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Mild To Severe Oligospermia

It is identified as a common cause for male infertility and SWCIC- one of the best fertility centers in Hyderabad India has the best treatment for that.

  • Oligozoospermia refers to semen with a low concentration of sperm and is a common finding in male infertility.

    Often semen with a decreased sperm concentration may also show significant abnormalities in sperm morphology and motility (technically "oligoasthenoteratozoospermia").

    Diagnosis

    The diagnosis of oligozoospermia is based on one low count in a semen analysis performed on two occasions

    Sources usually classify oligospermia in 3 classes

    Mild: concentrations 10 million – 20 million sperm/ml

    Moderate: concentrations 5 million – 10 million sperm/ml
    Severe: concentrations less than 5 million sperm/ml

    Almost 30% of cases of infertility will have a male factor attached to it. Unfortunately in our society there are many misconceptions and wrong ideas regarding the cause and occurrence of Infertility in men.

    A low sperm count is in no way related to weakness or one being `abnormal`, some men who have had children may have a low sperm count. The semen count needs to be assessed and the cause for it being low should be determined as timely treatment can not only prevent it from falling further but counts may improve.

    If this simple test is not done or put off by the husband, it may mean unnecessary tests/operations and expenses (running into thousands of rupees) for the women.

    What is a low sperm count?

    A normal count is 80million/hpf – 100 million/hpf (taken after 2-3days of abstinence)

    Sources usually classify oligospermia in 3 classes:

    Mild: concentrations 10 million – 20 million sperm/ml

    Moderate: concentrations 5 million – 10 million sperm/ml

    Severe: concentrations less than 5 million sperm/ml

    Azoospermia (no sperms in the sample)

    Causes of a low sperm count in males:

    Alcohol, smoking , excess weight

    Genetic defects on the Y chromosome (male chromosome)

    Chromosomal abnormality (Klinefelter syndrome)

    Neoplasm, e.g. seminoma, Varicocele (dilatation of the veins)

    Trauma, past operations on the pelvis,

    Drugs(long term steroids, certain antibiotics, Radiation/Chemotherapy)

    Mumps or Malaria ,

    Infection, e.g. prostatitis

    (Please do not stop any of your current medication without consulting a doctor)

    Diagnosis

    A semen analysis is first needed. If the count is low blood tests (Serum testosterone and Serum FSH) are requested to look for hormone imbalances. If the semen sample suggests infection then a culture is request and antibiotics prescribed accordingly.

    An ultrasound may be requested and if diagnosed with a varicocele or hydrocele, a urology opinion may be sought.

    In some of the cases of male infertility, no clear cause can be identified with current diagnostic methods.

    Some steps suggested avoiding male infertility:

    Avoiding smoking, reducing weight

    Avoid excess stress or anger

    Avoid taking very hot baths

    Wearing loose undergarments

    Treatment

    Medications include Co Q10; Vitamin E can be used to boost sperm production in men with low sperm counts and poor sperm motility

    Surgery is often the choice in post testicular causes such as a varicocele or a hydrocele although results are not always good.

    IUI AND IVF

    IUI (Intrauterine insemination) may be suggested for couples with a count lower than 20million/hpf)

    IVF (In vitro fertilsation)-IMSI is suggested for couples with counts less than 5 million/hpf

    If the duration of infertility is more than an IUI/IVF can be suggested despite a normal semen count.