For The Man With Sperm Issues: How To Get Your Wife Pregnant

There are many men battling sperm problems such as low sperm count, quality, motility and watery sperm, such men are often looking for home remedies but most times it doesn't work and that's because most cases of sperm abnormalities are genetic.

If the sperm issue is genetic, there's no other way to correct it than to introduce reproductive measures that'll help increase their fertility. Usually, either intrauterine insemination or in-vitro fertilization is their best bet.

Also, ovarian stimulation combined with IUI (intrauterine insemination) can be used to successfully treat infertility caused by mild or moderate sperm abnormalities.

But if the sperm abnormality is caused by hormonal deficiency, it can be treated with medications although abnormalities caused by hormones is quite rare.

Varicocele ligation

A varicocele is an abnormal tortuosity and dilation of veins of panpiniform plexus within the spermatic cord. If there is a varicocele, it can be surgically treated - which might help fertility in some cases.

However, well controlled studies of surgery vs. no surgery have failed to consistently demonstrate increased pregnancy rates with surgical correction. Some studies have shown better pregnancy rates after surgery, but other studies have shown lower pregnancy rates following surgery.

Can using Clomid (Clomiphene citrate) help sperm abnormality?

Mild sperm abnormalities can be treated with clomid (tablets) to help improve semen, according to published medical literature, clomid for males have been found to help improve sperm count and motility. Although, other studies have shown no increase in pregnancy rates.

A "double blind" study (World Health Organization study, published in the International Journal of Andrology, 1992) of 190 couples, gave clomiphene or placebo ("sugar pills) to men with abnormal semen parameters. The men took either clomiphene or placebo for 6 months. Pregnancy rates were not increased with clomiphene:

  • 8.1% pregnant in clomiphene group
  • 11.7% pregnant in placebo group

Fertility treatment options 

Below are the fertility options for men with sperm abnormalities

For mild to moderately low sperm counts and/or motility:

  • Inseminations for about 3 months
  • Then consider IVF with ICSI if not pregnant

For Severely low counts and/or motility:

  • IVF with ICSI (Intracytoplasmic Sperm Injection)

Moderate sperm abnormalities can be treated with IUI but most times, they will require in-vitro fertilization (IVF) in order to conceive.

A man with severe sperm abnormalities will however require IVF with intracytoplasmic sperm injection (ICSI) or donor sperm insemination depending on your preference.

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