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What are the ways to improve sperm morphology?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I recently had a semen analysis in preparation for IVF (in vitro fertilization) with my wife. The results indicated a low percentage of normal morphology and a reduced motility index. I will attach the semen analysis results along with this query. My questions are as follows:

  1. Am I considered subfertile in fertility circles based on these results?
  2. Will these findings necessitate the use of IVF?

I also have a history of intermittent prostatitis. A sperm analysis performed a year ago showed normal results except for sperm morphology.

Please suggest.
Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

According to your reports (attachments removed to protect the patient’s identity), your total motility is normal, but your morphology is low. To improve sperm morphology, avoid heat, chemicals, smoking, and alcohol, and apply a cold compress to the testes daily for five minutes. I recommend taking vitamins C, E, B complex, folic acid, and zinc, and increasing your intake of vegetables and fruits.

Although you mentioned having prostatitis, the report does not indicate an infection. Since you are overweight, it would be beneficial to reduce your weight. Based on this report, ICSI (intracytoplasmic sperm injection) is not necessary at this stage; conventional IVF (in vitro fertilization) should be sufficient. Additionally, if your morphology improves within three months with the measures mentioned, IUI (intrauterine insemination) could also be considered. If morphology does not improve, you may then need ICSI to select a normal sperm.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At November 30, 2016
Reviewed At August 29, 2024

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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