Am I infertile as I have oligospermia or can it be treated?

Hi,

Welcome to icliniq.com.

It is great to see that you have got the ultrasound done. You have a varicocele on the left testis which is reversible and is a cause for oligospermia ( low sperm counts). You will need to follow up with testosterone levels as well, in order for me to organize a proper management plan for you.

I hope you will be doing great after the treatment.

Kind regards.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Your report says that your hormones are normal, and the only obvious cause left is varicocele. Varicocele ligation is required. You can meet the urologist in your area to discuss the options available for ligation. There is no medical treatment to reverse the varicocele.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

You have OAT syndrome which is oligoasthenoteratospermia which means reduced number, reduced motility and abnormal shape of sperms. The other thing I saw on the report is that there is significant WBCs which indicates infection. Therefore, the doctor suggested your antibiotics. In my view, here we need the semen culture before starting the antibiotic to decide on which antibiotic to give. After antibiotics treatment for four weeks to repeat the semen analysis and check again as infection can cause OAT syndrome also. Please keep me updated. The varicocele surgery seems fine.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I am here to help you get the best medical advice.

OAT syndrome is treatable. It is caused by reversible causes like smoking and drinking. It can be caused by varicocele as well. Stopping smoking and drinking, and adopting a healthy lifestyle will markedly improve the quality and quantity of sperm. Since you do not have a varicocele, no surgical intervention is required. STDs will not cause oligospermia.

I hope this information will help you.

Please revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

The semen culture (attachments removed to protect the patient's privacy) showed no organism in the semen. Hence, there is no infection. A repeat semen analysis is required. You should take a supplement to increase the number and motility of sperm. I suggest you take the tablet Fertovit ( Ferrous fumarate 162 mg, Folic acid 0.75 mg, and vitamin B12 7.5 mcg) twice daily for three months. Consult your doctor and take the medicine accordingly. Repeat the semen analysis after that. Physical exercise will be of great help, even better than any supplement, especially weight-bearing exercises.

Hope it helps.

Thank you.

Hi,

Welcome back to icliniq.com.

Semen analysis can be done at any time, but three to seven days after the last ejaculation. Reduce alcohol as much as possible as it can have a negative impact on semen. Other supplements are like capsule Gentaplex (Lyophilized fish roe and Ginkgo biloba leaf extract) or tablet Spermadol (Coenzyme Q10, Zinc, selenium, and Vitamin E) can be used.

I hope this information will help you.

Please revert in case of further queries.

Thank you.

Hello,

Welcome back to icliniq.com.

From your hormone analysis, it seems that you have reduced testicular function on the hormonal level and sperm production level. Avoid drinking as much as possible. In addition, you should take a tablet of Clomiphene acetate (ovulatory stimulant) 50 mg on alternate days. That will boost your testosterone. You should also use a supplement like Fertivit twice daily for three months.

Hope it helps.

Kind regards.

Hello,

Welcome back to icliniq.com.

Oligospermia is a condition with reduced sperm count causing infertility. Other than Fertovit, you can have any supplement containing L arginine and Co enzyme Q10.

Hope it helps.

Kind regards

Hello,

Welcome back to icliniq.com.

Oligospermia is caused by varicocele. Diagnosis of varicose veins in the testis is a reversible cause of oligospermia and treatment is by microscopic subinguinal varicocele ligation. It is a small important procedure as it can help to increase the counts three months after surgery. Please go ahead with the procedure and keep me updated.

If you have any questions please feel free to ask me.

Kind regards.

Hello,

Welcome back to icliniq.com. I reviewed your tests again. At this time, you have mild varicocele and nothing else to do for it as its mild. Regarding oligospermia the only option is to take supplements to stimulate ur testis to function better. Different supplements are there which contains co enzyme q 10 and L arginine will be good. Alcohol drink and smoking can affect the quality and number of sperms. Usually after surgery varicocele will not return back and no need to do it again. Kind regards