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Oligozoospermia: Is Pregnancy Possible?


The term “oligozoospermia” means not a disease, but a disorder in the reproductive organs, characterized by a decrease in the number of spermatozoa in the ejaculate in relation to the standard value.

Spermatozoa are generated in the spermatogenic epithelium, forming one of the layers of the walls of the convoluted tubules of the testicles. It constantly occurs division and maturation of immature germ cells. In cases of inhibition of the function of spermatogenic epithelial cells, there is a decrease in the number and disruption of spermatozoa maturation.

Establishing diagnosis

Directly oligozoospermia can manifest itself as the only clinical symptom - it is a disorder of the reproductive function of a man. The diagnosis can be established only on the basis of the conclusion of a laboratory study on the quantitative and qualitative characteristics of sperm (spermogram) - its volume, color, viscosity and other physical characteristics, as well as motility, number and concentration of sperm cells, their morphological properties and viability, number of immature germ cells etc.

In order to validate the sperm, the study should be repeated (2-3 times) at two-week intervals. In preparation for testing, the patient should be informed about the possibilities of fluctuations in the concentration of sperm in the ejaculate within 15%, as well as that the semen is updated within 72 days.

Therefore, 2 months before the ejaculate is taken for analysis, it is advisable to exclude factors that adversely affect spermatogenesis — to stop smoking and taking alcoholic beverages, to avoid mental and physical fatigue, stressful situations, to observe the correct daily regimen and eat fully.

Interpretation of research results

A sperm is considered normal if 1 ml of ejaculate contains from 60 million to 150 million spermatozoa. Depending on their number, there are 4 degrees of violation:

  1. Oligozoospermia 1 degree, in which the number of sperm is 40-60 million
  2. Oligozoospermia 2 degrees - 20-40 million
  3. Oligozoospermia grade 3 - 5-20 million
  4. Oligozoospermia 4 degrees - less than 5 million.

Is it possible to get pregnant while having a partner with oligozoospermia?

According to medical statistics, the ability of men to fertilize decreases with the 1st degree of disturbances on average to 27%, with the 2nd degree - to 15, 5%, with the 3rd degree this figure does not exceed 3%, and with the 4th degree the probability of fertilization is virtually absent. However, the decrease in concentration can only be functional.

In accordance with the latest data of the World Health Organization, the content of 20 million spermatozoa per 1 ml of ejaculate is taken as the lower limit of normal. At this concentration, pregnancy is possible, but subject to the presence of such a concentration in 2 - 5 milliliters of ejaculate.

In addition, the high fertilizing ability of spermatozoa and the entry of enough of them into the egg cell, creating a “fertile pool”, are necessary. The latter provides the conditions for the introduction of one male germ cell in the egg. In the same cases, when the examined healthy woman doesn’t have a pregnancy, then, regardless of the degree, oligozoospermia is considered as pathological.

Causes of the pathological state of sperm

This pathology is divided into primary (congenital or acquired), caused by damage to the testicular tissue itself, and secondary, associated with dysfunction of the hypothalamic-pituitary system.

The congenital form of oligozoospermia is associated with developmental abnormalities that result from abnormalities in the structure of chromosomes. These anomalies include:

  • lack of testicles (anorchism),
  • retention of the testicle in the inguinal canal or abdominal cavity and its nondescension into the scrotum (cryptorchidism),
  • primary hormone-producing Leydig cells,
  • congenital varicose veins of the spermatic cord (varicocele).

Acquired form develops with:

  • injuries and acute or chronic inflammatory diseases of the urinary tract caused by a banal infection - orchitis (inflammation of the testicles, orchiepididymitis (inflammation of the testicle and epididymis),
  • chronic inflammatory diseases caused by infectious pathogens, sexually transmitted diseases (mycoplasma, chlamydia, etc.),
  • systematic overheating of the external genital tract,
  • acquired varicocele,
  • hepatic or renal failure,
  • violations of the innervation of the genital organs (tumors or damage to the spinal cord or spinal cord roots),
  • Malicious smoking, drug and alcohol addiction,
  • too frequent acts of ejaculation (with frequent sex, pollutions and masturbation),
  • hormonal dysfunction
  • hypovitaminosis and malnutrition (with systematic fasting and fasting diets),
  • excessive physical and psychological stress, frequent stressful situations,
  • chronic intoxication of the body with carbon dioxide, aerosols of salts of heavy metals (lead, mercury) and their derivatives,
  • taking anticancer drugs,
  • exposure to radioactive and x-ray radiation.

On other causes of male infertility, methods of diagnosis and treatment, read our previous article.

Treatment of oligozoospermia

In case of violation of the first degree, it is necessary to change the way of life, to normalize the mode of work and rest, to give up “bad” habits, to correct nutrition. The diet should include foods rich in proteins and vitamins (milk, fermented milk, meat and fish products, nuts, eggs), fresh garden greens (parsley, dill, celery, cilantro, etc.).

Also recommended are complexes of vitamins with micro and macro elements, preparations “Speroton” and “Prooxide Plus” (biological additives with L-carnitine, zinc, selenium, coenzyme Q10 and vitamins). In the presence of acute or chronic inflammatory processes of the urinary tract, anti-inflammatory therapy is prescribed using antibiotics and antibacterial drugs.

Treatment of folk remedies includes royal jelly (bee product) by? teaspoon (dissolve under the tongue on an empty stomach), infusion of seeds of wormwood (1 teaspoon per 1 cup of boiling water) 200 ml during the day for 3 months, decoction of rosehip berries.

Drugs for the treatment of second degree oligozoospermia:

  • Klostilbegit, Clomid, Serofen, Clomifen, characterized by anti-estrogenic properties,
  • antibiotics and antibacterial agents
  • hormone therapy with testosterone drugs (Metadren, Andriol, etc.),
  • androgenic and gonadotropic drugs (for hormonal disorders).

For cryptorchidism and varicocele, surgical treatment is recommended, and in the case of obstructive disorders, microsurgery, the effectiveness of which, however, is quite low, is recommended.

Oligozoospermia is often a transitional state from the functional and pathological decrease in the number of male germ cells to their complete absence in the ejaculate (azoospermia). Therefore, timely diagnosis and proper adequate treatment are very important.

What is oligozoospermia?

Oligozoospermia - a disease in which the number of spermatozoa suitable for conception is reduced in the ejaculate. For a successful conception, there must be a certain number of living and mobile male cells, a normal ratio of the liquid component and a minimum of defective cells. Otherwise, it will be difficult or impossible to get pregnant.

According to the norms of the Ministry of Health of the Russian Federation 60 million is considered the minimum number of spermatozoa in 1 ml of ejaculate. However, the World Health Organization gives more “sparing” criteria: it is believed that 20 million is enough for successful fertilization, but with a sufficient amount of ejaculate (2-5 ml) and its quality matching.

To answer the question of whether a pregnancy is possible with oligozoospermia, it is possible in part to ascertain the extent of the disease. In total there are 4 degrees:

  • 1 degree - 1 ml of seminal fluid contains at least 40 million live and motile spermatozoa. The probability of natural conception is about
  • 2 degree - 1 ml contains from 20 to 40 million sperms, which significantly reduces the chances of pregnancy. In this case, they are 15%,
  • 3 degree - from 5 to 20 million in 1 ml, the chances of conceiving naturally are extremely small and amount to about 3%,
  • 4 degree - up to 5 million sperm in 1 ml of ejaculate, which practically negates all attempts to get pregnant.

Obviously, oligozoospermia 2 degrees significantly reduces the chances of pregnancy, although this probability still exists. Moreover, in the early stages of the development of the disease, its cure is possible.

Causes of oligozoospermia

There are many reasons for the development of oligozoospermia. There are primary hypogonadism - the disease is caused by damage to the testicular tissue, and secondary hypogonadism - the disease is caused by disorders in the pituitary-hypothalamic system.

In primary hypogonadism, there are congenital and acquired causes of oligozoospermia. If in the first case a man could not affect his health, then he himself is most often to blame for the acquired causes.

Congenital causes include:

  • cryptorchidism
  • genetic pathologies,
  • anorchism (absence of testicles),
  • primary failure of Leydig cells.

Causes of oligozoospermia acquired during life:

  • sexually transmitted diseases
  • unhealthy lifestyle: smoking, alcohol abuse, drug addiction,
  • kidney and liver failure
  • avitaminosis, diet, malnutrition,
  • spinal cord injury
  • regular effects on the body of mercury, carbon dioxide, lead,
  • physical and mental stress,
  • frequent ejaculation (due to frequent sex, masturbation, or pollutions).

In secondary hypogonadism, there is a lack of hormones: luteinizing and follicle-stimulating (LH and FSH). These hormones stimulate Leydig cells, and they, in turn, are responsible for the production of testosterone. Together with a decrease in LH and FSH, the production of testosterone, a hormone responsible for spermatogenesis, is also reduced, and at the same time androgenic insufficiency is formed.

Preparation for analyzes

Oligozoospermia is an insidious disease that doesn’t manifest itself until the couple decides to acquire offspring. And only after unsuccessful attempts to get pregnant, when the husband and wife begin to undergo tests, undergo tests, then this disease is detected. To identify it is enough to make a spermogram. But first you need to carefully prepare.

Before taking the semen it is necessary to adhere to a healthy lifestyle for two months. This is important, since the sperm is fully updated in 72 days, and in order to get the most accurate picture, you need to follow some rules:

  1. Eliminate alcohol and tobacco,
  2. Eat right: eat more protein and vitamin foods.

A few days before the analysis:

  1. Do not use baths and saunas,
  2. Refrain from sexual intercourse.

Spermogram will have to pass twice, with a break of two weeks. This is necessary to obtain the most accurate result, since the indicators can vary by 10-15%.

Important! If a couple is planning a pregnancy, then it is necessary to treat oligozoospermia, even if it is in stage 1. The disease tends to progress. Moreover, oligozoospermia is a transitional variant to azoospermia, a disease in which spermatozoa are completely absent in the ejaculate.

Treatment according to the degree of the disease

In the non-running case, namely with the initial degree of oligozoospermia, it is enough to adhere to a healthy lifestyle: balance the diet, give up bad habits, eliminate stress and overwork.

Overheating and overcooling of the reproductive organs also adversely affect the male cells, so you should refrain from visiting the sauna, bath, taking hot baths.

The diet should include protein foods, nuts, dried fruits, honey, seafood, greens. This is enough to return spermogram values ​​to normal and the diagnosis is no longer an obstacle to pregnancy.

If the degree of the disease is 2, then healthy habits are indispensable. Depending on the causes of this pathology, hormone therapy, antibiotics, stimulating therapy, increasing the number of male cells are prescribed.

With hormone therapy, drugs of testosterone, androgens, gonadotropins and antiestrogens are used. In some cases, surgery may be required.

Additionally, vitamins and dietary supplements, physiotherapy, and testicular massage can be prescribed.

The most difficult and intractable treatment are 3 and 4 degrees of the disease. Most often, getting pregnant naturally is impossible. But this is no reason to despair: modern medicine has learned to cope with this disease. ART will come to the rescue - assisted reproductive technology. There are several methods most effective in oligozoospermia:

  • IVF (in vitro fertilization - fertilization occurs outside the woman’s body, and then the embryo is transferred to the uterus),
  • artificial insemination (a procedure in which, using a special device, the husband’s sperm is inserted into the uterus),
  • ICSI
  • insemination with donor sperm - is used in extreme cases, with the consent of both spouses.

The ICSI procedure (intracytoplasmic injection of a sperm cell into an egg cell) gives the most positive result. This method implies the “forced” fertilization of an egg cell by a pre-selected viable sperm cell. The advantage of this method is that only one spermatozoon is needed to fertilize one egg. Therefore, even a man with 4 degrees of oligozoospermia has chances of becoming a father.

What is oligozoospermia

Oligozoospermia is a disease that is characterized by a decrease in the number of sperm in the ejaculate. The diagnosis is established if less than twenty million sperm cells are detected in 1 ml of seminal fluid (WHO sets the standard).

It is believed that for a high chance of fertilization of an egg, at least 40 million viable spermatozoa are needed, and the rate is considered to be from 60 to 150 million.

In the early 1990s, the diagnosis was made if the minimum sperm count in sperm was 60 million, but after more extensive research, the figure was reduced to 20 million, and in some European countries oligozoospermia is said to have a figure of 10 million.

Degree of disease progression

Despite the fact that sperm standards in 1 ml of ejaculate have decreased significantly in recent years, urologists use standards approved at the end of the 20th century in order to assess the degree of progression of pathology:

  • 1 degree oligozoospermia it is established if the number of spermatozoa is 40–60 million. Quite often, this indicator implies making a diagnosis of normozoospermia — that is, the number of spermatozoa gives a great chance to conceive a child — 30%.
  • Second degree indicator is 20−40 million, the chance to conceive a baby is 15%,
  • 3 degree pathology is characterized by a figure of 6−15 million, unfortunately, the chance to conceive a child does not exceed 2.9%,
  • If the number of germ cells is less than 5 million, then they talk about 4 degrees of oligozoospermiaUnfortunately, the chance to conceive a child is less than 0.5%.


It is impossible to diagnose oligozoospermia only after the examination; it is necessary to conduct a number of research procedures. A prerequisite is to conduct spermogram, which allows you to set the qualitative and quantitative indicators of seminal fluid.

Spermogram allows you to set the viscosity of sperm, its color, as well as mobility, the number and concentration of sperm cells their viability.

The procedure for obtaining reliable information is carried out at least two or three times, between which there should be an interval of 10-14 days. On the eve of the procedure can not visit the bath or sauna, drink alcohol to refrain from sex. It is best to conduct all studies in the same clinic to avoid differences in performance due to different equipment.

Oligozoospermia can be of two types: primary - congenital and secondary - acquired, each type has its own causes.

The main factors causing the occurrence of congenital abnormalities are:

  • testicular dysfunction
  • lack of Leyding cells, which are responsible for the production of testosterone,
  • lack of testicles,
  • cryptorchidism.

The factors causing a secondary form of pathology are much more:

  • chronic inflammatory diseases of the genital organs,
  • infectious diseases of the sexual sphere,
  • hereditary factor
  • varicocele,

  • cancer pathology of the genital organs,
  • endocrine system diseases
  • alcoholism and drug addiction
  • smoking,
  • hypogonadism,
  • genitourinary trauma,
  • regular overheating of the genitals,
  • renal failure
  • stresses
  • too much exercise
  • heavy metal intoxication,
  • radiation,
  • avitaminosis,
  • spinal cord neoplasms
  • starvation,
  • too frequent sexual acts and masturbation,
  • chemotherapy,
  • overweight,
  • regular sleep deprivation,
  • complications from the flu.

There are no obvious symptoms in pathology. Reducing the number of sperm does not affect the erectile function and physical discomfort does not deliver. A man will learn about his pathology only after a spermogram, when a couple undergoes an examination after unsuccessful attempts to conceive a child.

What is the probability of becoming pregnant with oligozoospermia

According to medical statistics, if a man was diagnosed with oligozoospermia of 1 degree, then the chances of conceiving a baby in a natural way are about 30–35%, the second degree of the disease noticeably reduces these chances to 15–20%. The third degree of pathology allows only 3 men out of 100 to conceive a child in a natural way. The fourth stage of pathology leaves little to chance to conceive a baby without the help of doctors.

Despite the fact that the lower limit of the norm is 20 million spermatozoa per 1 ml of ejaculate, the amount of sperm is also important, so the chance to conceive a baby with such a number of spermatozoa is only if the amount of seminal fluid during ejaculation is at least 3 milliliters.

The chances of conception are increased under the condition of the high fertilizing ability of sperm cells and their entry into the egg in sufficient quantities - the "fertile pool" - thus, favorable conditions are created for the introduction of the male sex cell into the female one.

Treatment of the disease: drug method

As a rule, the first degree of the disease does not need therapy; it is enough to give up alcohol and smoking, to rest more, to adjust the diet. In the diet should be foods rich in protein and vitamins: fish, meat, nuts, milk and greens

For the correction of pathology it is necessary to take vitamin complexes, which include:

If a man has been diagnosed with inflammatory diseases, then antibiotic therapy is necessary.

For the treatment of the second degree of pathology used drug therapy:

  • anti-estrogen drugs - Clomid, Serofen, Clomifen,
  • antibacterial agents - Ceftriaxone, Gentamicin, Doxycycline,
  • hormonal testosterone drugs - Androzhel, Nuvir,
  • androgenic and gonadotropic drugs - Anandron, Nebido.

In each case, the therapy is selected individually for a man after identifying the cause of the disease.

What will help bring conception: the Synergin vitamins, for what they prescribe and how to take them?

Whether the pre-ejaculant can lead to pregnancy can be found in this publication.

Other problem solving methods

If a man has a grade 3 or 4, then in addition to drug therapy, other methods of treatment of oligozoospermia can be used.

So with cryptorchidism and varicocele, surgical treatment is necessary, sometimes microsurgical operations are used, but unfortunately, the effectiveness of such procedures is extremely low.

Stimulation can be used to improve spermatogenesis, for which laser exposure to the male genital organs, transrectal electrical stimulation and LOD-therapy can be performed.

If traditional methods of treatment have not yielded any results, then the use of Assistive Reproductive Technologies, IVF and ICSI is suggested, these methods allow you to conceive a child even at the lowest rates of spermatozoa.

About the causes of male infertility in a video interview with a doctor:

What are the causes of the disease?

In order for sperm quality to deteriorate, there must be a good reason. It may be:

  • Pathology at the genetic level
  • Inflammatory process of the genitourinary system
  • Trauma to the penis or testicles
  • Hormonal imbalance
  • The presence of infections or inflammation
  • Nervous shocks
  • Promiscuous sex life
  • Weight problems
  • Advanced age

What are the symptoms of the disease

Unfortunately, it is hardly possible to suspect the presence of this disease. Doctors diagnose oligozoospermia only if the patient independently decides to take a semen analysis. This analysis is necessary in order to identify the number of capable sperm in the fresh biomaterial and analyze its general condition.

Normally, men should have at least 3-5 ml of semen during ejaculation. In the presence of oligozoospermia, the indicator drops to a level of 1-1.5 ml.

Treatment of the disease

After the cause of oligozoospermia has been clarified, an adequate treatment is prescribed by a doctor, which should increase your chances of pregnancy. It should be aimed at eliminating inflammation, combating infectious pathogens, restoring hormonal levels, and so on. In addition, it is recommended to use drugs that contribute to improving the quality of sperm, the so-called "male vitamins." Recently, the homeopathic remedy Speman has proven itself well. It is not excluded, as an auxiliary therapy, to turn to folk remedies.

It should be said that the diagnosis can not be made only by one analysis. If 2 or 3 semen confirm the fact that the quality of sperm is changed for the worse, only then the diagnosis of oligozoospermia is considered confirmed. In addition, there are cases when, in addition to the main disease, asthenozoospermia, azoospermia, and other pathological changes in the seed secretion of a man are detected. The fact is that many processes in men can be asymptomatic, including inflammation, infections and others.

Treatment of oligozoospermia will depend directly on the degree of neglect of the disease:

  • First degree - general recommendations of the doctor, refusal of junk food, adequate rest, diet,
  • Second degree - prescribed therapy with the use of hormones, most often prescribed testosterone.

Separately, it is necessary to say about surgical intervention. It is not excluded if the occurrence of oligozoospermia is caused by disturbances in the physical structure of the male reproductive system.

What are the chances of getting pregnant with oligozoospermia

If measures to stop the oligozoospermia were taken on time and no irreversible effects occurred, the probability of conceiving a child naturally remains. But you need to understand that they are minimal, if you let the disease take its course. After all, a decrease in the amount of secreted sperm during ejaculation directly proportional to your chances of having children.

Besides the fact that there are fewer live and active sperm, even those capable of fertilization are unlikely to be able to reach their intended goal. This is explained by the fact that a small volume of ejaculate will not be able to neutralize the increased acidity in the vagina and sperm will die.

What it is?

Oligozoospermia is often referred to as oligospermia, considering the second type. There is a difference between these two names, but, as a rule, both phenomena mean the same problem. Oligospermia - a decrease in the number of ejaculate, and oligozoospermia - a decrease in the concentration of spermatozoa in the seminal fluid. Most often, these phenomena are directly interrelated, but there may be exceptions in which a decrease in the number of germ cells in the seminal fluid is recorded in the normal volume of sperm.

According to WHO, which are designed to assess the criteria and indicators of semen, in 1 milliliter of sperm in a healthy man should be at least 15-40 million sperm. Downward deviations from these values ​​are a reason for establishing the diagnosis of “oligozoospermia”.

Extent of the disease

Depending on the specific decrease in the concentration of germ cells in the ejaculate four degrees of oligozoospermia are distinguished:

  • 1 degree - the presence in 1 ml of seminal fluid less than 15 million cells,
  • 2 degree - the concentration of sperm in 1 milliliter of sperm - 10-12 million,
  • Grade 3 - 5-10 million germ cells in 1 ml of sperm,
  • 4 degree - less than 5 million sperm per milliliter.

The greater the severity of the disease, the more difficult it is for a couple to become pregnant naturally.


The reasons for which sperm cells may be less than the norm, there are many. All of them are divided into two large groups: congenital causes and acquired. Congenital medics include cryptorchidism, congenital absence of one testicle, varicocele, congenital insufficiency of testosterone production, which is directly involved in the synthesis of germ cells.

Much more common causes of the acquired nature. These are primarily the consequences of "stormy youth": latent sexually transmitted infections, which a man may not even guess for years, as well as venereal diseases he had suffered. Not the last place is occupied by bacterial and viral diseases of the urinary tract, especially herpesvirus of the second type, as well as chronic and "neglected" diseases.

All men in their youth loved to fight. Then, few of them thought that injuries that could cause blows "below the belt" could trigger pathological processes, which would certainly affect later on the composition and quality of sperm. Mechanical injury is possible during horse riding or cycling.

Hormonal causes are also widespread among men, especially among those engaged in professional strength sports and fitness. Many take anabolic steroids for more impressive athletic performance.

Often, oligozoospermia is diagnosed in men who abuse alcohol, drugs and tobacco. Adverse factors can also affect men’s health: radiation, exposure to toxins, contact with heavy metal salts and pesticides.

A special place among the causes of oligozoospermia is the nervous factor. Due to severe stress, every fifth man with this diagnosis develops the disease.

The development of pathology contribute to kidney and liver failure, overweight and obesity, a sedentary lifestyle. Also, overheating of the testicles can be reflected in the number of spermatozoa, so lovers often take a steam bath, visit the sauna or drive in a car with the electric heating of the seats often turn out to be patients of reproductive physicians.

Improper diet, in which the man in the diet does not have enough protein foods, can also be the cause of oligozoospermia. A bad habit can be served by a fast food raid: there are many dyes and preservatives in this food that have a destructive effect on the male sex cells, inhibiting their formation and growth.

It is not always possible to establish the reason, and then people talk about idiopathic male infertility.

Chances of pregnancy

With such a pathology as oligozoospermia, one can become pregnant independently without the intervention of reproduction specialists, but The chances of conceiving naturally depend on the degree of affliction. If a man has a disease of the first degree, the chances of conception in each menstrual cycle, provided that sex occurs at a favorable time for conception, are about 26%.

The possibility of fertilization in the second degree of oligozoospermia is estimated at about 15%. At the third degree, the chances are significantly lower - only 2.7%. And at the fourth stage of the disease the chances tend to zero.

Treatment, if it is started in a timely manner, helps more than 95% of men with oligozoospermia to become fathers. To cure this disease is quite possible, if you have patience and approach the issue with full responsibility.

Treat oligozoospermia with the obligatory account of the true cause that caused it. If this is an infectious disease, the man is being treated with antibiotics, antiviral medicines are prescribed for viral infection, as well as drugs to strengthen the immune system. Varicocele is treated surgically - after the surgery, the problem is completely solved.

For men who have reproductive health problems caused by chronic stress, visits to the therapist, vacation, sea, fruit, massage and light herbal preparations with a sedative effect are recommended. Perhaps it makes sense to change jobs or move from the city to a secluded house in the country.

For hormonal disorders, the endocrinologist will prescribe a treatment regimen. It will depend on what kind of hormones are not enough, and which are present in excess. With obesity, sometimes it is enough just to lose weight. Most of the causes of the disease can be successfully treated.

All men are recommended alternation of work and rest, the absence of excessive physical exertion, but a fairly active lifestyle, in which a man can maintain himself in a normal physical form. In addition to the main treatment aimed at eliminating the cause, supplements are prescribed, such as Viardot, Spermaktin, as well as vitamins A, E, C, folic acid, preparations containing zinc and selenium.

A man is not recommended to take hot baths for a long time, to visit baths and saunas, to wear tight fitting linen and tight pants.

The effectiveness of treatment, as well as its duration depends on the degree of the disease. With first-degree oligozoospermia, it is enough to simply eliminate stress, adjust nutrition, take vitamins and drugs to improve sperm quality.

In the second degree of the disease without drugs that improve spermatogenesis, not enough. Treatment is usually long - at least six months. In the third degree, therapy is usually even longer.

Treatment of folk remedies

If a man does not have an allergy to bee products, then bee's royal jelly will help him in the difficult task of combating oligozoospermia. It is taken on an empty stomach by teaspoon per day. Since ancient times, wormwood has been considered the great "helper" of the male population. A water extract is prepared from its seeds, which a man should take during the day in small portions.

The quality of sperm improves markedly from the systematic daily use of dogrose broth. It is made from berries and given to a man 2 tablespoons 3 times a day. Well proven and a decoction of sage.

However, it should be understood that treating such a serious problem with folk remedies alone is unwise. But the advice of traditional medicine, time-tested, may well complement the treatment prescribed by the doctor.

It is not necessary to remind that the desire to accept such broths should be previously coordinated with the attending doctor.

Degrees of oligozoospermia

There are 3 degrees of the disease. They differ in the number of sperm per 1 ml of seminal fluid:

  • 1 degree - from 10 to 20 million sperm,
  • 2 degree - from 5 to 10 million spermatozoa,
  • Grade 3 - less than 5 million

To clarify the diagnosis, the doctor may prescribe additional tests:

  • blood test for hormones
  • analysis for STIs, bak. seeding prostate juice and sperm, if there is an inflammatory process,
  • ultrasound scrotum and prostate.

When diagnosing oligospermia, treatment is prescribed. To achieve a positive result is quite realistic. For a favorable outcome will require a considerable amount of time.

A course of taking the drugs will be prescribed, medical procedures will be prescribed, periodically it will be necessary to take control tests to monitor the dynamics and, if necessary, make adjustments to the prescribed treatment.

The doctor will give recommendations on nutrition, lifestyle and sexual intercourse with a partner. To the advice of a doctor should carefully listen and carefully follow them. This will play a huge role in the treatment of oligozoospermia.

With unsuccessful conservative treatment, an operative method of treatment can be applied. With its use, the number of sperm cells increases, which on average increases the chance of natural conception by about 15%.

Oligozoospermia and pregnancy

Unfortunately, this disease is often the cause of male infertility. But at any stage of oligozoospermia there are still chances for natural fertilization. But most often for the conception of the child applies IVF and ICSI. Perhaps the use of donor sperm.

Decipher your semen with our calculator:

Oligozoospermia: definition

The impossibility of a woman to become pregnant in 20% of cases is due to oligosospermia - a decrease in the number of spermatozoa in the ejaculate.

This condition may be accompanied by a decrease in motility and viability of existing sperm. This disease in men is a common cause of infertility and childlessness of the couple, provided that the woman is completely healthy and capable of pregnancy.

Effect of oligoasthenozoospermia on pregnancy

To perform its reproductive function, a man needs to produce a sufficient amount of sperm with motility, otherwise they will not have a chance to reach the fallopian tube and egg.

Is it possible to get pregnant

The chances of conceiving a child are directly dependent on the degree of oligoosospermia and the mobility of the existing sperm. The smaller the number of germ cells in the ejaculate, the lower the chance of performing fertilization. Если мужчине поставлен диагноз олигоозоспермия, вероятность зачать ребенка остается. При первой степени около 30% попыток могут увенчаться успехом, при второй – 10-15%, при третьей и четвертой – вероятность не более 2,7%.

Когда забеременеть нельзя

Sometimes the situation is more complicated: a low concentration of germ cells in the seminal fluid is combined with their inactivity.

This condition is called oligoasthenoospermia and worsens the prognosis. With a low number of sperm and their lack of mobility, the chances of pregnancy tend to zero.

What to do to get pregnant

If a man is examined and causes of oligoosospermia are identified, treatment is prescribed. There are often situations where it is enough for a man to normalize his lifestyle, and the reproductive function is restored independently. You should follow these rules:

  • stop smoking and taking alcohol
  • balance diet
  • eliminate excessive exercise
  • avoid overheating of the groin area, do not use saunas and baths,
  • wear loose underwear,
  • normalize the day regimen, establish sleep

If the causes of the disease require treatment, it is prescribed by a doctor, with the obligatory subsequent delivery of a repeated spermogram. It takes 2-3 studies with a break of 2-3 weeks. These actions increase the chances of conceiving a baby.


Doctors are alarmed: over the past decade, the number of men diagnosed with oligozoospermia has doubled. A common factor that provokes a change in ejaculate is a postponed infection that affects the urogenital organs (chlamydia, urethritis, etc.).

Oligozoospermia acts as a transitional stage from the pathological condition of a reduced number of spermatozoa to their complete absence in the composition of seminal fluid. Therefore, early diagnosis and proper treatment are important here.