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Why has my sperm count dropped?

Q: I am a 32 years old male married to a 26 years girl. We have been married for 3 years but don't have any child. Earlier my sperm count was around 25 million but recently it has dropped to 10 million with 10% mortality. What can be the reason for low sperm count? I was under medication for increasing my sperm count but my sperm count has dropped after taking the medicines. Further, is it possible to conceive with any homoeopathy medicines? My doctor has advised we should go for IVF. What should I do?

A:You have low sperm count and motility, called oligoasthenospermia. The sperms form in the testis and mature while being transported, a journey taking approximately 3 months before being stored. These are ejaculated out from this store. The aetiological factors for oligoasthenospermia include - testicular causes as well as environmental problems while sperms are being transferred or stored, like inflammation or varicocoele. It is obvious that no blunderbuss medicine would improve the quality unless directed at the cause. This would be possible by a proper history, physical examination and investigations including hormonal assays and imaging studies. I would encourage you to see a specialist for this, rather than seek an Internet solution or get in hands of quacks.

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