Low Sperm Count

Low sperm count is a condition where there is a decreased amount of sperms in the semen of men. Low sperm count is caused due to various reasons, such as radiation exposure, hormonal imbalance, varicocele, undescended testicles, obesity, and infections. Low sperm count can be treated by avoiding stress, heavy metal exposure, taking medications under the doctor's prescription, and maintaining a healthy weight.

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I have been diagnosed with asthenozoospermia. Can I still become a father?

Query: Hello doctor, I am a 32 year old male married for five years. My wife and I are trying for a baby for the last two and a half years with no luck. My wife had gone for an HSG and other tests and her reports are all good. My semen analysis was fine too. We had gone for IUI thrice with no luck. Now, f...  Read Full »

Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). As per your report, you have asthenoteratozoospermia. Also, your report shows pus cells. Now, I suggest the following:  Get a semen culture done to rule out an infection in the semen which may ...  Read Full »

I have a very low sperm count and semen infection. What should I do?

Query: Hello doctor, I have been trying for a baby for the last five months, and I was not getting any results. So, I took a semen test today, and I have attached my report. I would like to get your consultation on the same.  Read Full »

Dr. Raveendran S. R

Answer: Hello, Welcome to icliniq.com. I can understand your concern. I have checked your report (attachment removed to protect the patient’s identity), and it shows a very low sperm level. Therefore, you need to plan for an investigation to know what is causing this. Investigations include ultrasound o...  Read Full »

How can I manage hypogonadotropic hypogonadism?

Query: Hi doctor, I have hypogonadotropic hypogonadism. My FSH, LH, and testosterone levels are low. My sperm count is zero. I am taking HCG 5000 and HMG 150 twice a week for the past three months. After taking it, my testis size got increased from 1.79 cm to 1.83 cm. Now after three months of treatment, ...  Read Full »

Dr. Purushottam Sah

Answer: Hi, Welcome to icliniq.com. There is no primary or secondary hypogonadotropic hypogonadism. But hypogonadism can be primary or secondary. In the primary, the defect is in testis with high levels of FSH (follicle stimulating hormone), LH (luteinizing hormone) and there is low testosterone. In secon...  Read Full »

Can we try IUI if my husband's sperm count and concentration are low?

Query: Hello doctor, I have PCOS, and I do not ovulate regularly, but otherwise, I am healthy and do not have any blockage. My husband has low sperm count (2.34 m/mL), low concentration (1.17 m/mL) and poor morphology (2%). What are our options? Could we try an IUI? Please help.  Read Full »

Dr. Sameer Kumar

Answer: Hi, Welcome to icliniq.com. I understand your concern. Your partner exhibits oligoasthenoteratozoospermia. The best option in your case, if you are in a hurry, would be an ovulation induction and ovum pick up followed by ICSI procedure (intracytoplasmic sperm injection) then followed by embryo trans...  Read Full »

Is biopsy of testis the only option to test for dry ejaculation?

Query: Hi doctor, My younger brother is about to get married. He has a problem of "dry ejaculation" which disables him to masturbate. It seems like his body does not produce any semen at all. He has the sexual pleasure just like normal people, the only problem is that he does not have any semen. He visit...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. First of all, I would like to tell you that biopsy is completely safe. It hurts very minimally, only like an intravenous injection. During a biopsy, a small piece of tissue (from the testis) is taken for examination and there is no risk of damaging his testis forever...  Read Full »

My sperm count and mobility is very low. Please help.

Query: Hello doctor, We are trying to conceive a baby. But the semen analysis report says that I have low sperm count (6 million counts) with very low motility. Please help me.  Read Full »

Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. Firstly, we have to diagnose the cause of your problem. The most common cause of this is a condition called varicocele. For the detection of varicocele, I suggest you do the following: An ultrasound of the scrotum. Get tested for diabetes. Avoid wearing tight under...  Read Full »

I had taken testosterone, which shrunk my testicles. Will it affect my fertility and sperm count?

Query: Hello doctor, I had taken testosterone years back, and my testicles shrunk. I had stopped taking it after two months, but it did not increase in size. I subsequently got my testosterone levels checked, and the tests were normal. I am concerned about my fertility and sperm count. Will they get affect...  Read Full »

Dr. Samer S J Altawil

Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Low sperm counts can have multiple reasons and should be investigated. Firstly, an external supplement of testosterone will suppress the testes from producing the hormone and reduce sperm production. The retur...  Read Full »

Please suggest treatment to become a father.

Query: Hi doctor, The semen analysis reports are as follows: volume 3 mL, abnormal forms 0℅, motility - rapidly progressive-20℅, sluggishly progressive-20℅, non-progressive-10℅ and immotile-50℅, pus cells-10 to 12 per hpf vitality-50℅. I have a sperm count of less than 10 million per mL. What...  Read Full »

Dr. Neha Singh Rathod

Answer: Hi, Welcome to icliniq.com. Since your sperm count is low and immotile sperm count is high, there is a 40 % to 50% chance. But there is a treatment for the same. Please consult your specialist doctor. Revert in case of further queries.  Read Full »

I am trying to have a baby. What can I do to increase sperm count?

Query: Hi doctor, I am 34 years old. I have been trying for a baby for the past three months. Regarding my semen count, I have a few doubts. I do like to know if it is normal. If not, then how to improve it? After abstaining for one week, the semen sample was given. The result showed grayish white, alkali...  Read Full »

Dr. Ashwini Nanasaheb Talpe

Answer: Hi, Welcome to icliniq.com. Your semen analysis shows lots of dead sperm with low sperm count. It could be due to high blood sugars or some other pathology and that needs to be investigated. Please get the following tests done. TSH (thyroid-stimulating hormone). 3 hours glucose tolerance test needs...  Read Full »

How does Finasteride 1 mg cause male infertility?

Query: Hello doctor, If high testosterone levels mean higher sexual drive, how come Finasteride 1 mg causes infertility in men? Thanks.  Read Full »

Dr. C Sharath Kumar

Answer: Hello, Welcome to icliniq.com. Your assumption is not correct. Finasteride is an oral tablet available in several brand names such as Proscar and Propecia. It is also available as a generic drug in some places. Uses of Finasteride are; 1) Finasteride is used to tre...  Read Full »

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