ivf center in indore - low sperm
                     Low Or Nil Sperm 
Count
Issues pertaining to sperm quality can 
be sole cause of infertility in 20-30% of 
infertility cases and contribute to 40- 
50% of cases of infertility overall.
Yaami Fertility & IVF Center
Yaami Fertility & IVF Center Indore is the one-stop solution for 
couples having issues with fertility We are practicing 
reproductive medicine for last 17 + years. We both are 
renowned names in training Infertility Specialist in Indore, India 
& abroad (UAE/UK/Africa). 
We are very proud to say that our success rates in terms of 
take home baby rates from 1 IVF-ICSI cycle has been in range 
of 70-80%, which is one of the best in the world considering the 
fact that these rates are in couples using their own eggs and 
sperms. 
Our Reproductive Medicine &
 IVF Specialist
Dr. Sankalp 
Dr. Swati Singh
Singh
MBBS, MS, MBBS, MD, DNB, FRM, 
MRCOG( London), FRM, DRM(Germany)
DRM(Germany)
Further evaluation when sperm 
count is low :
● 1 more repeat semen analysis as per WHO 2010 guidelines 
● Post-ejaculation urine analysis ( in few cases ) 
● USG scrotal & /or rectal – to assess testis & assessor male 
glands 
● Male hormones evaluation : Testosterone, FSH,LH, TSH, 
Prolactin 
● Specialized test -Sperm vitality ( to check is sperms are 
alive ) 
● Genetic test- karyotype , Y chromosome microdeletion 
● Parallel evaluation of wife for fertility status
Risk factors for low or nil sperm 
count include following:
● Cryptorchidism : testes not located in scrotal sac
● Testicular torsion
● Testicular trauma
● Genitourinary infections
● Exposure to environmental toxins.
● Cancer survivors – h/o chemo or radiotherapy
● Use of anabolic steroids
● Varicocele
● Smoking
● Obesity ,life style & environmental factors
● Many time no risk factor is found
Treatment options for men with 
very low sperm count or nil 
sperm:
● Men with hypo gonadotrophic hypogonadism can be 
treated with combined hormone therapy with HCG & 
FSH.
● Oral antioxidant therapy can be used
● Varicocele correction
● Treatment of MAGI – Male Accessory Gland Infectio
● Correction of life style factors , smoking cessation , 
weight reduction if obese.
● IUI can be done if sperm count increases above 5 M/ml
● ICSI with sperms in semen ejaculate if count does not 
improve above 5 M/ml
● ICSI with surgically retrieved sperms if azoospermia 
persists
Thanks!
Do you have any questions?
[email protected]
+91  078800 07281
https://yaamifertility.com/
3rd Floor, Vidyaraj Annexe, Basant Vihar, Near 
Satya Sai