Treatments for low sperm count include:
- Surgery. For example, a swelling of the veins that drain the testicle (varicocele) can often be surgically fixed or an obstructed vas deferens tube repaired.
- Treating infections. Antibiotics can cure an infection of the reproductive tract, but this doesn't always restore fertility.
- Hormone treatments and medications. Hormone replacement or medications may be prescribed to change hormone levels. It can take between three and six months before you'll notice any effects on your semen analysis.
- Assisted reproductive technology (ART). ART treatments involve obtaining sperm through normal ejaculation, surgical extraction or from donor individuals, depending on your specific case and wishes. The sperm is then inserted into the female genital tract, or used for in vitro fertilization or intracytoplasmic sperm injection.
When treatment doesn't work
Sometimes male fertility problems can't be treated, and it's impossible for a man to father a child. If this is the case, you and your partner can consider either using sperm from a donor or adopting a child.
Jun. 12, 2014
- Agarwal A, et al. Assessing sperm function. Urology Clinics of North America. 2008;35: 157.
- McPhee SJ, et al. Current Medical Diagnosis & Treatment 2012. 51st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=1. Accessed July 20, 2012.
- Patel ZP, et al. Male factor assessment in infertility. Medical Clinics of North America. 2011;95:223.
- Swerdloff RF, et al. Evaluation of male infertility. http://www.uptodate.com/index. Accessed July 19, 2012.
- European Association of Urology Guidelines on Male Infertility: The 2012 Update. Arnhem, Netherlands: European Association of Urology. http://www.uroweb.org/guidelines/online-guidelines. Accessed July 20, 2012.
- The optimal evaluation of the infertile male: AUA best practice statement. Linthicum, Md.: American Urological Association Education and Research, Inc. http://www.guideline.gov/content.aspx?id=23921&search=male+infertility. Accessed July 19, 2012.
- Swerdloff RF, et al. Causes of male infertility. http://www.uptodate.com/index. Accessed July 19, 2012.
- Wang C, et al. Treatment of male infertility. http://www.uptodate.com/index. Accessed July 19, 2012.
- Loughlin KR. Changes in male fertility in the last two decades. Urology Clinics of North America. 2012;39:33.
- Asplund C, et al. Genitourinary problems in bicyclists. Current Sports Medicine Reports. 2007;6:333.
- Frey KA. Male reproductive health and infertility. Primary Care Clinics Office Practice. 2010;37:643.
- Showell MG, et al. Antioxidants for male subfertility. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007411.pub2/abstract. Accessed July 23, 2012.
- Patel SR, et al. Antioxidant therapy in male infertility. Urology Clinics of North America. 2008;35:319.
- Trost LW (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 9, 2012.
- De Celis R, et al. Semen quality of workers occupationally exposed to hydrocarbons. Fertility and Sterility. 2000;73:221.
- Swan SH. Semen quality in fertile US men in relation to geographical area and pesticide exposure exposed to hydrocarbons. International Journal of Andrology. 2006;26:62.
- El-Helaly M, et al. Workplace exposures and male infertility - A case control study. International Journal of Occupational Medicine and Environmental Health 2010;23:331.
- Murphy LE, et al. Folate and vitamin B12 in idiopathic male infertility. Asian Journal of Andrology. 2011;13:856.
- Lenzi A, et al. Use of carnitine therapy in selected cases of male factor infertility: A double-blind crossover trial. Fertility and Sterility. 2003;79:292.
- Ross C, et al. A systematic review of the effect of oral antioxidants on male infertility. Reproductive BioMedicine Online. 2010;20:711.
- Menezeo Y, et al. Antioxidants to reduce sperm DNA fragmentation: An unexpected adverse effect. Reproductive BioMedicine Online. 2007;14:418.
- Misell LM et al. A stable isotope/mass spectrometric method for measuring the kinetics of human spermatogenesis in vivo. Journal of Urology. 2006;175:242.
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