THEY were young, still in their 20's, when they began trying to conceive a child. When it did not happen, the New York couple decided just to keep trying, to give nature time to take its course. But nature did not oblige. When four years had passed without a pregnancy, they consulted a doctor, who quickly identified the problem: semen analysis showed that the husband had very few sperm. Normally, a man ejaculates anywhere from 40 million to million sperm. A count below 20 million is considered low and unlikely to result in a pregnancy without major high-tech help.

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There are approximately million sperm in each human ejaculation, but only about 2 million sperm make it into the cervix. Out of the approximately 2 million sperm entering the cervix, only about 1 million make it into the uterus. The rest are stopped by gooey mucus, or swim into dead-end channels inside the walls of the cervix. Out of the approximately 1 million sperm that enter the uterus, only about 10, make it to the top of the organ. The rest are attacked and absorbed by white blood cells, which start to appear in force as soon as sperm enter their defensive perimeter. Out of the approximately 10, sperm cells that make it to the far end of the uterus, only about 5, turn in the right direction. Out of the approximately 5, sperm that enter the uterotubal junction —a twisty space connecting the uterus and the oviduct—only about enter the Fallopian tube.


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