What is the treatment for low sperm count?
Low sperm count is a treatable condition in men. When one has less than 15 million sperms per millimeter of semen, it is considered a low sperm count. This condition is called oligospermia.
Types of oligospermia:
Mild oligospermia: It is a condition where 10-15 million sperms are found per milliliter of semen.
Moderate oligospermia: It is a condition in which 5-10 million sperms are found per milliliter of semen.
Severe oligospermia: It is a condition in which 1 to 5 million sperms are found per milliliter of semen.
Crypto oligospermia: It is a condition in which zero to rare sperms are found per milliliter of semen.
In this condition, a sample is centrifuged and analyzed to look for rare sperms.
Symptoms of low sperm count: The primary sign of low sperm count is the inability to conceive.
A low sperm count is diagnosed with a semen analysis test.
Causes of low sperm count: There may be the following causes of low sperm count:
1. Medical issues: Medical issues for low sperm count include varicocele, ejaculation problems, reproductive tract infections, surgery, radiation, chemotherapy, hormonal imbalance, and sometimes chromosomal abnormalities.
2. Environmental factors: Environmental factors can be exposure to industrial toxins, heavy metals, radiation, or x-ray.
3. Lifestyle choices: Lifestyle choices that can impact sperm production are addiction to alcohol, drugs, smoking, obesity, and long-term stress.
Treatment of low sperm count: There are various treatments available for low sperm count. The treatment depends upon the cause of the condition. Let us understand the causes and treatment available to treat the low sperm count.
1. Surgery: If a person is suffering from varicocele, then we recommend surgery after an examination by a urologist.
2. Antibiotics: We can treat the low sperm count due to infections in the reproductive tract with antibiotics.
3. Medicine and hormone replacement therapy: One can treat the low sperm count due to hormonal imbalance with medicines or hormonal replacement therapy.
In case the sperm count is not increasing, and there is difficulty in conceiving, then assisted reproductive technology is useful:
1. Intra-uterine insemination: In mild cases, we recommend IUI.
2. IVF-In Vitro fertilization: When IUI fails, then IVF is recommended.
3. ICSI(Intra-cytoplasmic sperm injection): In severe oligospermia and cryptospermia where there are very few sperms, IVF with ICSI is recommended. In this, one healthy sperm is injected inside the cytoplasm of the egg.
4. Surgical sperm retrieval: In case no sperms or very few sperms are found in the ejaculate, then we recommend surgical retrieval of the sperms. There are the following objectives of retrieving sperms through surgery:
1. To derive the best quality of sperms.
2. To derive sufficient sperms for immediate use and for freezing.
3. To keep the injury to the testicles and reproductive tract minimal.
Depending on the type of oligospermia, we can suggest a treatment plan for the patient. So one must consult the expert doctors for a low sperm count as we can completely treat it.
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