What level should my neuts be to have sex?

Your Absolute Neutrophil Count (also called ANC neutrophils, neuts. Granulocytes or grans) should be at least “1” before having sex. This includes all sexual activity such as masturbating, vaginal, oral or anal sex.

ANC (neuts or grans) reported in different ways

In conversation we may say:




On test results you will see:

1 x 109/L



You may read:

1,000 or

 1 x 103/microliter


Why? Because any sexual activity can spread germs and may cause infections. Neuts are white blood cells that fight germs and can prevent infection.

During foreplay (making out, touching) and all sexual activity, germs that naturally live on the skin can enter your body. This could cause an infection. Infections that would be minor skin problems for someone with good health, can be more serious if your neuts are low.

It is also possible to get a sexually transmitted infection (STI) if you have unprotected sex with an infected person. With low neuts, your immune system is too weak to fight off infection, and an STI could become very serious. Even if your neuts are normal, protect yourself by using a condom every time you have sex (vaginal, oral or anal sex.) There are male and female condoms that can protect you.