Low Sperm Count

Overview of Low Sperm Count

• A low LH level in the presence of oligospermia (sperm concentration less than 5 million/mL) and a normal testosterone level may indicate exogenous steroid use. [2]
• The male partner is directly responsible for 25% of cases of infertility and is thought to play a contributory role in another 25%. [4]

Indian epidemiology then other

Causes of Low Sperm Count

• Genetic disorders
• Endocrine disorders
• Varicocele
• Infections
• Exposure to toxins, radiation, medications
• Genital tract obstruction
• Idiopathic [2]

AAA

Risk factor of Low Sperm Count

• Smoking tobacco
• Drinking alcohol
• Using certain illicit drugs
• higher weight
• Either Severely depressed or stressed
• Having certain either past or present infections
• Being exposed to toxins
• Overheating the testicles
• Having experienced trauma to the testicles
• Being born with a fertility disorder or having a blood relative, for example your brother or father, with a fertility disorder
• Having certain medical conditions, including tumors also chronic illnesses
• Undergoing cancer treatments, e.g. radiation
• Taking certain medications
• Having a prior vasectomy or major abdominal or pelvic surgery
• Having a history of undescended testicles. [3]

Pathogenesis refers to the development of a disease. It’s the story of how a disease gets started and progresses.

This is the entire journey of a disease, encompassing the cause but going beyond it.

Pathophysiology, on the other hand, focuses on the functional changes that occur in the body due to the disease. It explains how the disease disrupts normal physiological processes and how this disruption leads to the signs and symptoms we see.

Imagine a car accident. Pathogenesis would be like understanding how the accident happened – what caused it, the sequence of events (e.g., one car ran a red light, then hit another car). Pathophysiology would be like understanding the damage caused by the accident – the bent fenders, deployed airbags, and any injuries to the passengers.

In simpler terms, pathogenesis is about the "why" of a disease, while pathophysiology is about the "how" of the disease’s effects.

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Sign & Symptoms of Low Sperm Count

Low sperm count symptoms might include i.e.:

• Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction).
• Pain, swelling or a lump in the testicle area.
• Decreased facial or body hair or other signs of either a chromosome or hormone abnormality. [3]

Clinical / Physical Examination For Low Sperm Count

• A full physical examination is performed to determine the general state of health.
• Examination of the reproductive system includes—inspection also palpation of the genitalia.
• Attention should be paid to the size also consistency of the testicles.
• Testicular volume (measured by an orchidometer) should be at least 20 mL.
• Presence of varicocele should be elicited in the upright position. [1]

Diagnosis of Low Sperm Count

• Semen analysis- an integral part of the evaluation [4]

Complications are what happen after you have a disease. They are the negative consequences of the disease process.

Investigation of Low Sperm Count

Genetic testing i.e.

In brief, It is indicated in men with severe oligospermia. [2]

Semen analysis i.e.

• Basically, It remains the most commonly performed investigation in the male.
• Moreover, To adjust for fluctuations in semen parameters, a minimum of two samples 4 weeks apart should be analyzed.
• Samples should be collected after a period of 2–7 days of abstinence.
• Besides this, There is some debate about the predictive value of the routine semen analysis.
• WHO reference values for semen quality have been based on populations of fertile men also can act as a guide (WHO, 2000) [4]

Standard semen analysis i.e.:

• Volume
• pH
• Viscosity
• Sperm concentration
• Total sperm count
• Motility
• Morphology
• Viability
• Leucocytes
• Round cells
• Sperm agglutination [1]

Treatment of Low Sperm Count

• IVF with intracytoplasmic sperm injection (in other words; ICSI) [4]

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Homeopathic Treatment of Low Sperm Count

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.

which includes

• The medical history of the patient,
• Physical and mental constitution,
• Family history,
• Presenting symptoms,
• Underlying pathology,
• Possible causative factors etc.

A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.

What Homoeopathic doctors do?

A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?.

The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.

The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improved with homeopathic medicines.

Homeopathic Medicines for Low Sperm Count:

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.

So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).

Medicines:

Aurum Metallicum:

• Pain and swelling of testicles – orchitis.
• Atrophy of testicles in boys.
• Hydrocele; of children.
• Chronic induration of testicles.
• Sarcocele
• Epididymitis

Carbo Animalis:

• It is suitable to old persons of feeble constitution or to those persons whose vitality becomes low on account of some serious, or deep-seated diseased condition, or loss of fluids.
• Tendency to malignancy.
• Ulcerations, also decompositions.
• Discharges are acrid also foul.
• Syphilis
• Bubo.
• Worse– Slight causes; small losses of vital fluids, sprains, lifting. In detail, Taking cold. Dry, cold air. Especially, After menses. Shaving. Eating; while.
• Better- Specifically, Lying hand on affected part.

Conium:

• Testes enlarged.
• Erections imperfect also of too short duration.
• Seminal discharge, provoked by mere presence of a women or contact. In detail, Sexual nervousness, dejection; after coition.
• Ill effects of suppressed sexual appetite.
• Cutting in urethra while semen passes.
• Dribbling of prostatic fluid agg. stools, emotions etc.
• Itching in prepuce.
• Sexual desire without erection.
• Impotence.

Iodum:

• Testicles swollen also indurated.
• Twisting in spermatic cord.
• Atrophy of testes; with loss of sexual power.
• Sarcocele
• Hydrocele

Medorrhinum:

• Heaviness of prostate; painful also enlarged, with frequent and painful urination.
• Impotency
• Prostration after seminal emission.
• Heaviness in perineum.
• Lastly, Persistent gleety yellow discharge.

Staphysagria:

• Persistently dwells on sexual subjects.
• Moreover, Sexual neurasthenia.
• Priapism
• Seminal emissions followed by great prostration.
• Dyspnoea, agg. during or after coition.
• In detail, Voluptuous itching of scrotum.
• Prostatitis, pain extends from anus to urethra.
• Soft humid excrescences behind corona glandis.
• Besides this, Enlarged prostate with piles.
• Orchitis; especially from mumps.
• Lastly, Atrophy of testicles.

Syphilinum:

• Nodular formation in testes, seprmatic cord also scrotum.
• Chancers
• Aching of genitals, cannot sit still. [5]

Diet & Regimen of Low Sperm Count

• A balanced diet which is rich in Vitamin C, B12, Zinc, and Omega-3 fatty acid will help to promote the production of sperms. If the balanced diet is not consumed in oligospermia then it will result in infertility.
• Do not consume alcohol.
• Quit smoking
• Eat anti-oxidant rich diet
• Get proper sleep
• Maintain ideal body weight
• Do exercise also increase physical body weight. [6]

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References use for Article Low Sperm Count

[1] DC Dutta’s Textbook of Gynecology (PDF Drive)

[2]Obstetrics_and_Gynecology__Sixth_Edition__Obstetrics_and_Gynecology__Beckman

[3] https://www.mayoclinic.org/diseases-conditions/low-sperm-count/symptomscauses/syc20374585

[4] Clinical_Gynecology

[5] PHATAK S. R., Materia Medica of Homeopathic Medicines

[6] https://www.planetayurveda.com/library/diet-chart-for-oligospermia/#:~:text=A%20balanced%20diet%20which%20is,it%20will%20result%20in%20infertility.

Frequently Asked Questions

What is Low Sperm Count?

Low Sperm count is also known as Oligospermia or Oligozoospermia. It is defined as sperm count is less than 20 million per ml.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Low Sperm Count?

• Aurum Metallicum
• Carbo Animalis
• Conium
• Iodum
• Medorrhinum
• Staphysagria
• Syphilinum

What causes Low Sperm Count?

• Genetic disorders
• Endocrine disorders
• Varicocele
• Infections
• Exposure to toxins, radiation, medications
• Genital tract obstruction

What are the symptoms of Low Sperm Count?

• Problems with sexual function
• Pain, swelling or a lump in the testicle area.
• Decreased facial or body hair