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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

Hi my name is amit my age is 30 my sperm count is nill prostatic secretion when I talk to girl my semen is thin what should I do I am unmarried now I am afraid when I am married very low timing pls suggest me better cure for this sex problem diagnose to improve my sex health and medicine to build the strong sperm.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Tests for a low sperm count depending on initial findings, your doctor might recommend additional tests to look for the cause of your low sperm count and other possible causes of male infertility. These can include: 1) semen analysis scrotal ultra...
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I have a condition of oligospermia. I have to go for ivf icsi but due to low sperm count and quality doctor is not hopeful for a successful result. I have asked the doctor to wait for a few months so that I can improve my semen quality. There is huge variation between my semen analysis done in an ivf lab and done in pathology lab. Reputed ivf center 1: date: 30/11/17 abs day 3 volume 1 ml sperm count 1 mil/ml motility 5% (progress 1%, non progressive 4%), local pathology lab 1 (this report seems to be incorrect): date 06/04/2019 counts: 15.5 mil/ml, motility: rapid forward progressive 60%, abnormal forms 5% reputed ivf center 2: abs day: 3 volume 2 ml date: 06/07/2019 counts 1 mil / ml, morphology 1%, motility - progressive 15%, non progressive 15%, reputed micro path lab: date: 10/07/2019 abs day: 3 volume 2.59 ml count 3mil/ml total count: 7.77 mil/eja motility at 1 hr: prog+ non progressive 33.3% morphology: 22%, teratozoospermia index: 1.53 sperm deformity index: 1.20 another reputed micro path lab: date: 15/08/19 volume 2.4 ml abs day 3 count 2.1 mil/ml motility: progressive 68%, non prog 16% motile sperm: 1.4 mil / ml prog motile: 1.1 mil / ml there is a huge difference between IVF lab and micro path lab reports. I am confused about which one to trust. As per ivf lab morphology is only 1% so they are afraid to proceed. Hormone test reports as done on 15/08/2019 testosterone 444.26 ng/dl, fsh 17.47 miu/ ml, lh 8.15 miu/ml. Previously an ob-gyn had prescribed me clomifene citrate which I took for around 45 day but it did not increase my sperm counts. Currently I am taking tab. Paternia xt 2 times a day, tab limcee 2 times a day, evion 400 one in evening, n-acetylcysteine 600 mg once daily for around 2 months. It may have improved my semen quality but it has not increased my sperm counts. What can I do to increase my sperm counts and quality? Can I take hcg, hmg or fsh injections? Cost is not a bar as now we can get generics for low cost. Is there any other treatment?

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Hi. All the sperm count does not have a drastic change and it dint match up the who s criteria. Just do a scrotal usg to rule out varicocele if present.
1 person found this helpful

I have done my first iui on 3rd august. My age is 35 and my husband's age is 36. I am having pcod and my husband's sperm count is also low. From last 2 days I am having white discharge and from yesterday it has become slightly brownish and little bit watery. I have to still take duphaston 10 for 5 days. I am also experiencing back ache and cramping. What do these symptoms indicate?

MBBS, DGO - Gynaecologist & Obstetrician, Diploma in Advanced Gynaec Laparoscopic Surgery
Gynaecologist, Chennai
The minimal seminal count needed for a good sample iui is 20 million/ml. The vaginal discharge is incidental and has to be treated. Rule out pelvic infection by doing a pelvic transvaginal ultrasound. Pelvic is the main cause for backache and cram...

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