sperm count is lower than normal if you have fewer than 15 million sperms per millilitre of semen. This means chances are low that one of your sperms will fertilise an ovary, resulting in pregnancy. Nevertheless, many men who have a low sperm count can still father a child.

 

The inability to conceive a child is the major indication of a low sperm count. The cause may be an inherited hormonal imbalance or a condition that blocks the passage of sperms. If you have problems with sexual function, for instance, low sex drive or difficulty maintaining an erection (erectile dysfunction), pain, swelling or a lump in the testicle area, decreased facial or body hair or other signs of a chromosome or hormone abnormality, then chances are you have a low sperm count.

 

It is advisable to consult a doctor if you haven’t conceived a child after a year of regular, unprotected sexual intercourse with your wife or partner, have erection or ejaculation problems, low sex drive or other problems with sexual function, discomfort, a lump or swelling in the testicular area, a history of testicle, prostate or sexual problems or have had groin, testicle, penis or scrotum surgery.

 

There are several causes of low sperm count both medical or malfunctioning of the testicles (testes), as well as the hypothalamus and pituitary glands – organs in your brain that produce hormones that trigger sperm production.

 

Is low sperm count preventable?

There are some causes of a low sperm count that can be avoidable, especially those to do with lifestyle. Overheating the testicles is high on the list. For instance, it is very relaxing to get into a sauna or hot tub but truth be told, frequent use of these facilities temporarily lowers your sperm count. You’ll need to reduce your visits to these facilities if you want to father a baby.

 

Equally damaging but avoidable is sitting for long periods, wearing tight clothing or using a laptop on your lap for long periods of time which increases the temperature in your scrotum and reduces sperm production. Riding a bicycle for long periods or horseback riding, especially on a hard seat or poorly adjusted bicycle, is another possible cause of reduced fertility due to overheating of the testicles.

 

We know that exposure to radiation or X-ray is linked to cancer but it can also reduce sperm production. The problem here is that it can take several years for sperm production to return to normal. And when exposed to high doses of radiation, sperm production can reduce permanently. The next danger is extended exposure to industrial chemicals such as herbicides, pesticides, organic solvents, painting materials and lead.

 

Your lifestyle can make or break your sperm count. When you decide to stimulate your muscle strength and growth by taking illegal anabolic steroids, your testicles risk shrinking in addition to decreased sperm production. If you are in an occupation that involves extended use of computers or video display monitors, shift work, and work-related stress, your risk of infertility is high.

 

Equally, the use of drugs like cocaine or marijuana may temporarily reduce the number and quality of your sperm. The beloved bottle has its place too – drinking alcohol can lower testosterone levels and cause decreased sperm production. That cigarette puff you assume gives you status may also lower your sperm count.

 

Severe or prolonged emotional stress, including stress about fertility itself, may interfere with certain hormones needed to produce sperm. Cut down that weight too. If you let it reach obesity levels, it will cause hormone changes that reduce male fertility.

 

When treatment doesn’t work
There are a few do-it-yourself tips to increase your chances of getting your partner pregnant.  First, having sexual intercourse every other day around the time of ovulation (in the middle of the menstrual cycle, between periods) increases your chances of getting your wife pregnant. This will ensure that sperms, which can live for several days, are present when conception is possible.

 

It is advisable to avoid the use of lubricants such as K-Y jelly, lotions, and saliva as they’ve been shown to reduce sperm movement. Ask your doctor about sperm-safe lubricants. If your problem can’t be treated, you and your wife can consider using sperm from a donor or adopting a child.

 

Alternative medicine…

There is still no substantial evidence to prove that herbs and supplements might help increase sperm count or overall sperm health. Although there is no conclusive information on the benefit of dietary supplementation, certain vitamins, minerals and amino acids may improve the sperm count or sperm quality. These include zinc, selenium, vitamin E, vitamin B-12, folic acid, vitamin C and beta-carotene. Consult your doctor before taking any herbal remedies or supplements, as some can cause harm when taken in high doses or for long periods of time.

Published on April 2013

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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