I got my results back, and they are 4.20 Sperm/HPF. Does this mean I'm still not sterile?

I got my results back, and they are 4.20 Sperm/HPF. I assume this means I'm still not sterile, is that correct?

Answers from doctors (3)


Wayne B. Glazier, MD, FACS

Published on Apr 16, 2019

We recommend two "zero" sperm counts before considering a man totally sterile.

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Answered by Wayne B. Glazier, MD, FACS

We recommend two "zero" sperm counts before considering a man totally sterile.

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on Sep 21, 2018

There are normally millions of sperm PHF, so you have sperm but it is very unlikely that you can achieve pregnancy. Having said that, many patients and urologists demand zero sperm before having unprotected sex. I'd repeat it a few times and hopefully, it will go to zero. If not, you have a decision to make. Proceed knowing it is not zero but highly improbable of achieving pregnancy or consider repeating. I favor the former, but this can become a "mind" game. As always, consult your urologist.

Answered by John C. McHugh, MD (View Profile)

There are normally millions of sperm PHF, so you have sperm but it is very unlikely that you can achieve pregnancy. Having said that, many patients and urologists demand zero sperm before having unprotected sex. I'd repeat it a few times and hopefully, it will go to zero. If not, you have a decision to make. Proceed knowing it is not zero but highly improbable of achieving pregnancy or consider repeating. I favor the former, but this can become a "mind" game. As always, consult your urologist.

Published on Jul 11, 2012


Naresh Parajuli, MBBS, FRACGP

Published on Aug 29, 2018

Yes, you are still not sterile. You need to repeat the semen test until it shows no sperm in your semen.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8665_1532029450.jpg
Answered by Naresh Parajuli, MBBS, FRACGP

Yes, you are still not sterile. You need to repeat the semen test until it shows no sperm in your semen.

Published on Jul 11, 2012


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