Hi


Approximately 15% of couples at reproductive age are affected by infertility (i.e., do not conceive within the expected time period). Among those, approximately 40% demonstrate a male cause.

Low sperm count, also called oligospermia, is the most common cause of male infertility. Complete lack of sperm, called azoospermia, is much less common, affecting less than 1% of the population. Low sperm count is diagnosed when the number of sperm falls below 20 million in a milliliter of semen. (Normal range is between 20 million and 120 million per milliliter of semen.) When sperm count is too low, sperm has a much lower chance of fertilizing the egg, leading to infertility.

Many possible causes of low sperm count exist. Some are structural: even when sperm is produced normally in the testes, an obstruction in the ejaculation tract may block the sperm. Other causes include hormonal insufficiency, testicular injuries and chromosomal/genetic abnormalities (such as Klinefelter syndrome).

Treatments for low sperm count vary depending on the cause, and are, overall, unsatisfactory. Only rarely will a male treatment convert a male from being infertile to fertile. At best one can in most cases expect a marginal improvement. Treatment for low sperm count, in most cases, leaves the male and his female partner still in need of assisted reproduction.

An exception is the structural obstruction of the outflow tract. Surgery may in such cases on occasion overcome the obstruction and reestablish a normal count.

Motility refers to the sperm that are actively moving and it is thought that it should be above 50% . You have decreased sperm motility as well as increased amount of abnormal and dead sperms in the sample.

Here are the guidelines for you :

Please consult a Uroandrologist, who will examine you totally for cause of abnormal semen analysis, including hormonal tests, physical examination, ultrasound etc.

There are no known medications to improve sperm motility. Studies have shown that caffeine, Gossypol and dibutyryl cAMP help to increase motility.

You should avoid alcohol, smoking, stress, prolonged steam, sauna or jacuzzi, playing games that could put stress on the private parts and activities like biking. It is essential that excess heat exposure to the scrotum is avoided as heat causes decline in sperm production. Excessive mobile phone use and radiation exposure could lead to altered semen production.

You may take foods XXXXXXX in vitamin C, vitamin B12, Zinc, Selenium, Carnitine and can take supplements also. Fresh fruits and vegetables, egg, fish, milk , oats, cereals and almonds are good foods. There is no particular reason to avoid chicken or mutton.

You may time your intercourse to around the fertile days on at least alternate days as the ovum has a very short life span of a maximum of 24 hours. You need not abstain the rest of the time but try to maintain a gap of 3-4 days to help improve the quality by the time of fertile period.

Siotone and fertisure M, if prescribed by a qualified Uro XXXXXXX would help in boosting your sperm count. A repeat examination after 3 months would show the improvement, if it exists.

Please do not lose hope, as at your count, ART ( assisted reproductive techniques ) like IUI ( intra uterine insemination ) and ICSI can definitely help you in achieving a pregnancy.

All the best.
Take care, and feel free to discuss further.

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