Male Fertility
Low Sperm Count: Causes and Treatment
Oligospermia has many potential causes. A structured workup guides whether observation, medical care, or further intervention is appropriate.
By Prof. Dr. Asif Baloch · 2026-04-18 · 6 min read
A low sperm count (oligospermia) is diagnosed on semen analysis and should usually be confirmed with a repeat test under proper collection conditions. Causes may be reversible or require longer-term planning with a male infertility specialist.
Avoid self-medicating with unverified supplements before assessment. Bring both semen reports to your consultation in Lahore so findings can be interpreted together with history and examination.
Common contributors
Varicocele, hormonal imbalance, recent fever or illness, smoking, obesity, heat exposure, certain medications, prior infections, and idiopathic factors can all reduce count. Morphology and motility matter as well as the number of sperm.
Treatment direction
Treatment may focus on correcting reversible factors, medical therapy where indicated, procedural options in selected men, or timely referral for assisted reproduction when that offers the best chance of success. Your plan depends on the full clinical picture — not a single lab number.