Low sperm count denotes the presence of fewer sperm than usual in the fluid (semen) you ejaculate during an orgasmic experience.

You have a low sperm count if you have less than 15 million sperm per milliliter of semen, which is also referred to as oligospermia, and a complete lack of sperm is referred to as azoospermia.

Low sperm counts can make it more difficult for one of your sperm to fertilize your partner’s egg and cause pregnancy, but many men can still become fathers.

Causes–Problems with any of these systems can affect sperm production, which is a complex process that depends on the normal functioning of the testicles (testes), the hypothalamus, and pituitary glands, which are brain organs that produce hormones that trigger sperm production. Once sperm are produced in the testicles, delicate tubes transport them until they combine with semen and are ejaculated out of the penis.

The morphology, motility, and function of the sperm may also be abnormal, which can cause issues.

Low sperm counts frequently have unknown causes, though.

Medical causes

There are numerous conditions and treatments that can result in low sperm counts, some of which are as follows:

Varicocele.The most frequent reversible cause of male infertility, a varicocele (pronounced “var-ih-koe-seel”) is an enlargement of the veins that drain the testis. Although the precise cause of varicoceles’ ability to impair sperm quality is unknown, varicoceles may be linked to abnormal testicular temperature regulation.

Infection.Even though some infections can cause permanent testicular damage, most of the time sperm can still be extracted. These infections include inflammation of the epididymis (epididymitis) or testicles (orchitis), some sexually transmitted infections, such as gonorrhea or HIV.

Ejaculation problems.A number of medical conditions, such as diabetes, spinal injuries, and surgery of the bladder, prostate, or urethra, can result in retrograde or lack of ejaculation, which is when semen enters the bladder during an orgasmic episode rather than emerging from the tip of the penis.

  • Alpha blockers, which are blood pressure medications, may also cause ejaculatory issues. Some ejaculatory issues are permanent, while others are reversible, and in most cases, sperm can still be extracted directly from the testicles in cases where ejaculatory issues are reversible.
  • Antibodies that attack sperm.Immune system cells known as anti-sperm antibodies mistake sperm for harmful invaders and make an effort to eliminate them.
  • Tumors.Surgery, radiation, or chemotherapy to treat tumors can also affect male fertility. Cancers and nonmalignant tumors can directly affect the male reproductive organs, through the glands that release hormones related to reproduction, like the pituitary gland, or through unknown causes.
  • Undescended testicles.Reduced fertility is more common in men with this condition, which occurs when one or both testicles occasionally fail to descend from the abdomen into the sac that normally contains the testicles (scrotum) during fetal development.
  • Hormone imbalances.Changes in the hormones produced by the hypothalamus, pituitary, and testicles, as well as those from other systems like the thyroid and adrenal gland, may prevent the production of sperm.

Defects of tubules that transport sperm.Sperm travel through a variety of tubes, which can become blocked for a number of reasons, including unintentional surgery-related injury, prior infections, trauma, or abnormal development, such as with cystic fibrosis or related inherited conditions.

Any level of obstruction is possible, including the testicle itself, the tubes that drain it, the epididymis, the vas deferens, close to the ejaculatory ducts, and the urethra.

Chromosome defects.Genetic syndromes linked to infertility include cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome, in which male reproductive organs develop abnormally due to inherited disorders such as Klinefelter’s syndrome, in which a male is born with two X chromosomes and one Y chromosome instead of one X and one Y.

Celiac disease.Fertility may increase after switching to a gluten-free diet for people with celiac disease, a digestive disorder brought on by sensitivity to gluten.

Certain medications.Male fertility can be reduced by testosterone replacement therapy, chronic anabolic steroid use, chemotherapy, some antifungal and antibiotic drugs, some ulcer drugs, and other drugs. Sperm production can also be hampered by testosterone replacement therapy and long-term anabolic steroid use.

Prior surgeries.In most cases, surgery can be done to either reverse these blockages or to retrieve sperm directly from the epididymis and testicles, but certain surgeries, such as vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others, may prevent you from having sperm in your ejaculate.

Environmental causes

The following environmental factors, when overexposed to, can have an impact on sperm function or production:

Industrial chemicals.Low sperm counts may be caused by prolonged exposure to lead, benzenes, toluene, xylene, herbicides, pesticides, organic solvents, and paint materials.

Heavy metal exposure.Infertility can also result from exposure to heavy metals like lead.

Radiation or X-rays.Sperm production can be decreased by radiation exposure; with low doses of radiation, sperm production can be restored after a few years, but high doses of radiation can result in permanent sperm production reduction.

Overheating the testicles.Studies are scarce and contradictory, but frequent use of saunas or hot tubs may temporarily lower sperm count because elevated temperatures impair sperm production and function.

It’s also possible for your scrotum to become hotter and your sperm production to be slightly reduced by prolonged sitting, wearing tight clothing, or working on a laptop computer.

Health, lifestyle and other causes

Low sperm counts can also be brought on by:

Drug use.Use of cocaine or marijuana may result in a decrease in the quantity and quality of sperm, as can the use of anabolic steroids taken to increase muscle strength and growth.

Alcohol use.A decrease in sperm production and a drop in testosterone levels are both effects of alcohol consumption.

Occupation.Although the evidence for these associations is conflicting, some occupations, such as truck driving or those involving prolonged sitting, such as welding, may increase the risk of infertility.

Tobacco smoking.In comparison to men who don’t smoke, smokers may have fewer sperm.

Emotional stress.Hormones required for the production of sperm may be affected by extreme or prolonged emotional stress, including stress related to fertility.

Weight.In addition to negatively affecting sperm directly, obesity can also affect male fertility by altering hormone levels.

Sperm testing issues.Results are usually based on a number of samples taken over a period of time because lower than normal sperm counts can be caused by testing sperm that was taken too soon after your last ejaculation, too soon after an illness or stressful event, or that didn’t contain all of the semen you ejaculated because some was spilled during collection.


ARGENTUM NITRICUM 6Argentum nitricum patients are melancholic, fearful of serious illness, impulsive, want to do things quickly, complain of flatulence, and have a strong desire for sweets. Erections fail when coition is attempted and are painful and desire-wanting.

DAMIANA Q-Damiana works magically to increase sperm count and treat erectile dysfunction. Sperms are absent from semen, so it’s a great medicine for boosting sperm count.

CONIUM MACULATUM 200The best treatment for low sperm count in orchitis is conium maculatum, which is chosen when the testicles are swollen, enlarged, painful, indurated, and hardened.

STAPHYSAGRIA 30Staphysagria is another effective treatment for low sperm count caused by orchitis; it is indicated when burning, shooting, tearing, or drawing pain is present in the inflamed testes; it is also indicated for orchitis following mumps; and those who need it exhibit constant dwelling on sexual matters.

RHODODENDRON 30Rhododendron is effective for low sperm count associated with orchitis. Rhododendron is beneficial when there is swelling and severe pain in the testes that worsens with light touch. Rhododendron is also beneficial for low sperm count associated with hydrocele. The testes are swollen, painful, and drawn up.

AURUM MET. 30-Hydrocele, high sex drive, and nocturnal pollutions are all associated with low sperm count and can be treated with Aurum Met.

IODUM 30-Iodum is a fantastic treatment for hydrocele when there is aching, pressing, or intense pain.

AGNUS CASTUS 30-Agnus Castus is a well-known remedy for low sperm count with decreased sexual abilities, including difficulty getting an erection, relaxed, shriveled genitals, coldness, and flaccidity, as well as an aversion to sex.

CALADIUM 3X— Caladium is also helpful for men with low sperm counts who have weak sexual abilities, lack the physical strength to engage in sex despite having the desire, and may also experience mental depression as a result of their condition. Caladium is also taken into consideration for men who have weak sexual abilities due to tobacco abuse.

COBALTUM 30Cobaltum is effective for erectile dysfunction and low sperm count, as well as for brown spots in the genitalia and the abdomen, back pain in the lower back, weak legs, and emission without erection.

SELENIUM 30-Selenium is very helpful in a person with low sperm count who has involuntary seminal emissions at night, during urination, or stools. Semen is thin, cold, and odorless.On attempting coition, penis relaxes.Increased desire with decreased ability.Selenium is also helpful in a person with low sperm count who has involuntary seminal emissions at night, during urination, or during

HAMAMELIS 30-Hamamelis is the best treatment for varicocele-related low sperm count, spermatic cord pain that runs into the testes, and enlarged, painful, hot testicles.

SABAL SERRULATA QOne of the best homeopathic treatments for low sperm count with testicular wasting (atrophy) and infertility in males with enlarged prostates or prostatitis is Sabal Serrulata. Sexual activity is painful at the time of emission.

TRIBULUS TER. QTribulus ter. Tribulus ter. is effective for correcting semen and sperms, where sperms are absent or are in low count. Weak and thin semen. Poor mobility of sperms.

TITANIUM 1000Titanium is the top treatment for infertility with backache, which is characterized by great weakness and premature ejaculation.

One of the most effective treatments for male infertility caused by a low sperm count, X Ray 30-X Ray helps to increase sperm count and improves both the quality and quantity of sperms.

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