Infertility Clinic Near Me

Low Or Nil Sperm Count

Issues pertaining to sperm quality can be sole cause of infertility in 20-30% of infertility cases and contribute to 40- 50% of cases of infertility overall.

Further evaluation when sperm count is low :

  • 1 more repeat semen analysis as per WHO 2021 guidelines
  • Post-ejaculation urine analysis ( in few cases )
  • Male hormones evaluation : Testosterone, FSH,LH, TSH, Prolactin
  • Specialized test Sperm vitality (to check if the sperms are alive when the sperm motility is low)
  • Genetic test
  • Karyotype , Y chromosome microdeletion
  • Parallel evaluation of wife for fertility status
  • Cryptorchidism : testes not located in the scrotal sac
  • Testicular torsion
  • Genitourinary infections
  • Exposure to environmental toxins
  • Cancer survivors – who had prior chemotherapy or radiotherapy
  • Use of anabolic steroids
  • Varicocele (dilated veins surrounding testes)
  • Smoking
  • Obesity ,life style & environmental factors
  • Many time no risk factor is found
  • Correction of life style factors , smoking cessation , weight reduction if obese.
  • Oral hormonal medications might be needed for some men to boost sperm production.
  • Oral antioxidant therapy can be used.
  • Men with hypogonadotrophic hypogonadism can be treated with combined hormone therapy with hCG & FSH.
  • Varicocele correction
  • Treatment of Male Accessory Gland Infection (MAGI)
  • Intrauterine insemination (IUI) can be done if sperm count increases above 5 million/ml.
  • Intracytoplasmic sperm injection (ICSI) with sperms in semen ejaculate if count does not improve above 5 million/ml.
  • ICSI with surgically retrieved sperms if azoospermia (no sperms) in the ejaculate.
Fertility Clinic Near Me

Hope this was helpful for basic understanding.

The aim of this discussion is to make anyone with curious mind to understand these condition better. It is not equivalent to detailed in person individualised consultation.

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