Getting pregnant seems like a simple equation: sperm + egg = baby. But the reality is far more complex. All sorts of factors impact whether a sperm will actually meet an egg and fertilize it. That leaves people trying to conceive or prevent pregnancy with lots of questions, one of which might be "exactly how much sperm does it take to get pregnant?"
According to Dr. Matthew Casavant, a board-certified OB-GYN, the answer is not a straightforward number.
While it's true that only one sperm is needed to fertilize an egg, the journey to get there is challenging, so millions of sperm must make the journey to increase the chances of conception. In fact, sperm count is a critical factor in determining whether a couple will successfully conceive, though, it's not just about quantity. It's about quality too.
Let's dig into the fascinating world of sperm and find out what it takes to get pregnant.
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Things that impact sperm count and quality
Fun fact: sperm production isn't exclusive to men! Transgender men typically don't produce sperm, but sperm can be derived from embryonic stem cells, and in very rare cases a woman or person assigned female at birth (AFAB) can create an embryo through parthenogenesis, or "virgin creation."
Another key point while we're talking terminology: semen is the fluid containing sperm, while ejaculation is the release of that fluid. So, the sticky white stuff you see when someone with a penis ejaculates is semen, not the actual sperm cells, but the semen contains millions of sperm cells.
But to answer the question at hand, let's assume we're talking about "normal" conception — when sperm from a man or person assigned male at birth (AMAB) meets up with an egg inside a woman or person AFAB. Understanding what affects male fertility can help you take steps to support sperm health and achieve your goal, whether that's conception or preventing pregnancy.
So, let's explore the things that impact sperm health.
Sperm count
"Sperm count is crucial as it represents the number of sperm available to reach and fertilize the egg," says Casavant.
A normal sperm count is above 15 million sperm per milliliter of semen.
If you're curious about how to increase sperm count, it's actually fairly easy with some lifestyle changes, as long as the low sperm count isn't caused by an underlying health issue. Maintaining a healthy weight, eating plenty of antioxidant-rich fruits and veggies, preventing STIs, managing stress, and staying active with regular moderate exercise can all help increase sperm count.
Sperm motility
Casavant explains, "Sperm motility is essential for sperm to navigate through the female reproductive tract to reach the egg."
Sperm motility, which refers to the sperm's ability to move efficiently. If the sperm cells can't move efficiently, they struggle to make the journey to the uterus, significantly reducing the likelihood of successful fertilization.
Sperm morphology
Casavant notes, "Sperm morphology refers to the size and shape of sperm."
When there are abnormalities in the sperm cells, such as misshapen heads or tails, this hinders the sperm's ability to swim and penetrate the egg, ultimately reducing fertility.
Ejaculated sperm can remain viable for up to five days in the female reproductive tract, and fertilization is still possible as long as they are alive. Sperm cells that are optimally shaped for the journey are more likely to reach the uterus within that time frame, making healthy sperm morphology essential for successful fertilization.
Read More: What Does 'Shooting Blanks' Mean?
Other factors in conception
Conception is a complex process that hinges on multiple factors, including sperm count and quality, semen's pH and volume, and the health of the woman or AFAB person's reproductive system. Casavant says it's also essential to consider the receptivity of the cervical mucus and the timing of ovulation, as these elements must align to facilitate the sperm's journey and the egg's successful fertilization.
So, even really healthy, high-quality sperm doesn't always make it to its destination to complete fertilization.
Can you get pregnant from precum?
While pregnancy from precum is less likely than from full ejaculation, it is still possible to get pregnant from precum!
Casavant says the odds hinge on the presence of viable sperm in the precum, the timing of sexual activity relative to ovulation, and the fertility status of both partners. To minimize the risk of an unexpected pregnancy, it's wise to use a reliable form of birth control consistently, even if the risk seems low.
Couples who are particularly concerned about preventing pregnancy might consider using a condom during any genital contact to avoid the transfer of precum.
Tips for those trying to conceive
When trying to conceive, remember that lifestyle factors can significantly impact fertility. While it's natural to feel pressure to get pregnant, it's important to approach intimacy with a relaxed mindset.
As Dr. Casavant wisely notes, "In my practice, I've found that stress and 'trying too hard' can negatively impact arousal and sperm health, reducing the chances of pregnancy. It's best for couples to connect intimately without the pressure of pregnancy as the only goal. When intercourse feels like a chore, it impacts arousal and sperm quality. Relaxing leads to better results."
So, take a deep breath, prioritize emotional connection, and let nature take its course. If you're struggling to conceive, don't hesitate to seek medical advice from a fertility specialist who can help you identify and address any underlying issues.
Tips for those trying to avoid pregnancy
When it comes to avoiding pregnancy, being prepared and responsible is the name of the game. Use condoms correctly, choose a reliable birth control method, and track your menstrual cycle to identify when you're most fertile. Avoid unprotected sex during ovulation, and consider emergency contraception like Plan B if you've had a slip-up.
If you're not using a natural or hormonal birth control method, use the withdrawal method carefully as a backup plan, but remember to withdraw before ejaculation. And use a condom to minimize the risk of pregnancy from precum or not pulling out fast enough.
By combining these methods, you can minimize the risk of pregnancy and stay in control of your reproductive health.
The bottom line
As Casavant says, even a single high-quality sperm can be enough, provided the timing is perfect and stress is minimized. But that one sperm has to get all the way to the uterus and meet up with an egg before fertilization can happen, making the process much more complex than one sperm and one egg joining in perfect harmony. Conception relies on various factors, including sperm count, motility, and morphology.
If you have concerns about fertility or conception, don't hesitate to seek professional advice to find what works best for you and your partner.
Author's Note: While gender is often used within this article, it's only to ensure the people who want this information can find it.