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Womens Health > Infertility Forum > Low sperm count , motility , and morphology
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Q: Low sperm count , motility , and morphology
asked by: DoctorQuestion on August 4th, 2008
My husband and I are trying to improve his sperm morphology as well as increase count and motility. We've decided to go the natural route with yoga, acupunture, healthy eating and herbs. I've been reading a lot about herbs but information is conflicting. He has high blood pressure which is under control at the moment so he is not on medication except a mutlivitamin, folic acid and zinc. I don't want the herbs to affect him negatively so I was wondering how many you can take at once or if some are more useful than others? I was specifically reading about Saw Palmetto, Selenium, Horney Goat Weed, Astragulus, L-Carnitine & L-Arginine. PLEASE HELP as we cannot afford the expensive clinics that provide this kind of advice and are trying this all on our own. THANKS!


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Dr. Nikola Gjuzelov , MD
replied on August 5th, 2008
Infertility Answer A4536
Unfortunately, in most cases the reason for low sperm count, low motility and morphology of the spermatozoids is unknown, probably genetic. In such cases there is nothing that can be done to improve someone’s sperm quality.


Presence of bacteria is probably due to an infection. I am not sure that the bacterial infection is the major cause of your husband’s sterility but at least that issue can be treated. Your husband can try a proper antibiotic to cure the infection.


You can also request measurement of the hormonal blood levels (testosterone, FSH and LH) to check if the reason is endocrine. Endocrine causes for male sterility can be treated.
Presence of varicocele (enlarged testicular veins) can also disturb the spermatozoid production. Varicocele can be treated surgically.

I doubt that the alternative medical treatments, you mentioned, will help your husband to improve his fertilization ability. You can try them if you want but, in my opinion, that would only be a waste of time.

If the reason for your husband’s sterility remains unknown (probably genetic) you can try insemination first and, if that fails, the final option is ICSI (intra cell sperm injection).

You may want to consult a urologist and gynecologist about this.





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