What Is Low Sperm Count?

Low sperm count is a condition in which the fluid that is expelled when a man has an orgasm contains fewer sperm than the normal range. World Health Organization (WHO) manual standards consider a normal sperm concentration to be at least 15 million per millilitre of semen.

Sperm count is only one aspect of male fertility. Specialists also evaluate:

  • Sperm Motility: How well the sperm move forward.
  • Sperm Morphology: The size and shape of the sperm.

What Causes Low Sperm Count?

Possible Cause How It May Affect Fertility
Hormonal imbalances May disrupt the signals needed for healthy sperm production
Varicocele (enlarged veins in scrotum) May raise testicular temperature and impair sperm quality
Infections or inflammation Can temporarily interfere with sperm production or passage
Medications or medical treatments Certain drugs can suppress sperm production
Lifestyle & environmental factors Smoking, excessive heat exposure, or toxin contact may lower parameters
Genetic or testicular factors Can directly reduce baseline sperm production

How Is Low Sperm Count Diagnosed?

Diagnosis begins with a routine semen analysis. Because sperm numbers fluctuate naturally, clinical guidelines (such as ASRM and ESHRE) recommend repeating the test after an interval to confirm findings.

A comprehensive evaluation by a fertility specialist may also include:

  • Detailed medical and reproductive history
  • Physical examination
  • Blood tests to evaluate hormone levels (FSH, LH, testosterone)
  • Scrotal ultrasound or genetic screening when clinically indicated

Tailored Low Sperm Count Treatment

  • Treating Identified Causes: Managing underlying endocrine issues, infections, or systemic conditions.
  • Corrective Procedures: Surgical repair for a clinically significant varicocele when indicated.
  • Prescription Medication: A doctor may prescribe specific low sperm count medicine (such as selective hormonal therapies) only when an endocrine imbalance is confirmed. Note: Testosterone therapy is not a treatment for low sperm count, as supplemental testosterone suppresses natural sperm production.
  • Lifestyle Adjustments: Reducing heat exposure, quitting smoking, and maintaining a healthy routine to support overall reproductive health.

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Low Sperm Count IVF and ICSI

We believe in complete financial transparency. The total donor embryo transfer cost depends on your personalized treatment plan, required laboratory work, and supportive medications.

When medical management is unsuitable or rapid assistance is preferred due to female age factors, assisted reproductive technology provides dependable pathways:

  • Intrauterine Insemination (IUI): Concentrated, washed sperm are placed directly into the uterus, suitable for mild cases.
  • Low Sperm Count IVF: In vitro fertilisation allows eggs and sperm to fertilise in a laboratory setting.
  • ICSI (Intra-Cytoplasmic Sperm Injection): For moderate to severe male factor infertility, ICSI is often paired with IVF. An embryologist selects a single healthy sperm and injects it directly into a mature egg, overcoming low sperm numbers effectively.

Oligospermia Treatment Delhi

If you are looking for advanced oligospermia treatment in Delhi, Little Angel IVF offers structured diagnostic pathways and compassionate fertility care under the guidance of Dr Mona Dahiya.

Our clinical approach focuses on:

  • Thorough evaluation of both partners rather than isolated testing
  • Transparent discussions on natural conception versus assisted techniques
  • Modern laboratory facilities for advanced semen processing and IVF/ICSI
  • Personalised treatment planning aligned with your family goals
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