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Total sperm count

Fertility and pregnancy · also printed as Total count, Total sperm number, Total sperm count (million), Total motile sperm count, TMSC

Typical UK adult range39 million and above

The WHO lower reference limit is 39 million; the fertility team interprets the whole picture.

What this test measures

The total number of sperm in the whole ejaculate, from volume multiplied by concentration. Semen analysis is interpreted as a whole by the fertility team, using WHO reference limits that describe the lower 5 percent of men who fathered a child within a year. A single sample below a limit is repeated after two to three months, because production varies a great deal and takes about ten weeks.

Why doctors request it

Part of every semen analysis, requested in fertility clinics and after vasectomy (where the aim is no sperm at all).

What commonly pushes it up

What commonly pushes it down

Everyday reasons for a value outside the range

About the sample

Two to seven days of abstinence, collected into the lab pot, delivered within an hour and kept at body temperature.

Written by a UK consultant physician. Typical UK adult reference ranges; your laboratory's own printed range takes precedence.

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This is an educational summary of results you uploaded. It is not medical advice, a diagnosis or a treatment plan, and it does not replace the doctor who requested the test. If you are worried, or a result is marked outside range, discuss it with your doctor. Written and reviewed by a UK consultant physician. Reference ranges vary between laboratories.