How does hyperspermia affect male fertility? Hyperspermia can sometimes affect a man’s fertility. Some men have excessive seminal fluid production but a reduced sperm count. Also, sperm are more diluted in the ejaculate. The presence of a low number of sperm reduces their chance of fertilizing the egg. Although getting pregnant is still possible, it may take more tries and longer than usual. If a man’s seminal fluid volume is high but he has a normal sperm count, hyperspermia should not affect his fertility. Are there other complications of hyperspermia? Hyperspermia is also associated with an increased risk of miscarriage. What are the causes of hyperspermia? It is still not completely clear what exactly causes hyperspermia. Some scientists suggest that the condition is related to an infection in the prostate that causes inflammation. When should medical help be sought? Professional help may be sought for concerns related to the formation of too large amounts of seminal fluid or for couples who have failed to conceive for at least a year. It is necessary for the doctor to perform a physical examination, then, most likely, tests to check the sperm count and other tests will be needed. These tests may include: Semen analysis. The test requires a sample of the patient’s semen. The sample is examined in a laboratory, where the number, movement and quality of sperm are checked. Hormonal tests. A blood test may be ordered to check testosterone and other hormone levels. Low testosterone levels can contribute to infertility. Imaging diagnostics. An ultrasound scan of the testicles or other parts of the male reproductive system may need to be performed to check for problems that may contribute to infertility. Is hyperspermia treatable? No treatment is necessary for hyperspermia. Hyperspermia is a rare condition and often has no effect on a man’s health or fertility. However, if the condition affects a man’s fertility, treatment can improve the chances of conceiving. A reproductive medicine specialist may prescribe treatment to improve a patient’s sperm count and quality. In men who have reproductive problems, sperm retrieval for in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) can increase the likelihood of successful pregnancy. Bibliography: Zhang, Y.-J., et al. Evaluation on sperm parameters of ejaculates with hyperspermia Chowdhary, R., & Tiwari, B. Understanding male infertility and its causes Mayo Clinic Staff. Low sperm count