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Overview

Low Sperm Count: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Low sperm count is a condition where the sperm count falls below the normal rate or below 15 million sperm/ml. This condition in medical term is called Oligospermia. This condition can further increase to a point when there is absolutely no sperm in the semen and that condition is called Azoospermia. The production of sperm is a very complicated process and it depends on a large number of factors such as your mental and physical health, your career and workload, your sexual and medical history. Apart from these reasons, your lifestyle also plays a very crucial role in determining the sperm count.

Since the reason for low sperm count cannot be determined easily due to a vast number of factors affecting it, the treatment for low sperm count is also not limited to a particular set of medication. It includes a long list of treatment guidelines that you need to follow in order to improve your sperm count. Regular exercising to boost your mental and physical health and a healthy balanced diet can all help you to overcome low sperm count. Apart from these basic treatments, there are also some medications that are used to improve sperm count in extreme cases.

How is the treatment done?

If you are diagnosed with low sperm count, the first line of treatment is always improving on your mental and physical health as it turns out to be the reason for the condition in most cases. Hormonal discharge and Anti-sperm anti-body are also the reason for low sperm count in many cases. However, if the condition is due to some bacterial infection or some previous medication, you would be prescribed drugs to treat the condition. Some of the most common drugs that are used in treating low sperm count are Clomiphene, Letrozole, Human menopausal Gonadotropin, Testosterone pills, Bromocriptine, and Imipramine. Other drugs that are used in some very special cases includes Clomiphene citrate oral, Gonal-F and Gonal-f RFFsubcutaneous, serophene oral, Follitropin alfa subcutaneous and Gonal-F RFF Redi-ject subcutaneous. In some extreme cases, where medication is not futile surgeries is the last and only option. The most common of it being the Varicocele treatment where the varicose vein decreases the testicular functions. 40% of the infertile male suffers from this problem.

Who is eligible for the treatment? (When is the treatment done?)

Only 20% of couple conceive in the very first month while 70% in the first six months. But if it has been more than a year then you surely need to visit a doctor to check your sperm count. The present average sperm count set by the WHO (world health organization) is 15 million sperm per milliliter. Individuals with sperm count less than the standard are eligible to treat low sperm count.

Who is not eligible for the treatment?

Conceiving a child in the very first month is only possible in 20 out of 100 cases and around 10% to 15% couple conceive a child in around 12 months. So it’s not that you are having a low sperm count even if you are not able to conceive in the very first year. This can also happen due to other reasons even if you sperm count is well over 15 million per milliliter.

Are there any side effects?

The side effects of treating low sperm count varies greatly depending on the medication and its dosage. Some of the most common side effects related to fertility drugs are temporary blurred vision, breast enlargement and tenderness, weight gain and liver damage in some very extreme cases. The drug Bromocriptine generally causes nausea and dizziness. Danazol is a synthetic hormone that gives you side effects such as acne, hot flushes and hirsutism (hairiness). Clomiphene is the most common drugs used in treating low sperm count and is often associated with mood swings and headaches. In case of surgery, the side effects can include all of the above along with sexual problems in the long run.

What are the post-treatment guidelines?

The post treatment guidelines include a better and healthy lifestyle in order to not develop the condition once again. De stressing is the key when it comes to post treatment for low sperm count. You would be suggested to include Vitamin C, zinc, selenium, folic acids, CoQ10 and anti oxidants to boost your sperm growth. Proper sleep and regular exercise to keep your body healthy and fat free. Limited sexual activity so as the supply of the sperm is always greater than the demand, this is also one of the major causes of male infertility. Check your other medications if you have any as they directly affect your fertility.

How long does it take to recover?

The time for treatment totally depends on the persons problem, its causes and background and the medication used in treating the condition. For very minor cases of low sperm count that doesn’t even require medication, the sperm count can get back to normal in even a month. In extreme cases, where the deficit is very high it can take up to 6 months and even a year to bring it back to normal.

What is the price of the treatment in India?

The cost of the treatment starts at as low as INR 100 but that medication is only for minor conditions. For serious conditions, the consultation fee can start at INR 500 along with medications ranging between INR1000 to INR 5000. In cases of extreme condition where surgery is the only option the cost can vary between INR 3 lakhs to INR 5 lakhs.

Are the results of the treatment permanent?

The results of the treatment is mostly permanent as long as the person is following the post treatment guidelines and maintaining a healthy lifestyle so as to avoid further developing the condition. Low sperm count treatment has got a high success rate as well. The only chances of it coming back are the exposure to conditions that enhances infertility.

What are the alternatives to the treatment?

The first line of treatment is an alternative that is to keep healthy and balanced life style. As your mental and physical health plays a very important role in keeping the check on your sperm count. Apart from this, you can also go for Ayurvedic and homeopathic treatment that is being sought by many people because of negligible side effects and cost effectiveness. Yoga and meditation has also shown great influence in increasing the sperm count.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

INR 100 - INR 500000.

Popular Health Tips

Things To Know About Low Sperm Count In Men!

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Ghaziabad
Things To Know About Low Sperm Count In Men!

The process of sperm production is a complex one as it involves not only the perfect functioning of the testicles or testes but also the pituitary glands and the hypothalamus which is located in the brain that triggers the sperm production by producing necessary hormones. Any damage or malfunctioning of any of these organs can significantly reduce the amount of sperm produced by a male body. In India, it is a taboo to talk about male infertility, but in reality, male infertility is on the rise in India due to low sperm production.

Causes of Low Sperm Production
Several causes can be cited for low sperm production. A few prevalent ones are indicated below:

  1. Varicocele which is a condition in which the veins through which the sperm is drained from the testicles get swollen, and thus the quantity and the quality of the sperm get affected.
  2. Any infection in the epididymis or the testicles can affect the production of the sperm. There can be some permanent damage to the testicles which causes the sperm production to decrease.
  3. Due to an Auto immune disease where anti bodies mistakenly destroy the sperms in your own body thereby reducing sperm quantity.
  4. Hormonal imbalance is a common factor in male as well though it is neglected in India. The pituitary gland might not produce the hormone in the required quantity which is needed for the right amount of sperm production.
  5. Medication that you are using can interfere with the production of the sperm in your body as certain chemicals can alter the hormonal balance in your body thus affecting the sperm quantity.
  6. Rarely, a defect in chromosomes can reduce male sperm production. Known as Klinefelter’s syndrome, the male body has 2 X chromosomes instead of 1 X and 1 Y chromosome which causes abnormality in reproductive men and the organs.

Common Symptoms-
The primary symptom of low sperm count is the inability to have an offspring, but there are many other symptoms as well. It has been observed that a male with low sperm count has a little or diminishing sex drive. They might not hold an erection for long or have erectile dysfunction. There can be swelling or pain in the testicles, and you may even have a lump which is a severe case. Due to hormonal disorder, there can be a decrease in the body or facial hairs.

If you have been observing a few of the symptoms mentioned above, it is better to see a doctor on the quick note. Doctors can ask for a semen test to understand the underlying problem. There are surgical as well as medical procedures to increase the sperm count and have a better sexual life. If you wish to discuss about any specific problem, you can ask a free question.

3576 people found this helpful

Know About Low Sperm Count In Men!

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Know About Low Sperm Count In Men!

The process of sperm production is a complex one as it involves not only the perfect functioning of the testicles or testes but also the pituitary glands and the hypothalamus which is located in the brain that triggers the sperm production by producing necessary hormones. Any damage or malfunctioning of any of these organs can significantly reduce the amount of sperm produced by a male body. In India, it is a taboo to talk about male infertility, but in reality, male infertility is on the rise in India due to low sperm production.

Causes of Low Sperm Production
Several causes can be cited for low sperm production. A few prevalent ones are indicated below:

  1. Varicocele which is a condition in which the veins through which the sperm is drained from the testicles get swollen, and thus the quantity and the quality of the sperm get affected.
  2. Any infection in the epididymis or the testicles can affect the production of the sperm. There can be some permanent damage to the testicles which causes the sperm production to decrease.
  3. Due to an Auto immune disease where anti bodies mistakenly destroy the sperms in your own body thereby reducing sperm quantity.
  4. Hormonal imbalance is a common factor in male as well though it is neglected in India. The pituitary gland might not produce the hormone in the required quantity which is needed for the right amount of sperm production.
  5. Medication that you are using can interfere with the production of the sperm in your body as certain chemicals can alter the hormonal balance in your body thus affecting the sperm quantity.
  6. Rarely, a defect in chromosomes can reduce male sperm production. Known as Klinefelter’s syndrome, the male body has 2 X chromosomes instead of 1 X and 1 Y chromosome which causes abnormality in reproductive men and the organs.

Common Symptoms-
The primary symptom of low sperm count is the inability to have an offspring, but there are many other symptoms as well. It has been observed that a male with low sperm count has a little or diminishing sex drive. They might not hold an erection for long or have erectile dysfunction. There can be swelling or pain in the testicles, and you may even have a lump which is a severe case. Due to hormonal disorder, there can be a decrease in the body or facial hairs.

If you have been observing a few of the symptoms mentioned above, it is better to see a doctor on the quick note. Doctors can ask for a semen test to understand the underlying problem. There are surgical as well as medical procedures to increase the sperm count and have a better sexual life.

All About Low Sperm Count!

Doctor In Unani Medicine(D.U.M.B.I.M)
Sexologist, Delhi
All About Low Sperm Count!

 

Low sperm count- Low sperm count means that the fluid (semen) you ejaculate during an orgasm contains fewer sperm than normal.

A low sperm count is also called oligospermia (ol-ih-go-SPUR-me-uh). A complete absence of sperm is called azoospermia. Your sperm count is considered lower than normal if you have fewer than 15 million sperm per milliliter of semen. Having a low sperm count decreases the odds that one of your sperm will fertilize your partner's egg, resulting in pregnancy. Nonetheless, many men who have a low sperm count are still able to father a child.

Symptoms-

The main sign of low sperm count is the inability to conceive a child. There might be no other obvious signs or symptoms. In some men, an underlying problem such as an inherited chromosomal abnormality, a hormonal imbalance, dilated testicular veins or a condition that blocks the passage of sperm may cause signs and symptoms.

Low sperm count symptoms might include:-

  •     Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction)
  •     Painswelling or a lump in the testicle area
  •     Decreased facial or body hair or other signs of a chromosome or hormone abnormality

Poor Sperm Count - Can Pregnancy Be Achieved?

MS - Obstetrics and Gynaecology, DNB OBGYN, ART Diploma
IVF Specialist, Mumbai
Poor Sperm Count - Can Pregnancy Be Achieved?

Low sperm count is behind almost half of the cases of infertility in couples. It can lead to subfertility or in many cases infertility. But low sperm count does not necessarily make it impossible for a couple to have a child.

What is meant by low sperm count?

Sperm count is the number of spermatozoa present in a particular unit of semen. Low sperm count means, that the sperm count has not reached the threshold of what is considered normal and it may not be sufficient to fertilize an egg. Low sperm count also affects the spermatozoa’s ability to move (sperm motility) and their shape (sperm morphology ).

How is sperm count determined?

Doctors prescribe a test called semen analysis. A sample of the man’s semen is analyzed to establish both the quality and quantity of the sperms contained in the semen. A sperm should usually make up 5% of the semen volume. A sperm analysis can be done at any pathology laboratory.

How can you improve the odds of conceiving when sperm count is low?

Having a low sperm count does not mean you should give up hope of ever having a child. There are many ways you can circumvent this minor glitch.

• The fluid produced by a woman’s cervix is instrumental for the survival and transportation of spermatozoa. The days of the menstrual cycle, when a woman’s body produces the best quality of cervical fluid should be reserved for sexual intercourse. This timing is crucial because the cervical fluid will help the spermatozoa to travel to the egg and fertilize it.
• It is important to engage in intercourse as frequently as possible. The more the volume of semen, the higher the number of spermatozoa.
• Many studies reveal that frequent ejaculation improves sperm motility
• Assisted Reproductive Technology (ART), primarily used for infertility treatments, may help couples achieve pregnancy.
• Intra-cytoplasmic Sperm Injection (ICSI) is a type of In-Vitro Fertilization procedure wherein a single sperm is inserted directly into the female genital tract.
Surgery performed to remove the blockage can increase the possibility of getting your partner pregnant.
In addition to these abovementioned cures, your doctor may recommend hormone-replacement therapies to correct low hormone levels that are responsible for fertilization.

2742 people found this helpful

Low Sperm Count Diagnosis!

Doctor In Unani Medicine(D.U.M.B.I.M)
Sexologist, Delhi

Low Sperm Count 
When you see a doctor because you're having trouble getting your partner pregnant, he or she will try to determine the underlying cause. Even if your doctor thinks low sperm count is the problem, it is recommended that your partner be evaluated to rule out potential contributing factors and determine if assisted reproductive techniques may be required. A low sperm count is diagnosed as part of a semen analysis test. Sperm count is generally determined by examining semen under a microscope to see how many sperm appear within squares on a grid pattern 

 

Popular Questions & Answers

Hello experts my age is 26, height 5'3" I have done the Semens test two times in a week at same lab but both times my sperm count was nil, please doctor help me I am in very stress regarding to this test my father and mother have both died me and my wife are only in my family and my wife age is 27 years old please someone help me.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
Foods high in sperm count-boosting nutrients include bananas, dark chocolate, ginseng, and walnuts. Walnuts. Citrus fruits. Whole wheat and grains. Most fish, especially wild salmon, cod, and haddock. Most shellfish, especially oysters. Vitamin D enhanced milk and milk products. Dark chocolate. Garlic.

I done a semen examination in that Azoospermia was found what should I do now too increase my sperm count and get rid of this Azoospermia.

BHMS
Homeopath, Noida
You need to see urologist and find out cause of azoospermia. Treat that cause n you will be alright.

Hello, I'm 35 years old man. I got married before 6 months ago and we have been planning baby but no luck yet. Today I got my semen examined. Please tell if I am able to make a baby or not? If not please tell me the treatment - VOLUME - 3 ML VISCOSITY AND SELF LIQUEFACTION - after 30 min MOTILE - 20% SLUGGISH - 40% IMMOBILE - 40% TOTAL COUNT OF SPERMS - 35 million/ ml PUS CELLS - 3-5/ hpf Please help me with above result.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Sperm count is normal ,but motility is reduced ,you should consult a urologist ,after examination and getting a few more tests done he will prescribe you medicines. If motility of sperms increases then fine ,otherwise your wife can go for intrauterine insemination with your washed sperms.
1 person found this helpful

Hi Doctor, I had a kidney transplant 5 years ago. And my creatinine levels are normal, due to immunosuppressant tablets my sperm count is getting low, so please suggest that can I take Himalaya Confido for the better result?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
You can try any ayurbedic treatment because they will not harm you if not benefiting you. What I suggest you to get advice from an IVF Specialist as early as possible. Because with immunosuppressive drugs which will be life long, the chance of fertility will further decrease only.
1 person found this helpful

Some time ago I go for a semen analysis and found that my sperm count is very low (30mil/3 ml) and then I start reaching to doctors but they are not it seriously, so I again go through semen analysis two times and found that my sperm count is continuously decreasing 30mil to 20 mil to 10 mil in 2 months only, I do not know whats going on please any help will be appreciated.

MBBS, MS - General Surgery, MCh - Urology
Urologist, Trivandrum
You should do a complete work up. Do uss scrotum to rule out varicocele of scrotum. Also do lab test to find out blood testosterone level and to r/o sugar, thyroid disease. Lft and rft. You should do this at the earliest otherwise you will get a baby.
5 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?