Oligospermia

Oligospermia (Low Sperm Count) and Male Infertility

Fewer Sperm Doesn’t Mean Fewer Chances — With the Right Care

When a couple struggles to conceive, the cause isn’t always the woman. In nearly 40% of infertility cases, the issue lies with the male partner — and one of the most common diagnoses is oligospermia, or low sperm count.

At Sparsh IVF, we take male infertility seriously. Our approach combines confidential evaluation, cutting-edge diagnostics, and advanced reproductive techniques to help men overcome oligospermia and confidently take their next step toward fatherhood.

What Is Oligospermia?

Oligospermia refers to a lower than normal concentration of sperm in the semen. According to the World Health Organization (WHO), a sperm count below 15 million sperm per milliliter is classified as oligospermia.

ClassificationSperm CountSeverity
Mild10–15 million/mlOften treatable
Moderate5–10 million/mlMay require ART
Severe< 5 million/mlOften needs IVF-ICSI

Even with a low count, natural or assisted conception is possible — depending on the sperm’s motility, morphology, and DNA integrity.

Causes of Oligospermia

Identifying the root cause is key to successful treatment. Common causes include:

  • Hormonal imbalances (low testosterone, high FSH)
  • Varicocele (enlarged veins in the scrotum)
  • Infections (orchitis, epididymitis)
  • Genetic disorders (Klinefelter syndrome, Y chromosome microdeletion)
  • Undescended testicles (cryptorchidism)
  • Testicular injury or trauma
  • Radiation or chemotherapy
  • Obesity and poor lifestyle habits
  • Substance use (alcohol, tobacco, steroids, recreational drugs)
  • Environmental toxins (pesticides, heavy metals, heat exposure)

At Sparsh IVF, we leave no stone unturned in understanding the cause — and crafting a personalized path forward.

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Symptoms of Oligospermia

Most men with oligospermia have no visible symptoms — and often discover it during infertility evaluation. In some cases, signs may include:

  • Reduced sexual drive or performance
  • Testicular pain or swelling (in varicocele cases)
  • Hormonal symptoms like fatigue, mood changes, or muscle loss
  • History of trauma or surgery in the groin area

This is why semen analysis is a crucial first step in any couple’s fertility assessment.

Diagnosis of Oligospermia at Sparsh IVF

Our diagnostic approach is discreet, evidence-based, and handled with utmost confidentiality:

  • Measures sperm count, motility, morphology, and volume
  • Repeat testing may be advised to confirm results
  • Conducted in a private, comfortable setting
  • Testosterone, FSH, LH, prolactin, TSH
  • Helps identify endocrine causes
  • Detects varicocele, blockages, or testicular abnormalities
  • In severe oligospermia or azoospermia cases
  • Includes karyotyping, Y-chromosome microdeletion analysis
  • Assesses sperm quality beyond numbers
  • Important in recurrent IVF failures or miscarriages

Treatment of Oligospermia

Treatment depends on the cause, severity, and couple’s fertility goals.

  • Weight loss, smoking/alcohol cessation
  • Stress reduction and improved nutrition
  • Antioxidant supplements to enhance sperm quality
  • For imbalances (e.g., low testosterone, high FSH)
  • Tailored after blood test results
  • Antibiotics or anti-inflammatory medications
  • Improves semen parameters in infection-related cases
  • Laparoscopic or microscopic varicocelectomy
  • Can improve sperm count and motility over time

a. IUI (Intrauterine Insemination)

  • Effective for patients with multiple failed IUI cycles, age-related decline, or complex hormonal disorders
  • IVF bypasses ovulation irregularities through controlled stimulation

b. IVF-ICSI

  • Recommended in moderate to severe oligospermia
  • ICSI (Intracytoplasmic Sperm Injection) injects a single sperm into the egg
  • High success rate even with very low counts

At Sparsh IVF, our embryology team is experienced in micromanipulation and ICSI for oligospermia — ensuring every viable sperm has the best chance.

IVF Success in Oligospermia Cases

Thanks to advanced reproductive technology, men with even severe oligospermia can become biological fathers through IVF-ICSI.

  • Success rates improve when combined with sperm DNA testing and antioxidant support
  • Micro TESE (sperm retrieval) can be considered in extremely low counts
  • Embryo freezing allows flexible planning for multiple attempts
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Why Choose Sparsh IVF?

  • Confidential male fertility evaluation and counselling
  • In-house semen analysis and hormone labs
  • Experience in male infertility IVF protocols
  • Holistic care: physical, hormonal, and emotional
  • Proven track record in low sperm count treatment in India

Your Count Doesn’t Define Your Capability

A low sperm count isn’t the end of your fatherhood journey. With science, strategy, and support, Sparsh IVF helps men overcome the odds — and embrace their potential to start a family.

Schedule your private consultation today. Your path to fatherhood starts here — one healthy step at a time.

It only takes one. And we know how to find it, nurture it, and make it count.