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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

IVF - What Advantages Does It Has In Relation To Some Common Problems?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Obstetrtics & Gynaecology, Dip.Obstetrtics, FICOG
IVF Specialist, Delhi
IVF - What Advantages Does It Has In Relation To Some Common Problems?

In vitro fertilization (IVF) is continually helping many infertile couples achieve their goal of conception. It has the highest success rate of Assisted Reproductive Technologies (ARTs). Along with helping the parents overcome diseases in their bodies, they help prevent predicted diseases in the offspring by offering the option to pick and choose healthy and improved embryos. Needless to say, it is both a biological and social breakthrough.

There are several diseases in the parent body that IVF can help successfully bypass. They are:

Low Sperm Count
This condition occurs when the man produces healthy, normal sperm but produces it in very low quantities. As a result, fertilization cannot properly occur. IVF can help in this regard. The healthy sperm is obtained, and procedures are carried out in the laboratory to make it suitable for fertilization.

Fallopian Tube Damage
This occurs due to permanent and irreversible scarring of the Fallopian tubes in the female partner. Sometimes, the tubes are so damaged that surgery fails to bring it back to normal, or surgery is not feasible without harming the woman’s health farther. In such cases, IVF is very helpful as it discards the use of the Fallopian tubes in reproduction by bypassing them.

Ovulation Issues
IVF can help a couple conceive in spite of ovulatory difficulties the woman might have. Ovulatory difficulties involve infrequent ovulation of the female More Than One Cause of Infertilityor irregular ovulation. Both these cases make it very difficult, if not impossible, for the couple to conceive.

Inexplicable Infertility
IVF aids a lot in these cases too. In some cases, causes of infertility cannot be pinpointed after several diagnostic tests. The processes are both money and time to consuming and leaves the patients frustrated if the process fails. IVF can come to the rescue then. It has a proven track record of success aiding couples with undiagnosable infertility issues.

More Than One Cause of Infertility
When there are several causes of infertility in both the male and female bodies, or if there are several problems with the body of an individual partner. IVF can aid successful conception.

IVF is a breakthrough biological and scientific procedure that is helping people conceive in spite of several fertility issues in their bodies. There are various debilitating reproductive disorders that IVF has helped overcome in recent years. The most major ones are listed above, and you can also benefit from IVF if you have those!

7 people found this helpful

IVF - What Makes It So Popular?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Obstetrtics & Gynaecology, Dip.Obstetrtics, FICOG
IVF Specialist, Delhi
IVF - What Makes It So Popular?

In vitro fertilization or IVF technology assists millions of infertile women and couples worldwide to have babies of their own. fertility problems can be of various types and origins can be congenital, acquired or accidental. However, they come as a great deterrent and source of unhappiness in the lives of people. To overcome that deficit, assisted reproductive technologies (ARTs) were developed.

IVF is one of the most popular, with one of the highest success rates, and here are 4 of its primary benefits:

It Provides Couples Relief from Infertility

There are a lot of couples who are unable to conceive and start a family of their own due to problems in either the man or the woman’s body. As a result of disease or injury, fallopian tubes may be blocked, sperm count may be low or uteruses may be damaged. IVF helps couples bypass these difficulties smoothly.

It Provides Great Support to Single Mothers

There is a lot of social stigmas associated with single motherhood, and the question of conceiving just adds to their troubles. There are many reasons a woman may choose to embark on single motherhood. She may have been constrained financially or emotionally, too much for taking on a partner, or she may just choose to live a life that way. Society doesn’t empathise, but IVF makes their job of conception much easier and absolves them of the need to find a male.

High Chances of Achieving Objectives

Translated to simpler language, this means high success rates. In fact, the success rates of IVF procedures are the highest among all ARTs. Granted, it does not work in all cases and some people routinely report failure. To fix this, the therapist and the patients themselves have to ensure the entire cycle is completed and is carried out under textbook conditions.

The Ability to Pick and Choose, and a Cheaper Option

This is a medical procedure which actually gives one the option to pick and choose future children. Tests are run to determine whether life-threatening conditions like genetic anomalies are present in the embryo the couple has conceived. If any are detected, they are immediately arrested and a healthier embryo is set up for growth. Moreover, in many cases, your health insurance will pay for your IVF, making it incredibly cheap.

IVF is a much-needed boost to the medical industry in the form of helping infertile couples to give birth to healthy babies. It takes place in a laboratory under controlled conditions and has a host of benefits even above and beyond helping people conceive. 

5 people found this helpful

IVF With ICSI - Can They Help In Low Sperm Count?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
IVF With ICSI - Can They Help In Low Sperm Count?

How does the ICSI method in IVF treatment help manage severe male infertility?

Male infertility is a growing problem in India. According to survey, almost 40 percent of all infertility cases have been attributed to male infertility. Severe male infertility is often dealt with IVF, using the ICSI method. Here is a look at all you need to know about IVF with ICSI.

What is ICSI?

ICSI or intracytoplasmic sperm injection is a specialized method of IVF, where the sperm from the male partner is not allowed to fertilize the female egg normally. Instead, a single sperm is isolated and inserted into a mature egg, to get it fertilized. A hollow needle is used to extract the sperm from the male. Primary features of the ICSI-IVF include-

  • The egg is fertilized inside a petri dish, as the sperm is not introduced inside the female’s body.
  • Only one healthy sperm is selected from the sample and is injected into a single mature egg for the fertilization
  • The fertilized eggs are monitored under laboratory conditions.
  • Once the egg is fertilized, it can be introduced inside the woman’s body, similar to the ordinary IVF procedure.

Reasons why ICSI is used

Here is a look at some instances, when your doctor may advise you and your partner to undergo ICSI-IVF-

  • Very low sperm count
  • Sperm with abnormal shape
  • Poor sperm motility
  • Other IVF treatment has not yielded desired results
  • If the sperm being used is frozen, the ICSI-IVF procedure may be required.

Risks involved in the IVF-ICSI method of fertilization

The ICSI procedure comes with all the risks involved in the normal IVF procedure. However, it does not introduce any new risk factors into the mix. This method of fertilization carries a slightly higher chance of the baby being born with defects when compared to a normal conception. However, it is still quite rare.

With the IVF-ICSI method , couples suffering from infertility have 50 to 80 percent chance of a successful conception.

4515 people found this helpful

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.

3579 people found this helpful

Low Sperm Count - How To Treat It?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Gurgaon
Low Sperm Count - How To Treat It?

It is important that we treat our body with care and ensure that we eat healthy and right, in order to support our body to function right. When the semen that spews upon ejaculation does not have the appropriate amount of sperm in it, this signifies a condition called Low Sperm Count. This is also called Oligospermia, while a complete lack of sperm in the fluid or semen is called Azoospermia. If a male has less than 15 million sperms in each millilitre of semen, then he is considered as a patient suffering from low sperm count. 

This also makes a person infertile and lessens the chances of fertilising a partner's egg. The symptoms may include problems in gaining and retaining an erection, premature ejaculation problem, pain and discomfort, a lump in the penis, and inability to conceive a child. This may be caused due to infection, ejaculation problems, tumours, hormonal imbalances and Varicocele. The way to treat this condition is as follows:

  • Surgery: A patient with a low sperm count may be asked to go through surgery which will help in correcting a Varicocele in a surgical manner. For this, any vasectomies that the patient may have gone through will have to be reversed. Also, the doctor can resort to sperm retrieval methods in order to scoop the sperm directly from the testicles and epididymis. This is usually done in cases where there is no sperm in the semen that the patient ejaculates.
  • Infection Treatment: With the help of antiviral medication and oral antibiotics, any infection in this part of the body can be treated and cured so that normal sperm production can take place. While this method can cure the infection in the reproductive tract of the patient, there is no guarantee of increasing fertility with this process.
  • Hormone Treatment: The doctor can aim at treating any hormonal imbalances by using hormone replacement therapy as well as medication. This can help in treating cases of infertility as well by tweaking the way the body produces and uses hormones.
  • Counselling: A patient may have to undergo counselling and associated medication to help in overcoming problems like erectile dysfunction problem or premature ejaculation problem.
  • Assisted Reproductive Technology: ART or Assisted Reproductive Technology usually involves surgical extraction of sperms from donors which can be inserted in the genital reproductive tract of the female partner so that conception via methods like In Vitro Fertilisation (IVF) can be possible.

Ayurvedic treatment of low sperm count:
Ayurveda is considered as the science of life and is regarded as a holistic as well as comprehensive medical system. This system utilizes the inherent principles of nature for helping a person maintain good health by keeping the body, mind and soul in perfect coalesce with nature.

  1. Ayurveda has presented a distinct branch that deals with defective semen and spermatogenesis along with sexual potency. Such medications are called Vajikaranatantra or aphrodisiac medicines. This therapy is recommended for all males between the ages 16 to 70 to maintain healthy semen and overall sexual activity.
  2. In Ayurveda, the treatment of low sperm count comprises administering the Vajikaradravyas and rasayanas in optimum amount. These therapies are quite helpful in detoxifying and rejuvenating the body. Additionally, with little modifications in lifestyle and diet, you can not only experience sexual pleasure, but also be able to produce physically and mentally healthy offspring. 

Increasing the frequency of sexual intercourse and avoiding excessive use of additives like lubricants can also help in increasing the sperm count. One must also follow a healthy diet and get plenty of exercise even as a proper routine is followed. Also, smoking and excessive drinking must be avoided. One must also time sexual activity with the ovulation cycles of the partner.

1 person found this helpful

Popular Questions & Answers

Which foods is good for sperm count age is 37 sperm count is 38 millions active motility is 10 I smoke 2 per day please give an advice.

MSW, Clinical Hypnotherapy, MBA, Post Graduation in Counselling, Research Scholar
Psychologist, Guwahati
Listen you should consume more of fresh fruits and vegetables and avoid junks as much as possible. Also you should engage in healthy life style like, don't drink more than 2 pegs of alcohol per week, and engage in some form of yoga and relaxation and include brink walking atlas 2 km a day.
3 people found this helpful

Actually mere husband sirf 5 mint sex m hi tired Ho jaye h smajh mai nahi ata Aisa Kyo nd unka sperm bhi bilkul liquid frequency m h water jaisa. Please reply and solve my problem.

MBBS, MD-Psychiatry
Psychiatrist, Bangalore
Your husband is suffering from premature ejaculation. It can be treated with medicines. Since your husband's case requires detailed evaluation kindly take appointment for online consultation.

My question is that I have my brother that got married 5 years ago and till now yet to get baby with his wife. Fertility test shows that his wife is apparently healthy and ovulating monthly, so they were treated with drugs that will bust his sperm count but yet to get result. Later doctor decided that since no sperm cell was observed in the sample only seminal fluid, they said nothing to do for him again.

MBBS, DNB, Fellowship in Infertility
Gynaecologist, Bangalore
Repeat semen analysis again. If no sperm are seen at all then also he can go for TESA/ FNAC of testis to check the sperm. If it is there it can be used for ivf. If no sperm in testis then he has to go for donor sperm iui / ivf. Please concern proper infertility specialist in your area.
1 person found this helpful

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.

Homeopath, Noida
You need to see urologist and find out cause of azoospermia. Treat that cause n you will be alright.
1 person 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?
Play video
Low Sperm Count
Low sperm count is usually caused by health issues, medications, lifestyles or drug usage. There can be problems of abnormal sperm shape (morphology), movement (motility) or function. Sperm production or function can be affected by overexposure to certain environmental elements too.
Play video
Ayurveda And Vajikarana Therapy

I am doctor Yogesh Tandon. I am a sexologist. Today we will discuss about ayurveda and vajikarana therapy ayurveda is derived from two words ayur means life and Veda means knowledge. According to ayurveda body is made up of sapta dhatu raaz returns medh asthi majja and shukra and three dosha vaat pitt cough if all these Dhatu and doshas are in equilibrium stage then the person is considered healthy but if any depletion or aggravation of dosas or dhatu the person will manifest with diseases show the shukra dhatu is mainly responsible for male sexual health like libido sexual stamina good sperm quality.

If there is depletion of Shukra Dhatu then the mail will suffer from erectile dysfunction low sperm count loss of libido. To deal with these problems, we introduce vajikarana therapy it is one of the major branch of ashtang ayurveda vajikarana therapy deals with preparation which are aphrodisiac for us alternate lifestyle and herbs which will be beneficial for all male sexual problem vajikarana therapy increase your sexual life and strength now few tips for overcoming sexual problems consume herbal preparation for rejuvenate the reproductive organ daily herbal massage on your penile region sleep at least for 8 hours do yoga exercise meditation regularly avoid taking alcohol tobacco or drugs take a proper healthy diet.

Having issues? Consult a doctor for medical advice