To conceive a child, a male's sperm must combine with a female's egg. The testicles make and store sperm, which are ejaculated by the penis to deliver sperm to the female reproductive tract during sexual intercourse.

The most common issues that lead to infertility in men are problems that affect how the testicles work. Other problems are hormone imbalances or blockages in the male reproductive organs. In about 50% of cases, the cause of male infertility cannot be determined.

A complete lack of sperm is the cause of infertility in about 10% to 15% of men who are infertile. When a man does not produce sperm, it is called azoospermia . A hormone imbalance or a blockage of sperm movement can cause azoospermia.

In some cases of infertility, a man produces less sperm than normal. This condition is called oligospermia. The most common cause of oligospermia is varicocele, an enlarged vein in the testicle.

Oligospermia

Oligospermia or Oligozoospermia, refers to semen with a low concentration of sperm and is a common finding in male infertility. Often semen with a decreased sperm concentration may also show significant abnormalities in sperm morphology and motility. There has been interest in replacing the descriptive terms used in semen analysis with more quantitative information.

The diagnosis of oligozoospermia is based on one low count in a semen analysis performed on two occasions. For many decades sperm concentrations of less than 20 million sperm/ml were considered low or oligospermic, recently, however, the WHO reassessed sperm criteria and established a lower reference point, less than 15 million sperm/ml, consistent with the 5th percentile for fertile men. Sperm concentrations fluctuate and oligospermia may be temporary or permanent.

Sources usually classify oligospermia in 3 classes:

Mild: concentrations 10 million – 20 million sperm/ml
Moderate: concentrations 5 million – 10 million sperm/ml
Severe: concentrations less than 5 million sperm/ml

Azoospermia

Azoospermia is the medical condition of a man not having any measurable level of sperm in his semen. It is associated with very low levels of fertility or even sterility, but many forms are amenable to medical treatment. In humans, azoospermia affects about 1% of the male population and may be seen in up to 20% of male infertility situations. If this is the case, then one or both of two conditions may be present-

* There is problem with sperm production.
* There is a blockage such that sperm production, although normal, cannot reach the ejaculate

 

At Dr P K Jain Clinic we have done extensive research in causes of infertility in men and treatments for the same. We have developed and refined herbal remedies for both oligospermis and azoospermia which have been very successful in curing hundreds of men over the decades.