AMV Hospitals

Low Sperm Count - Oligospermia
Treatment in Hyderabad

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What is Oligospermis (Low Sperm Count)

Low sperm count, medically known as oligospermia, is a condition in which the semen contains fewer sperm than normal, reducing the chances of natural conception. According to WHO guidelines, a sperm count below 16 million per millilitre is considered low.

Low sperm count is a common cause of male infertility but can often be treated with timely diagnosis, medical care, and advanced fertility treatments.

Who Can Get Oligospermia?

Oligospermia can affect men across different age groups and backgrounds. It is commonly seen in couples struggling to conceive and contributes significantly to male-related infertility cases.

  • Men planning pregnancy but facing repeated conception delays
  • Men with hormonal or reproductive health issues
  • Individuals exposed to environmental or occupational risk factors
  • Men with past infections, injuries, or genetic conditions
  • Younger and older men alike, depending on underlying causes

Effects of Low Sperm Count on Fertility:

  1. Decreased likelihood of natural pregnancy
  2. Fewer healthy sperm reaching the fallopian tubes
  3. Reduced sperm competition to fertilise the egg
  4. Increased time required to achieve conception
  5. Higher dependence on assisted reproductive techniques such as IUI, IVF, or ICSI

The degree of fertility impact largely depends on how low the sperm count is and the overall sperm quality.

Types of Oligospermia

Oligospermia is classified based on the concentration of sperm present in one millilitre of semen.

Mild Oligospermia

Sperm count between 10 million and 16 million/ml. Natural conception is still possible, though chances may be reduced.

Moderate Oligospermia

Sperm count between 5 million and 10 million/ml. Fertility is moderately affected, and medical assistance may be required.

Severe Oligospermia

Sperm count below 5 million/ml. Natural conception becomes difficult, and advanced fertility treatments are often recommended.

Symptoms of Oligospermia

  • Difficulty in achieving pregnancy despite regular unprotected intercourse
  • Often no obvious physical symptoms, detected during fertility testing
  • Reduced sexual desire due to hormonal imbalance
  • Decreased facial or body hair growth in some men
  • Erectile or ejaculation-related issues in rare cases
  • Smaller or softer testicles in certain conditions

Causes of Oligospermia

Oligospermia can result from multiple factors that affect sperm production or quality. Often, more than one cause may be involved.

Environmental and Occupational Causes

Exposure to heat, radiation, chemicals, pollutants, or industrial toxins can reduce sperm production.

Lifestyle-Related Causes

Smoking, alcohol use, chronic stress, poor sleep, lack of exercise, and unhealthy eating habits can negatively impact sperm count.

Medical and Genetic Causes

Conditions such as varicocele, hormonal imbalance, genetic disorders, and undescended testicles can affect sperm development.

Health-Related Factors

Reproductive tract infections, childhood mumps, chronic illnesses, obesity, and metabolic disorders may lower sperm count.

Trauma and Medication-Related Causes

Testicular injury and certain medications or medical treatments can interfere with sperm production.

Idiopathic Oligospermia

In many cases, no clear cause is identified despite thorough evaluation.

In Vitro Fertilization (IVF) process step by step

The diagnosis of oligospermia involves a detailed evaluation to identify the underlying cause and severity of low sperm count.

The doctor reviews past illnesses, surgeries, medications, fertility history, and lifestyle habits such as smoking, alcohol use, stress, and occupational exposure that may affect sperm production.

A focused examination of the reproductive organs is performed to detect conditions like varicocele, testicular abnormalities, or hormonal signs.

This is the most important diagnostic test. A semen sample is analysed to assess sperm count, movement (motility), shape (morphology), and semen volume. More than one sample may be needed for accurate results.

Blood tests are used to measure reproductive hormones such as testosterone, FSH, and LH, which play a key role in sperm production.

In cases of severe oligospermia, genetic testing may be advised to detect chromosomal or genetic conditions affecting fertility.

Scrotal or pelvic ultrasound helps identify structural problems, varicoceles, blockages, or abnormalities in the testicles and reproductive tract.

This test checks for retrograde ejaculation, where semen flows backward into the bladder instead of exiting normally.

Special imaging such as Doppler ultrasound may be used to assess blood flow and confirm vascular issues affecting sperm production.

Treatment of Oligospermia

Treatment for oligospermia (low sperm count) depends on the underlying cause, severity, and individual fertility goals. A personalised treatment plan is created after detailed evaluation by a fertility specialist.

Treating the Underlying Cause

Varicocele Treatment

When a clinically significant varicocele is detected (usually grade 3 or grade 4 on clinical examination or ultrasound), surgical correction may be advised. Varicocele repair can help improve sperm count and sperm quality in selected cases.

Hormonal Treatment

If a hormonal imbalance is identified, appropriate medications may be prescribed to restore normal hormone levels and support healthy sperm production.

Lifestyle and Health Improvements

Healthy Diet and Physical Activity

A balanced diet, regular exercise, and maintaining a healthy weight can positively influence sperm health and overall reproductive function.

Avoiding Harmful Exposures

Quitting smoking, limiting alcohol intake, avoiding substance use, and reducing exposure to heat, pollution, and environmental toxins can help improve sperm quality.

Medications and Supplements

Hormone-Stimulating Medications

Certain medications may be used to stimulate natural hormone production, which can support sperm development.

Antioxidant Therapy

Antioxidant supplements may be recommended to reduce oxidative stress and improve sperm function and motility.

Assisted Reproductive Treatments (ART)

Intrauterine Insemination (IUI)

Processed sperm is placed directly into the uterus during ovulation to increase the chance of fertilisation.

In Vitro Fertilisation (IVF)

Eggs and sperm are fertilized outside the body, and healthy embryos are transferred into the uterus.

Intracytoplasmic Sperm Injection (ICSI)

A single sperm is injected directly into an egg. This method is especially effective in cases of very low sperm count or poor sperm quality.

About doctor

Dr. Shaivalini Kamarapu

Gynecologist, Fertility Specialist, Robotics & Laparoscopy Surgeon

About Dr Shaivalini Kamarapu
  • Dr. Shaivalini Kamarapu is a highly experienced infertility specialist at AMVI Hospital, Hyderabad, with over 20 years of expertise in women’s and men’s reproductive health.
  • She specialises in the diagnosis and treatment of zero sperm count (azoospermia), offering personalised and evidence-based fertility care for couples facing severe male infertility.
  • Her clinical expertise includes male infertility evaluation, hormonal assessment, advanced semen analysis, and guidance for surgical sperm retrieval and IVF-ICSI treatment, ensuring accurate diagnosis and effective treatment planning.
  • She has extensive experience managing complex fertility cases, including obstructive and non-obstructive azoospermia, repeated IVF failures, and age-related fertility challenges.
  • Dr. Kamarapu follows a patient-centric and ethical approach, providing transparent counselling and realistic expectations for couples undergoing treatment for zero sperm count in Hyderabad.
  • She is also skilled in laparoscopic surgery, helping manage associated female fertility conditions such as endometriosis, fibroids, and tubal blockages to improve overall treatment outcomes.
  • Consultant at Rainbow, Apollo & Ankura Hospitals.

How to Prevent Oligospermia

While not all causes of oligospermia can be prevented, adopting healthy lifestyle habits can help support normal sperm production and overall reproductive health.

Why choose Amvi hospital For Low Sperm Count treatment

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Our low sperm count centers in Hyderabad

Puppalaguda

Attapur

Testimonials

After being diagnosed with zero sperm count, we felt completely lost. At AMVI Maternity & Fertility, Attapur, Dr. Shaivalini Kamarapu guided us with clarity and hope. The treatment plan was transparent and well explained. We are grateful to AMVI Hospital for their expert care and support.

Ravi Sharma

I was diagnosed with azoospermia and didn’t know what to do next. AMVI Hospital, Puppalguda gave me the right diagnosis and treatment direction. Dr. Shaivalini’s counselling helped us stay positive throughout the journey. Truly thankful to AMVI Maternity & Fertility.

Suresh Patel

We visited AMVI Maternity & Fertility, Attapur after multiple failed treatments elsewhere. Dr. Shaivalini Kamarapu explained zero sperm count treatment options in detail and gave us confidence. The care at AMVI Hospital is professional and compassionate.

Ankit & Pooja Verma

Being diagnosed with zero sperm count was emotionally challenging. The team at AMVI Hospital, Puppalguda supported us at every step. Dr. Shaivalini’s expertise in male infertility gave us hope and clear guidance. Highly recommend AMVI Maternity & Fertility.

Ramesh Kumar

Our experience at AMVI Hospital, Attapur was excellent. Dr. Shaivalini Kamarapu handled our zero sperm count case with care and honesty. The personalized approach at AMVI Maternity & Fertility made a huge difference for us.

Nikhil Reddy

I consulted AMVI Maternity & Fertility, Puppalguda for zero sperm count treatment. Dr. Shaivalini explained the condition and next steps very clearly. The environment at AMVI Hospital is reassuring and patient-friendly. We felt confident throughout the process.

Manoj Singh

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FAQs related to Low sperm count

Oligospermia can be temporary or long-term, depending on its cause. In cases related to lifestyle factors, infections, or hormonal imbalance, sperm count may improve with treatment and lifestyle changes. Some conditions may require ongoing medical management.

Oligospermia is a common cause of male infertility, but it is treatable in many cases. With early diagnosis and appropriate care, many men can successfully achieve pregnancy with their partner.

Not always. Many men experience improvement in sperm count after treating the underlying cause. Permanent low sperm count is less common and usually linked to genetic or severe testicular conditions.

Yes, natural pregnancy is possible, especially in mild cases of oligospermia. The chances depend on sperm count, motility, and overall reproductive health of both partners.

Yes, IVF is commonly performed in men with low sperm count. Advanced techniques like ICSI allow fertilisation even when sperm numbers are very low.

AMVI Hospital offers comprehensive evaluation, medical treatment, lifestyle guidance, and advanced fertility treatments including IUI, IVF, and ICSI, based on individual needs.

Yes, oligospermia is one of the most common male fertility issues and is seen in a significant number of couples experiencing difficulty in conceiving.

If pregnancy has not occurred after 12 months of regular unprotected intercourse, or earlier if there are known risk factors, consulting a fertility specialist is recommended.

Yes, quitting smoking, reducing alcohol intake, managing stress, maintaining a healthy diet, and regular exercise can significantly improve sperm health in many cases.

You can schedule an IVF consultation at AMVI Hospital at the Attapur or Puppalguda location by contacting the hospital directly and sharing any previous fertility records.

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