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

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?

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.

Popular Questions & Answers

How long it will be take to release egg after sifasi injection? My egg level is 20.6 is this normal? .can I conduct with my husband tomorrow there is no problem with us.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Treating gynecologist decides depending on many factors when to give inj sifasi. It is good time to have planned intercourse around 24-40 hours after injection. In adition to that you can have intercourse any time as both of you wish.
1 person found this helpful

Should I continue my cycle with clomid after 4 rounds of failure please tell me and how many times I take clomid in my life.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
Vlomid can be taken continuously for 6 cycles, but if you have not conceived, then other factors for infertility need to be investigated

I am 42 and I have varicocele grade 2 and with very low sperm motility and quality. Can I take clomid 100 mg for 10 days once every month for 3 months with daflon 500 twice a day to improve my sperm quality and fertility.

B.H.M.S, M.D.(Hom.)
Homeopathy Doctor, Dehradun
To improve your sperm quality, and even correct your varicocele you should go for a homeopathic treatment. It is very much effective in such cases. You can contact me for the same, have seen many such cases been cured.

From 30th dec 2020 to 4th jan 2021, frequent urination, urge of urination, slight burning and one time painful ejaculation in african country angola. Some lab tests were performed in angola on 4th and 5th dec, which indicated uti symptoms. Tab: leflox (levofloxin) 500 mg taken on 4th and 5th jan-2020 once a day and then 2 tablets 500 mg (1 day and 1 night) from 6th jan to 11 jan 2020. Travel from angola to pakistan on 11-13 jan. On 13th jan 2021 check-up done by akuh doctor and recommended lab tests (urine detailed report and culture, blood cbc, hiv, vdlr, thpa, kidney critne, liver, ureteral swab test, ultrasound etc.). Also, prescribed one single time injection: ceftriaxone 2g iv (taken on 15th jan). On 22nd jan 2021, check up was done again after receiving all lab tests results. Nothing clear shown up in medical tests even in culture. Doctor prescribed tab zanicef 250 mg (1+0+1) for 2 weeks and then tab leflox 500 mg (1+0+0) for 2 weeks. Tab. Zanicef was taken from 22nd till 26th jan but during 25th night strong pain was felt in left testicular side for 10-12 mins. Also no improvement was observed till 26th jan. On 27th jan, appointment was follow up appointment is made with doctor via tele clinic for consultation to describe all situation. Following medicines were prescribed: -rocephin injection 2 g each day for 1 week. (taken from 28th jan till 3rd feb.), then -single doze of flaygl 400 mg, 5 tablets straight (taken on 4th feb.), then -septran ds for 4 weeks (started from 5th feb). -nuberol forte for pain whenever felt -canmax (1+0+1) (taken since 28th jan till now) till now no considerable improvement are observed and still persisting the following conditions: -very frequent urination and urge of urination. -light pain in testicular region from time to time. -pain in lower back and abdomen side from time to time. -sometimes little needle like pain or burning during or after urination but if I take can max and lot of water, this symptom is negligible. -weakness. Note: I had multiple unprotected sex in july/ aug 2020 and painful ejaculation in oct-2020 twice (may be relevant). I am looking for diagnosis/ root cause as no one here is able to find. Thank you.

MBBS, MD Internal Medicine, PhD (Endocrinology), FRCP(Edin)
Endocrinologist, Vellore
Dear , please do vdrl and hiv tests as you had unprotected sexual intercourse. Get an ultrasound scan of kub region to find out if there are stones in the kidney ureter or bladder

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