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Does low sperm count always mean IVF, or can lifestyle changes help?

1 month ago

If a semen analysis shows low sperm count or poor motility, does it always mean we will need IVF or ICSI? Are there any genuine lifestyle changes or medications that can significantly improve sperm quality within a few months?

Asked By Mayank Sharma | Female | Age 35

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1 month ago

Answers (1)

Dr. Ila Gupta

MBBS, MS-Obs & Gynae | Chief Consultant – IVF & Fertility Sciences | 33 Years Experience Overall

Answered 25/10/2025

Not every abnormal semen report means IVF is the automatic next step. Mild to moderate sperm issues can improve with lifestyle changes like avoiding heat exposure, reducing stress, quitting smoking, managing weight, and improving sleep.

Antioxidant supplements and medications can also help improve motility and morphology. Improvement usually takes around three months because that’s how long a new sperm cycle takes.

If the numbers remain very low despite these measures, then ICSI is usually recommended because it bypasses the need for a high sperm count and motility.

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