I am really sorry for your health condition.. Hi and welcome to HCM.. Thank you for posting your query.. I read your question completely and have understood it well.. I being a surgeon, we encounter so many such cases. You say, you have initial level of sperm Count, that means? Anyway, I will guide you what to do.. Generally, we term infertility only after 1 year of unprotected sex between couple. So Cheer up, you still have few more months.. Sperm counts lesser than 48 million per ejaculation as per recent guidelines are called oligopermia. That doesn t mean that, a male with 30 million sperm cannot have children, definitely not. And hence I need the exact sperm count of yours per ejaculation. Well, I will still try to solve your issue. 1. If your counts are more than the number I ve mentioned then you need not worry Do these things A. Be positive, positive attitude gives good results B. Make sure, your female partner is normal. C. Have sexual intercourse, around the time of ovulation D. You can use, Tablet Carnisure 500mg twice a day for 2 to 3 months. It helps. 2. If your counts are below the normal. If it s more than 20 million, then you still have pretty good chance. Lesser than 20 million, you need to go ahead with artificial insemination techniques. Hope I have cleared your doubts, in case you need any further assistance let me know.. Take care and God bless.