Semen analysis comes first; it includes assessment of the sperm count, motility, and morphology. Decreased sperm counts, known as oligozoozpermia, decreased sperm motility (asthenozoospermia) or sperm abnormal morphology (teratozoospermia) may significantly decrease your chances for conceiving. If there are no sperms at all in the analysis, then more detailed examination should be performed to establish obstructive (there are some sperm cells, but they are obstructed somehow) and non-obstructive azoospermia (testes fail to produce sperms).
Treatments vary depending on the cause. Sperm count or motility problems can be managed through lifestyle modifications, use of supplements, and medical treatments. Any infection is managed using antibiotics. Surgical intervention will only be considered when it involves surgical sperm extraction due to varicocele or blockage. This can be effective especially among those who have no semen or low-quality sperms by combining surgical sperm aspiration with ICSI.
Dr. Charmila Ayyavoo ensures your male factor assessment is thorough. Various tests may be required – including semen analysis, hormonal balance, or even an ultrasound of the testicles. The point here is to find out if there are any treatable factors involved and suggest the best course of action possible.
Frequently Asked Questions
Q: Does a low sperm count always mean IVF is needed?
A: Not necessarily. If count is low but motility and morphology are good, IUI or natural pregnancy can still occur. If counts are very low or multiple parameters are abnormal, IVF with ICSI offers the best success rates.
Q: Can diet and supplements improve sperm health?
A: Yes, indeed. Antioxidant-based diets, exercise, stress management, quitting smoking, and consuming less alcohol have all been found to be beneficial. Coenzyme Q10, zinc, and carnitine are examples of supplemental nutrients that seem to have some impact. The process takes three months since it takes three months to produce sperm.
Q: What if no sperm can be found in the ejaculate?
A: The absence of sperms does not imply azoospermia. Dr. Charmila will carry out hormone tests and do a testicular ultrasound scan. Provided that there are sperms in the testicles, TESA and ICSI would work to obtain the sperms for IVF.