Q: I have been married for the past 4 years. I am suffering from oligospermia and low motility (40 million and 40% actively motile). I was diagnosed as having varicocoele initially. I got operated for it last year. After that I took co-enzyme Q-10 for almost ten months. I got a semen examination done recently and the count has increased to 76 million, however the motility still remains low which is around 40% actively motile. Now I am being given nucarnit, twice a day, and a multivitamin to improve motility. It is almost a year since I have been on medication. Does this medication have any side effects? What are the chances of increasing in motility from nucarnit and otherwise?

A:Nucarnit is a levo compound of carnitine, an antioxidant and you must be taking 330 mg dispersible tables twice a day. As you are aware, antioxidants are non specific and are not known to produce any side effects. As for your motility of 40 percent it is not very bad and your fertility specialist should think in terms of some form of assisted reproduction by utilizing your sperms and performing auto insemination.