{"id":150653,"date":"2025-11-25T12:50:20","date_gmt":"2025-11-25T12:50:20","guid":{"rendered":"https:\/\/www.exseedhealth.com\/?p=150653"},"modified":"2025-11-26T13:24:58","modified_gmt":"2025-11-26T13:24:58","slug":"sperm-concentration-test","status":"publish","type":"post","link":"https:\/\/www.exseedhealth.com\/pl\/sperm-concentration-test\/","title":{"rendered":"Test koncentracji plemnik\u00f3w: Co ujawnia na temat p\u0142odno\u015bci i zdrowia?"},"content":{"rendered":"<p>Je\u015bli my\u015blisz o za\u0142o\u017ceniu rodziny lub po prostu jeste\u015b ciekawa swojego zdrowia reprodukcyjnego, zbadaj swoj\u0105 p\u0142odno\u015b\u0107. <strong>st\u0119\u017cenie plemnik\u00f3w<\/strong> jest jednym z najlepszych krok\u00f3w, jakie mo\u017cna podj\u0105\u0107.<\/p>\n<p>A <strong>test koncentracji plemnik\u00f3w<\/strong> mierzy liczb\u0119 plemnik\u00f3w w nasieniu i zapewnia istotny wgl\u0105d w p\u0142odno\u015b\u0107 i og\u00f3lny stan zdrowia. Z <strong>Domowy test p\u0142odno\u015bci ExSeed<\/strong>Teraz mo\u017cesz sprawdzi\u0107 jako\u015b\u0107 swojej spermy prywatnie, dok\u0142adnie i w zaciszu w\u0142asnego domu.<\/p>\n<h2 id=\"-what-is-a-sperm-concentration-test-\">Co to jest test st\u0119\u017cenia plemnik\u00f3w?<\/h2>\n<p>Badanie st\u0119\u017cenia plemnik\u00f3w - czasami nazywane <strong>badanie liczby plemnik\u00f3w<\/strong> - mierzy liczb\u0119 plemnik\u00f3w na mililitr nasienia. Wed\u0142ug <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240030787\" target=\"_blank\" rel=\"noopener \">\u015awiatowa Organizacja Zdrowia (WHO)<\/a>Zdrowe st\u0119\u017cenie plemnik\u00f3w wynosi <strong>15 milion\u00f3w lub wi\u0119cej plemnik\u00f3w na mililitr<\/strong>.<\/p>\n<p>Poni\u017cej tego poziomu, zwanego <em>oligospermia<\/em>Pocz\u0119cie mo\u017ce by\u0107 trudniejsze - ale nie niemo\u017cliwe.<\/p>\n<p>Tradycyjne testy laboratoryjne mierz\u0105 liczb\u0119 plemnik\u00f3w przy u\u017cyciu analizy mikroskopowej, ale <strong>Test ExSeed<\/strong> wykorzystuje zaawansowane obrazowanie smartfonem do oceny st\u0119\u017cenia plemnik\u00f3w i <strong>ruchliwo\u015b\u0107<\/strong> - daj\u0105c pe\u0142ny obraz p\u0142odno\u015bci, a nie tylko liczb\u0119.<\/p>\n<h2 id=\"-why-sperm-concentration-matters-for-fertility\">Dlaczego st\u0119\u017cenie plemnik\u00f3w ma znaczenie dla p\u0142odno\u015bci?<\/h2>\n<p>St\u0119\u017cenie plemnik\u00f3w jest jednym z kluczowych marker\u00f3w <strong>m\u0119ska p\u0142odno\u015b\u0107<\/strong>. Wi\u0119ksza liczba plemnik\u00f3w zwi\u0119ksza prawdopodobie\u0144stwo, \u017ce dotr\u0105 one do kom\u00f3rki jajowej i j\u0105 zap\u0142odni\u0105.<\/p>\n<p>Niskie st\u0119\u017cenie plemnik\u00f3w mo\u017ce by\u0107 spowodowane przez:<\/p>\n<ul>\n<li>Brak r\u00f3wnowagi hormonalnej<\/li>\n<li>Choroby j\u0105der (\u017cylaki powr\u00f3zka nasiennego, infekcje, urazy)<\/li>\n<li>Z\u0142a dieta i styl \u017cycia<\/li>\n<li>Ekspozycja na ciep\u0142o lub palenie tytoniu<\/li>\n<\/ul>\n<p>Wed\u0142ug <a href=\"https:\/\/www.imperial.nhs.uk\/our-services\/fertility-and-reproductive-medicine\/male-fertility\" target=\"_blank\" rel=\"noopener \">NHS<\/a>oko\u0142o <strong>po\u0142owa wszystkich przypadk\u00f3w niep\u0142odno\u015bci<\/strong> wi\u0105\u017c\u0105 si\u0119 z czynnikami m\u0119skimi, takimi jak niska liczba plemnik\u00f3w lub s\u0142aba ruchliwo\u015b\u0107.<\/p>\n<h2 id=\"-how-exseed-measures-sperm-concentration-accurately\">Jak ExSeed dok\u0142adnie mierzy st\u0119\u017cenie plemnik\u00f3w?<\/h2>\n<p>W przeciwie\u0144stwie do podstawowych test\u00f3w paskowych SP-10, <strong>Test p\u0142odno\u015bci ExSeed<\/strong> \u015brodki <strong>st\u0119\u017cenie, ruchliwo\u015b\u0107 i ca\u0142kowita liczba ruchliwych plemnik\u00f3w<\/strong> (TMSC) przy u\u017cyciu standard\u00f3w laboratoryjnych WHO.<\/p>\n<h3 id=\"here-s-how-it-works-\">Oto jak to dzia\u0142a:<\/h3>\n<ol>\n<li><strong>Pobranie pr\u00f3bki nasienia<\/strong> przy u\u017cyciu zestawu ExSeed.<\/li>\n<li><strong>W\u0142\u00f3\u017c pr\u00f3bk\u0119 do urz\u0105dzenia ExSeed.<\/strong><\/li>\n<li><strong>Pod\u0142\u0105cz aplikacj\u0119<\/strong>, kt\u00f3ra wykorzystuje kamer\u0119 smartfona do analizy ruchu plemnik\u00f3w w czasie rzeczywistym.<\/li>\n<li><strong>Otrzymuj natychmiastowe wyniki<\/strong> - w tym liczba plemnik\u00f3w, ruchliwo\u015b\u0107 i og\u00f3lny <strong>Wynik p\u0142odno\u015bci<\/strong>.<\/li>\n<\/ol>\n<p>Dok\u0142adno\u015b\u0107 ExSeed zosta\u0142a potwierdzona w profesjonalnych testach laboratoryjnych, z dok\u0142adno\u015bci\u0105 do <strong>Korelacja 95%<\/strong>.<\/p>\n<h2 id=\"-what-s-a-normal-sperm-concentration-\">Jakie jest normalne st\u0119\u017cenie plemnik\u00f3w?<\/h2>\n<p>WHO definiuje nast\u0119puj\u0105ce zakresy referencyjne dla parametr\u00f3w zdrowego nasienia:<\/p>\n<table>\n<thead>\n<tr>\n<th>Parametr<\/th>\n<th>Normalny zakres<\/th>\n<th>Co to oznacza<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>St\u0119\u017cenie plemnik\u00f3w<\/strong><\/td>\n<td>\u226515 mln\/ml<\/td>\n<td>Liczba plemnik\u00f3w na mililitr nasienia<\/td>\n<\/tr>\n<tr>\n<td><strong>Ca\u0142kowita liczba plemnik\u00f3w<\/strong><\/td>\n<td>\u226539 milion\u00f3w\/ejakulat<\/td>\n<td>Ca\u0142kowita ilo\u015b\u0107 uwolnionych plemnik\u00f3w<\/td>\n<\/tr>\n<tr>\n<td><strong>Post\u0119puj\u0105ca ruchliwo\u015b\u0107<\/strong><\/td>\n<td>\u226532%<\/td>\n<td>Aktywnie poruszaj\u0105ce si\u0119 plemniki<\/td>\n<\/tr>\n<tr>\n<td><strong>Normalna morfologia<\/strong><\/td>\n<td>\u22654%<\/td>\n<td>Prawid\u0142owo ukszta\u0142towane plemniki<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Wyniki b\u0119d\u0105 obejmowa\u0107 wszystkie te pomiary, daj\u0105c pe\u0142ny obraz stanu nasienia - nie tylko sam\u0105 liczb\u0119 plemnik\u00f3w.<\/p>\n<h2 id=\"-understanding-your-results\">Zrozumienie wynik\u00f3w<\/h2>\n<p>Po przeprowadzeniu analizy aplikacja ExSeed wy\u015bwietla <strong>Wynik p\u0142odno\u015bci<\/strong> w oparciu o wytyczne WHO:<\/p>\n<ul>\n<li><strong>Normalny:<\/strong> Ponad 15 milion\u00f3w plemnik\u00f3w\/ml - zdrowy zakres<\/li>\n<li><strong>Granica:<\/strong> 10-15 mln\/ml - zalecana poprawa<\/li>\n<li><strong>Niski:<\/strong> Poni\u017cej 10 mln\/ml - mo\u017cliwe wyzwanie dla p\u0142odno\u015bci<\/li>\n<\/ul>\n<p>Nawet je\u015bli wyniki s\u0105 ni\u017csze od \u015bredniej, cz\u0119sto mo\u017cna je poprawi\u0107 w naturalny spos\u00f3b. <strong>90 dni<\/strong> - \u017cywotno\u015b\u0107 cyklu produkcji nasienia.<\/p>\n<p>Przeczytaj wi\u0119cej o optymalizacji wynik\u00f3w na naszej stronie <a href=\"https:\/\/www.exseedhealth.com\/pl\/improve-sperm-health\/\" target=\"_blank\" rel=\"noopener \">Poprawa zdrowia plemnik\u00f3w<\/a> przewodnik.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-large wp-image-150657\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-1024x585.png\" alt=\"Infografika wyja\u015bniaj\u0105ca normalne i niskie poziomy st\u0119\u017cenia plemnik\u00f3w w oparciu o standardy analizy nasienia WHO 2021.\" width=\"800\" height=\"457\" srcset=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-1024x585.png 1024w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-300x171.png 300w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-768x439.png 768w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-18x10.png 18w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-1320x754.png 1320w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who-600x343.png 600w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2025\/11\/sperm-concentration-explained-who.png 1344w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2 id=\"-what-affects-sperm-concentration-\">Co wp\u0142ywa na st\u0119\u017cenie plemnik\u00f3w?<\/h2>\n<p>Na liczb\u0119 i jako\u015b\u0107 plemnik\u00f3w wp\u0142ywaj\u0105 zar\u00f3wno <strong>styl \u017cycia i \u015brodowisko<\/strong>. Typowe czynniki obejmuj\u0105:<\/p>\n<table>\n<thead>\n<tr>\n<th>Czynnik<\/th>\n<th>Efekt<\/th>\n<th>Jak poprawi\u0107<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Ciep\u0142o (obcis\u0142a bielizna, sauny)<\/td>\n<td>Obni\u017ca liczb\u0119 plemnik\u00f3w<\/td>\n<td>Zachowaj zimn\u0105 krew, unikaj ciep\u0142a na pachwinie<\/td>\n<\/tr>\n<tr>\n<td>Alkohol i palenie<\/td>\n<td>Zmniejsza poziom testosteronu i ruchliwo\u015b\u0107<\/td>\n<td>Ogranicz alkohol, rzu\u0107 palenie<\/td>\n<\/tr>\n<tr>\n<td>Od\u017cywianie<\/td>\n<td>Niski poziom cynku, selenu lub witaminy D obni\u017ca jako\u015b\u0107 nasienia<\/td>\n<td>Zr\u00f3wnowa\u017cona dieta lub suplementacja<\/td>\n<\/tr>\n<tr>\n<td>Stres<\/td>\n<td>Zwi\u0119ksza poziom kortyzolu, obni\u017caj\u0105c produkcj\u0119 spermy<\/td>\n<td>Radzenie sobie ze stresem poprzez \u0107wiczenia lub medytacj\u0119<\/td>\n<\/tr>\n<tr>\n<td>Sen i fitness<\/td>\n<td>S\u0142aby sen obni\u017ca poziom testosteronu<\/td>\n<td>7-8 godzin snu, aktywno\u015b\u0107 fizyczna<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Tw\u00f3j <a href=\"\/pl\/sperm-health\/\">Zdrowie plemnik\u00f3w<\/a> W podr\u00f3\u017cy nie chodzi tylko o p\u0142odno\u015b\u0107, ale o budowanie silniejszych podstaw dla d\u0142ugotrwa\u0142ego dobrego samopoczucia.<\/p>\n<h2 id=\"-health-insights-from-a-sperm-concentration-test\">Wgl\u0105d w zdrowie na podstawie testu koncentracji plemnik\u00f3w<\/h2>\n<p>Badanie nasienia nie tylko informuje o tym, czy jeste\u015b p\u0142odny, ale tak\u017ce ujawnia wiele informacji na temat Twojej p\u0142odno\u015bci. <strong>og\u00f3lny stan zdrowia<\/strong>.<\/p>\n<h3 id=\"-1-hormonal-balance\">1. R\u00f3wnowaga hormonalna<\/h3>\n<p>Niska liczba plemnik\u00f3w cz\u0119sto odzwierciedla <strong>niski poziom testosteronu<\/strong> lub <strong>nier\u00f3wnowaga tarczycy<\/strong>wp\u0142ywaj\u0105c na energi\u0119, nastr\u00f3j i libido. Poprawa zdrowia hormonalnego mo\u017ce jednocze\u015bnie korzystnie wp\u0142yn\u0105\u0107 na p\u0142odno\u015b\u0107 i witalno\u015b\u0107.<\/p>\n<h3 id=\"-2-metabolic-and-cardiovascular-health\">2. Zdrowie metaboliczne i sercowo-naczyniowe<\/h3>\n<p>Badania z <a href=\"https:\/\/academic.oup.com\/aje\/article\/170\/5\/559\/102217\">Harvard School of Public Health<\/a> oraz <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31427194\/\">Ferlin et al., 2021 (PubMed)<\/a> pokazuje, \u017ce s\u0142aba jako\u015b\u0107 nasienia koreluje z <strong>wy\u017csze ryzyko chor\u00f3b serca, zespo\u0142u metabolicznego i kr\u00f3tszego \u017cycia<\/strong>.<\/p>\n<h3 id=\"-3-dna-integrity\">3. Integralno\u015b\u0107 DNA<\/h3>\n<p>Morfologia plemnik\u00f3w i fragmentacja DNA mog\u0105 wskazywa\u0107 na stres oksydacyjny lub nara\u017cenie na toksyny \u015brodowiskowe.<br \/>\nWysoki odsetek nieprawid\u0142owych kszta\u0142t\u00f3w plemnik\u00f3w mo\u017ce odzwierciedla\u0107 starzenie si\u0119 kom\u00f3rek lub niedobory sk\u0142adnik\u00f3w od\u017cywczych.<\/p>\n<h3 id=\"-4-prostate-and-reproductive-function\">4. Prostata i funkcje rozrodcze<\/h3>\n<p>Zmiany obj\u0119to\u015bci, tekstury lub koloru nasienia mog\u0105 ujawni\u0107 zapalenie lub infekcj\u0119 prostaty - na d\u0142ugo przed pojawieniem si\u0119 objaw\u00f3w.<\/p>\n<h3 id=\"-5-lifestyle-and-longevity\">5. Styl \u017cycia i d\u0142ugowieczno\u015b\u0107<\/h3>\n<p>Zdrowe plemniki s\u0105 odzwierciedleniem wewn\u0119trznej r\u00f3wnowagi organizmu. M\u0119\u017cczy\u017ani z optymaln\u0105 liczb\u0105 plemnik\u00f3w maj\u0105 zwykle <strong>lepsze zdrowie uk\u0142adu sercowo-naczyniowego, g\u0119sto\u015b\u0107 ko\u015bci i funkcje metaboliczne<\/strong>.<\/p>\n<h2 id=\"-at-home-vs-clinic-tests\">Testy w domu a testy w klinice<\/h2>\n<table>\n<thead>\n<tr>\n<th>Cecha<\/th>\n<th>Test domowy (ExSeed)<\/th>\n<th>Test kliniczny<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Wygoda<\/td>\n<td>Testuj z domu, o dowolnej porze<\/td>\n<td>Wymagane spotkanie<\/td>\n<\/tr>\n<tr>\n<td>Prywatno\u015b\u0107<\/td>\n<td>100% poufne<\/td>\n<td>Pr\u00f3bka pobrana w klinice<\/td>\n<\/tr>\n<tr>\n<td>Pr\u0119dko\u015b\u0107<\/td>\n<td>Wyniki w 15 minut<\/td>\n<td>1-3 dni<\/td>\n<\/tr>\n<tr>\n<td>Dok\u0142adno\u015b\u0107<\/td>\n<td>Analiza oparta na WHO<\/td>\n<td>Mikroskopia o z\u0142otym standardzie<\/td>\n<\/tr>\n<tr>\n<td>Wsparcie<\/td>\n<td>Cyfrowe wyniki i porady<\/td>\n<td>Przegl\u0105d specjalistyczny<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Rozpocz\u0119cie pracy w domu to \u0142atwy i bezstresowy pierwszy krok przed zwr\u00f3ceniem si\u0119 o specjalistyczn\u0105 pomoc.<\/p>\n<h2 id=\"-when-should-you-take-a-test-\">Kiedy nale\u017cy przyst\u0105pi\u0107 do testu?<\/h2>\n<p>Wykonaj badanie st\u0119\u017cenia plemnik\u00f3w, je\u015bli:<\/p>\n<ul>\n<li>Pr\u00f3bujesz zaj\u015b\u0107 w ci\u0105\u017c\u0119 od <strong>6-12 miesi\u0119cy<\/strong> bez powodzenia<\/li>\n<li>Chcesz \u015bledzi\u0107 p\u0142odno\u015b\u0107 po chorobie, stresie lub zmianie stylu \u017cycia.<\/li>\n<li>Planujesz zamro\u017cenie nasienia lub zap\u0142odnienie in vitro<\/li>\n<li>Masz ponad 35 lat i chcesz pozna\u0107 sw\u00f3j poziom wyj\u015bciowy<\/li>\n<\/ul>\n<p>Wed\u0142ug <a href=\"https:\/\/www.nice.org.uk\/guidance\/qs73\" target=\"_blank\" rel=\"noopener \">Wytyczne NICE dotycz\u0105ce p\u0142odno\u015bci<\/a>Wczesne testowanie jest kluczem do poprawy wynik\u00f3w.<\/p>\n<h2 id=\"-frequently-asked-questions\">Cz\u0119sto zadawane pytania<\/h2>\n<p><strong>Jak cz\u0119sto powinienem bada\u0107 nasienie?<\/strong><br \/>\nCo 2-3 miesi\u0105ce - tyle czasu zajmuje rozw\u00f3j nowych plemnik\u00f3w.<\/p>\n<p><strong>Czy mog\u0119 naturalnie poprawi\u0107 koncentracj\u0119 plemnik\u00f3w?<\/strong><br \/>\nTak - dzi\u0119ki lepszemu od\u017cywianiu, ograniczeniu alkoholu, radzeniu sobie ze stresem i \u0107wiczeniom.<\/p>\n<p><strong>Jak dok\u0142adny jest test ExSeed?<\/strong><br \/>\nAnaliza ExSeed jest zgodna ze standardami WHO i zapewnia wyniki por\u00f3wnywalne z testami laboratoryjnymi.<\/p>\n<p><strong>Czy moje dane s\u0105 prywatne?<\/strong><br \/>\nCa\u0142kowicie. Wszystkie dane s\u0105 szyfrowane i bezpiecznie przechowywane w urz\u0105dzeniu. <a href=\"https:\/\/www.exseedhealth.com\/pl\/exseed-home-sperm-test\/app\/\" target=\"_blank\" rel=\"noopener \">Aplikacja ExSeed<\/a>.<\/p>\n<h2 id=\"-why-choose-exseed\">Dlaczego warto wybra\u0107 ExSeed<\/h2>\n<p>ExSeed \u0142\u0105czy dok\u0142adno\u015b\u0107 kliniczn\u0105 z \u0142atwo\u015bci\u0105 u\u017cytkowania:<\/p>\n<ul>\n<li>Wyniki potwierdzone przez lekarza<\/li>\n<li>Wskaz\u00f3wki dotycz\u0105ce aplikacji w czasie rzeczywistym<\/li>\n<li>Spersonalizowane plany ulepsze\u0144<\/li>\n<li>Urz\u0105dzenie testuj\u0105ce wielokrotnego u\u017cytku<\/li>\n<li>Wspierany przez ekspert\u00f3w w dziedzinie medycyny i p\u0142odno\u015bci<\/li>\n<\/ul>\n<p>To nie jest zwyk\u0142y test - to tw\u00f3j <strong>towarzysz zdrowia p\u0142odno\u015bci<\/strong>.<\/p>\n<h2 id=\"-order-your-sperm-concentration-test-today\">Zam\u00f3w test st\u0119\u017cenia plemnik\u00f3w ju\u017c dzi\u015b<\/h2>\n<p>Przejmij kontrol\u0119 nad swoj\u0105 p\u0142odno\u015bci\u0105 i dobrym samopoczuciem.<br \/>\nZ ExSeed's <strong>Domowy test st\u0119\u017cenia plemnik\u00f3w<\/strong>, otrzymasz:<\/p>\n<ul>\n<li>Dok\u0142adna analiza liczby i ruchliwo\u015bci plemnik\u00f3w<\/li>\n<li>Spersonalizowane informacje na temat zdrowia<\/li>\n<li>Natychmiastowe wyniki - bez poczekalni<\/li>\n<\/ul>\n<p><strong><a href=\"https:\/\/shop.exseedhealth.com\/collections\/male-fertility-test-kits\" target=\"_blank\" rel=\"noopener \">Zam\u00f3w test ju\u017c dzi\u015b<\/a><\/strong><br \/>\ni zacznij rozumie\u0107 swoje zdrowie p\u0142odno\u015bci na w\u0142asnych warunkach.<\/p>","protected":false},"excerpt":{"rendered":"<p>If you\u2019re thinking about starting a family or simply curious about your reproductive health, testing your sperm concentration is one of the best steps you can take. A sperm concentration test measures the number of sperm in your semen and provides essential insights into your fertility and overall health. With ExSeed\u2019s at-home fertility test, you [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":150659,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[200,198],"tags":[],"class_list":["post-150653","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lifestyle-environmental","category-mens-fertility"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sperm Concentration Test | At-Home Male Fertility Check<\/title>\n<meta name=\"description\" content=\"Learn what a sperm concentration test reveals about fertility and health. 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