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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for infertility due to poor sperm count


I am married for 4 yrs. and trying to have baby for 2 yrs.
I had semen analysis two times before and result was as below:

counts 1 million/ml
motality: 40 %

In july this year I was suffering from Viral fever ,
I gave sample 32 days later and result was as below:

Counts : occasionally seen
Motality :NIL

after this on 46th day I had gone through semen test and hormonal test with results as below:

Blood Test
serum for testosterone(CLIA): 141.20 ng/dl
T3 : normal
T4 normal
TSH: 6.19
serum for Prolactin (CLIA) :25.6 ng/ml
serum for FSH (CLIA) :12.08 mIU/ml
serum for LH (CLIA):4.56 mIU/ml
serum for V.D.R.L : Direct non-reactive
indirect non-reactive
serum for HIV1+2 antibody(ELISA) both negative
serum for Anti Chamydia antibody (IgM)(ELISA)-Negative
serum for HBsAg(Australia Antigen)(ELISA)-Non reactive

Semen test
Counts -Ocassionally
Grade-I and II and Grade III sperm seen

My weight is 85 Kg , height is : 170 cm

Sir, Please suggest me how long will it take to be normal from your treatment.

Please guide me.

Thanking you

With regards
Wed, 25 Sep 2019
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Question is related to
Lab Tests ,  
Medical Topics
General Surgeon 's  Response

Low sperm count and other sperm disorders are complex and first, you should do more detailed sperm analysis that includes number, morphology and motility of sperms.

There are plenty of causes and treatment options for men with low sperm count vary depending on the cause of the condition. For example, surgery is the most common treatment for men suffering from varicocele.

For low sperm count due to infections of the urinary/reproductive tract, antibiotics can be prescribed to help clear the infection.

Medication and hormone replacement treatment options can also be used when the cause of low sperm count is related to a hormone imbalance.

In cases of low sperm motility, assisted reproductive technology (ART) treatments would be used to facilitate conception by inserting sperm into the female reproductive tract.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Dr Iven Romic Rommstein, General Surgeon
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