Oligospermia is a condition in which abnormally low number of sperm in the ejaculate of the male. The normal range of sperm count is between 20 million/ml and 200 million/ml. That sperm count is below 20 million/ml indicates oligospermia.

A Men with low sperm counts or low motility often ask for treatment to correct the defect. Unfortunately, this is not often possible. Many cases of sperm abnormalities are genetic in origin. Since there is currently no way to correct such genetic defects, we end up working with the couple in ways that will (hopefully) increase their reproductive efficiency. This usually involves either intrauterine insemination, or in vitro fertilization.

Hormone deficiencies
If the man has a hormonal deficiency, it might be treatable with medications. These are rare cases.

Varicocele ligation
A varicocele is an abnormal tortuosity and dilation of veins of panpiniform plexus within the spermatic cord. If there is a varicocele, it can be surgically treated - which might help fertility in some cases. However, well controlled studies of surgery vs. no surgery have failed to consistently demonstrate increased pregnancy rates with surgical correction. Some studies have shown better pregnancy rates after surgery, but other studies have shown lower pregnancy rates following surgery...
Clomiphene citrate (Clomid, Serophene) for the infertile male
Some men with relatively mild sperm abnormalities have been treated with clomiphene citrate (tablets) in an attempt to improve the semen. According to published medical literature, Clomid for the male sometimes can improve the sperm count or motility. However, well-controlled medical studies have shown no increase in pregnancy rates.
 

What problems may be identified during examination ...
Every infertile man must be carefully examined. The examination of the external genitalia in the male rarely shows anything out of the ordinary. However, sometimes one or both testicles are very small or rarely may even be absent. Additionally there may be congenital absence of each vas deferens, the ducts through which sperm pass from the testicles to the female at intercourse.

Other factors which may contribute to lowered fertility, and which can be identified on examination include a wide range of chemical substances can affect sperm quality and/or quantity, including medications. The medications listed below have been associated with male infertility:

Anabolic steroids
Antihypertensives
Allopurinol
Erythromycin
Chemotherapy
Cimetidine
Colchicine
Cyclosporine
Dilantin
Gentamycin
Nitrofurantoin
Tetracycline

Treatment PROCESS:
For male infertility treatment for low sperm count, we suggest Intrauterine insemination and in vitro fertilization.

Mild to moderately low sperm counts and/or motility: Inseminations for about 3-6 months, then consider IVF with ICSI if not pregnant.

Severely low counts and/or motility: IVF with ICSI is the best option.

No sperm count leads to sperm donation.