How is Low Sperm Count Treated?
Low sperm count is diagnosed when the semen count is less than 15 million sperm per millilitre of semen. Low sperm count treatment in Delhi depends on the cause of low sperm count. There are many known causes for less sperm count and if all of these known causes are analyzed and negative, the cause of less sperm count falls into the idiopathic cause category for less sperm count.
How is low sperm count treated?
There are different methods of low sperm count treatment in Delhi. It can be widely divided into:
- Non-surgical treatment
- Surgical treatment
Some of the causes of less sperm count are treatable and others are not, if fertility is not achieved with non-surgical or surgical treatment methods, then the partner and assisted reproductive techniques to become fertile, says sexologist in Delhi.
Non-surgical treatment for low sperm count
Hormone treatment and medications: If the semen count is low due to a deficiency in a hormone, the hormone needed may be replaced with hormone therapy. If it is due to excess hormones, medications may be given to reduce hormone levels. Eg:
Kallmann syndrome – a genetic condition, less the secretion of GnRH from the hypothalamus. It can be treated with GnRH replacement therapy.
Hyperprolactinemia: there is an increase in prolactin hormone levels due to increased production of the pituitary gland due to certain medications or a tumour. Medications that cause hyperprolactinemia should be discontinued and medicines may be given to bring prolactin to a normal level.
Treatment of genital tract infections: sometimes infections of the genital tract can cause a low sperm number if so, the infection should be treated with the appropriate antibiotics. However, this will not always make semen count normal.
Steroid therapy: Anti-sperm antibodies are immune cells that destroy semen, as semen are foreign/invasive cells. A good amount of healthy semen is reduced with this. Oral steroids are administered to treat low sperm number, but this does not work most of the time. These patients have the option of in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI).
Treatment of retrograde ejaculation: in retrograde ejaculation, semen flows backwards without leaving the penis. There are many causes, such as: bladder or prostate surgery, spinal cord injury, medications such as antidepressants, antihypertensives, medications used to treat enlarged prostate; Diabetes. Pseudoephedrine is a medicine given for retrograde ejaculation due to surgery or diabetes, is a decongestant. If the cause is medications when these medications are discontinued, ejaculation will occur normally. Nerve and muscle injuries cannot be treated and these patients may resort to assisted reproductive techniques.
Surgical treatment for low sperm count
Microsurgical vasovasostomy: This procedure is performed to reverse vasectomy by using microsurgery to bind the 2 ends of the deferential vessels in each testicle and treat a low sperm number.
Treatment of varicocele: varicocelectomy is the procedure that is performed to treat varicocele, this is an outpatient procedure. Treating enlarged veins can help semen production and maturation and treat low semen count.
Vasoepididestomomy: vasoepididymostomy is the microsurgical treatment for epididymis blockages; Combines the upper end of the deferential duct into the epididymis.
Transurethral resection of the ejaculator duct: Surgically, through the use of a cystoscope, blockages of the ejaculator duct can be treated by making small incisions in the ejaculator duct. Most men will improve semen count through this procedure.
Pituitary tumours: pituitary tumours can be surgically removed and this will bring hormone balance into the body.
Summary
Low semen count is diagnosed when the semen count is less than 15 million permanent per millilitre of semen. Treatment depends on the cause of low semen count. We can divide low sperm count treatment in Delhi into non-surgical and surgical treatment methods. Non-surgical treatment methods include: hormone treatment and medications for excess or deficient hormones, antibiotics for genital tract infections and retrograde ejaculation: pseudoephedrine if the cause is surgery or diabetes, if it is due to a drug, these should be discontinued.
Surgical treatment for low semen count includes: microsurgical vasovasostomy to reverse vasectomy, varicocelectomy to treat varicoceles, vasoepididymostomy for epididymis blockages, transurethral resection of ejaculatory duct blocks, and surgical removal of pituitary tumours to achieve a normal hormonal state, if fertility is not achieved, then the couple and assisted reproductive techniques to become fertile.
