The best and worst states for sperm health, according to Legacy’s proprietary database, the largest dataset of its kind.
In biology class, we’re taught that sperm is an endlessly renewable natural resource, relentlessly produced in the millions, providing redundancy upon redundancy. After puberty, it’s just there, ready when you need it, no worries.
In reality, scientists are worried. Worldwide, the average sperm count has dropped 50% in the last 50 years. Sperm health can no longer be taken for granted. The body’s original auto-renew subscription can be affected by almost every variable of everyday life, from diet and exercise to chemical exposure.
And that can be affected by where you live. Let’s dive into Legacy’s data to see how sperm health might vary across state lines.
Our team analyzed data from over 22,000 semen samples tested by Legacy’s labs, the largest dataset of its kind.
Legacy’s clinic-grade sperm testing evaluates all industry-standard metrics of sperm health.
Our team ranked each state by sperm concentration, the number of sperm per milliliter of semen. Normal sperm concentration ranges from 15 million to more than 200 million sperm per milliliter. A low sperm count is defined as fewer than 15 million sperm per milliliter.
For this ranking, we’ve included fertile and infertile men and trans women from the 48 contiguous states and Washington, DC — all areas served by Legacy’s mail-in semen analysis kits. We excluded men who’d had a vasectomy, as their sperm concentration was likely to be zero (or close to zero).
Average sperm concentration: 25.7 million/mL

Mike Beaumont/Unsplash
Average sperm concentration: 28.9 million/mL

Leo Heisenberg/Unsplash
Average sperm concentration: 29.1 million/mL

Zbynek Burival/Unsplash
Average sperm concentration: 30.2 million/mL

Jason Rojas/Unsplash
Average sperm concentration: 30.7 million/mL

Gary Cole/Unsplash
Average sperm concentration: 30.98 million/mL

Sharosh Rajasekher/Unsplash
Average sperm concentration: 31 million/mL

Nathan Kosmak/Unsplash
Average sperm concentration: 32.3 million/mL

Andrey Grinkevich/Unsplash
Average sperm concentration: 32.9 million/mL

Nathan Anderson/Unsplash
Average sperm concentration: 33.5 million/mL

Amy Reed/Unsplash
Average sperm concentration: 34.3 million/mL

Rusty Watson/Unsplash
Average sperm concentration: 34.5 million/mL

Caroline Gunderson/Unsplash
Average sperm concentration: 34.7 million/mL

Kaileen Fitzpatrick/Unsplash
Average sperm concentration: 35.13 million/mL

Laura Gilchrist/Unsplash
Average sperm concentration: 35.15 million/mL

Denys Kostyuchenko/Unsplash
Average sperm concentration: 35.2 million/mL

Steven Van Elk/Unsplash
Average sperm concentration: 35.81 million/mL

Mercedes Mehling/Unsplash
Average sperm concentration: 35.82 million/mL

Oliver Graham/Unsplash
Average sperm concentration: 35.95 million/mL

Michael Denning/Unsplash
Average sperm concentration: 36 million/mL

Courtney Rose/Unsplash
Average sperm concentration: 36.2 million/mL

Kristina Volgenau/Unsplash
Average sperm concentration: 36.46 million/mL

Dan Gomer/Unsplash
Average sperm concentration: 36.5 million/mL

Chase McBride/Unsplash
Average sperm concentration: 36.65 million/mL

Grant Cai/Unsplash
Average sperm concentration: 36.66 million/mL

Balazs Busznyak/Unsplash
Average sperm concentration: 36.8 million/mL

Sam Dellaporta/Unsplash
Average sperm concentration: 37 million/mL

Brittney Butler/Unsplash
Average sperm concentration: 37.2 million/mL

Stephen Poore/Unsplash
Average sperm concentration: 37.6 million/mL

Leo Heisenberg/Unsplash
Average sperm concentration: 38 million/mL

Rafael Rodrigues/Unsplash
Average sperm concentration: 38.3 million/mL

Joonyeop Baek/Unsplash
Average sperm concentration: 38.7 million/mL

Ian Baldwin/Unsplash
Average sperm concentration: 39.1 million/mL

Thomas Habr/Unsplash
Average sperm concentration: 39.4 million/mL

Jake Blucker/Unsplash
Average sperm concentration: 39.6 million/mL

Cedric Letsch/Unsplash
Average sperm concentration: 39.7 million/mL

Daniel Weiss/Unsplash
Average sperm concentration: 39.9 million/mL

Kealan Burke/Unsplash
Average sperm concentration: 40.17 million/mL

Stephen Plopper/Unsplash
Average sperm concentration: 40.18 million/mL

Sophia Simoes/Unsplash
Average sperm concentration: 40.22 million/mL

Yuhan Du/Unsplash
Average sperm concentration: 41 million/mL

Nikhil Mistry/Unsplash
Average sperm concentration: 41 million/mL

Kat Keeling/Unsplash
Average sperm concentration: 45.2 million/mL

Peter James Eisenhaure/Unsplash
Average sperm concentration: 45.4 million/mL

Lee Vue/Unsplash
Average sperm concentration: 49.1 million/mL

Andy Feliciotti/Unsplash
Average sperm concentration: 51.3 million/mL

Joel Drzycimski/Unsplash
Average sperm concentration: 54.4 million/mL

John Kakuk/Unsplash
Average sperm concentration: 55.6 million/mL

Abigail Loney/Unsplash
Average sperm concentration: 56.8 million/mL

Karsten Winegeart/Unsplash
Although we can’t reach definitive conclusions from this analysis, decades of scientific research suggest that a person’s environment and lifestyle can affect their sperm health.
In fact, scientists believe the worldwide decline in sperm count has been primarily caused by widespread exposure to endocrine-disrupting chemicals. These toxic agents — present in thousands of common household items including soap, shampoo, detergents, packaging, home furnishings, and clothing — mimic hormones and seem to inhibit testosterone and sperm production.
Other environmental factors linked to sperm health include:
Studies have also found that sperm health tracks with many factors that influence overall health — including diet, activity level, body composition, stress level, sleep quality, access to healthcare, and alcohol or drug use.
Considering these factors, it makes sense that several of the country’s hottest states are in the bottom 5 for sperm production, while cooler states rank higher. Additionally, states with lower scores in other health metrics (such as air quality or access to healthcare) also rank low for sperm health.
For more information on how the environment affects sperm quality — and how you can clean up your surroundings to protect your sperm — download our exclusive guide and check out our recent webinar:
And to see how you rank in comparison to your state, test your sperm.

