Oligospermia

Oligospermia is a medical condition characterized by a low sperm count in the semen. It is a type of male infertility, where the individual has fewer than 15 million sperm per milliliter of semen.

Causes of Oligospermia

  • Hormonal imbalances: Abnormalities in hormone levels, such as low testosterone or high follicle-stimulating hormone (FSH) levels, can affect sperm production.
  • Varicocele: A varicocele is a swelling of the veins that drain the testicle, which can increase the temperature of the testicles and impair sperm production.
  • Infections: Certain infections, such as epididymitis or orchitis, can damage the reproductive organs and affect sperm count.
  • Blockages: Blockages in the epididymis or vas deferens can prevent sperm from being released during ejaculation.
  • Genetic disorders: Certain genetic disorders, such as Klinefelter syndrome, can affect sperm production.
  • Environmental factors: Exposure to certain environmental toxins, such as pesticides or heavy metals, can affect sperm count.
  • Lifestyle factors: Lifestyle factors, such as smoking, excessive alcohol consumption, and obesity, can also contribute to oligospermia.

Symptoms of Oligospermia

Men with oligospermia may not exhibit any noticeable symptoms. However, they may experience:

  • Difficulty conceiving a child
  • Low semen volume
  • Abnormal sperm morphology or motility

Diagnosis of Oligospermia

Oligospermia is typically diagnosed through a semen analysis, which involves:

  • Semen collection: A semen sample is collected and analyzed for sperm count, motility, and morphology.
  • Sperm count: The number of sperm per milliliter of semen is counted.
  • Sperm motility: The percentage of moving sperm is evaluated.
  • Sperm morphology: The shape and structure of the sperm are examined.

Treatment of Oligospermia

Treatment for oligospermia depends on the underlying cause. Options may include:

  • Hormone replacement therapy: To address hormonal imbalances.
  • Varicocele repair: Surgery to correct a varicocele.
  • Antibiotics: To treat infections.
  • Surgery: To correct blockages or other anatomical issues.
  • Assisted reproductive technologies (ART): Such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).
  • Lifestyle modifications: Quitting smoking, reducing alcohol consumption, and maintaining a healthy weight.

Prognosis of Oligospermia

The prognosis for oligospermia varies depending on the underlying cause and severity of the condition. With proper treatment, many men with oligospermia are able to conceive a child. However, in some cases, oligospermia may be a permanent condition, and alternative reproductive options may need to be explored.

Article last updated on: 4th May 2025.
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