In the United States, it is estimated that as many as fifteen percent of all couples have difficulty conceiving a child. In about one third of the cases of infertility, it is the man who is responsible; in another one-third, both male and female are responsible; and in another one-third, it is the female who is responsible.
Current estimates suggest about six percent of men between the ages of fifteen and fifty are infertile. Most causes of male infertility reflect an abnormal sperm count or quality. Although it only takes one sperm to fertilize an egg, in an average ejaculate a man will eject nearly two hundred million sperm. However, because of the natural barriers in the female reproductive tract, only about forty sperm will ever reach the vicinity of an egg. There is a strong correlation between fertility and the number of sperm in an ejaculate.
In about ninety percent of the cases of a low sperm count, the reason is deficient sperm production. Unfortunately, in about ninety percent of those cases, the cause for the decreased sperm formation cannot be identified, and the condition is labeled idiopathic oligospermia or azoospermia. Oligospermia means a low sperm count, while azoospermia is defined as a complete absence of living sperm in the semen.
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