Men's inability to cause pregnancy in fertile women is referred as Male Infertility and the prime reason for this is deficiencies in the semen.



Defect in the sperm production process in the male’s testes is the major cause of male infertility and this problem is reported in about two thirds of infertile men. This can be divided into


In this condition there are fewer sperm cells in the ejaculate than normal. Oligospermia is generally defined as less than 20 million spermatozoa per one ml of ejaculate. Few decades before according to WHO standards, normal sperm count was considered to be 50 million / ml which has been changed today to 20 million /ml.

Low Sperm Motility:also called as Asthenospermia As per World Health Organization (WHO) the Motility of the sperm is divided into

  • Grade A (fast progressive) – sperms swim fast forward in a straight line.
  • Grade B (slow progressive) - sperm swim forward, but in non-linear motion.
  • Grade C (non progressive)- sperms move their tails with no forward movements.
  • Grade D (immotile)- sperms do not move at all. Grade C and Grade D sperms are considered poor.
  • Grade A motility should be minimum 30 % or above and total motility which means A + B, should be more than 50% for higher chances of conception.


Blockages (often referred to as obstructions) in the tubes leading the sperm away from the testes to the penis can cause a complete lack of sperm in the ejaculated semen. These blockages are calcified sperm deposits, or healed and calcified cysts from infections and this can be detected with Ultra Sound Scan of the Testis. A Herbo Mineral Ayurveda Medicine can effectively clear the blockages within 3 months of treatment without undergoing any surgeries. Sperm antibodies: In some men, sperm antibodies get developed in the sperm or in the blood that reduce sperm movement and block egg binding thereby hindering fertilisation. Herbo Mineral Ayurveda Medicines can effectively treat Sperm antibodies and enhance the chances of conception.
SPERM ANTIBODIES: In some men, sperm antibodies get developed in the sperm or in the blood that reduce sperm movement and block egg binding thereby hindering fertilisation. Herbo Mineral Ayurveda Medicines can effectively treat Sperm antibodies and enhance the chances of conception. Generally the more the total number of sperm the better the fertility and that’s the reason we still believe that total sperm count should be 50 million/ml, and not 20 million/ml. Many times its seen that total sperm count of 10 - 15 million with 15 to 20 % motility, fail to make conception and such individuals are forced to undergo assisted reproductive techniques like IVF (In Vitro Fertilisation) and ICSI (Intra Cytoplasmic Sperm Injection ) rather than giving them any treatment because allopathic medicines tends to be ineffective.

There is another propaganda for reducing the total sperm count to 20 million/ml is for the excessive use of Assisted Reproductive Techniques (ART) like IVF and ICSI adopted in large scale today by majority of hospitals as the first line of treatment for Infertility. ART like IVF and ICSI has become a hot selling cake in the market with huge business potential, and couples have been considered as subjects to carry our various experiments, and as potential clients.

Globally and especially in India now, these techniques are becoming the first line of treatment which is ethically and medically not acceptable. There is no law or governing body to regulate ART treatments today in India and that’s the reason it has been miss used by all major hospitals. We strongly condemn this and hope soon a medical bill for governing the ART treatments are passed in India. When a man with low sperm count and with low motility, repeatedly fails to induce conception, instead of analyzing the real cause for Infertility, ART techniques are adopted and advised in large scale to even younger couples by which they end up in paying huge hospital bills along with life threatening side effects. This is the scenario of a man with low sperm count, therefore what will be the scenario of a man with 0 sperm count and motility. They are like hot selling cake for ART hospitals.

When the Male factor is prime reason for their Infertility and instead of treating the MALE factor, when ART is used, the normal healthy female also have to undergo unnecessary hormonal injections, to boost her egg production which allopath call as Super Ovulation by inducing more than 20 to 30 eggs in one cycle, and when such hormonal injections are given in normal females, they unnecessarily and forcefully are used as experimental subjects and after injecting such hormones the natural equilibrium of the body gets severely hampered with serious and life threatening side effects like Ovarian hyper stimulation syndrome. Here couples should understand that a normal healthy female releases only one egg per her menstrual cycle and if ART treatments are used they artificially generate more than 20 to 30 eggs, therefore by logic one can think that when just one egg gets released per cycle naturally, how can the body be induced to release 20 to 30 eggs ? And if that is done artificially by giving dangerously high dose of hormones can our body create such eggs with good quality? Which is suitably for conception? After generating such huge amount of eggs, the healthiest and matured egg is taken for the procedure. Sounds logical but impractical, Here one question arises, when the natural equilibrium of the ovaries are disturbed and which is artificially made to produce such huge quantity of eggs, will the ovary produces mature and healthy egg for conception to take place? Even if the matured egg is artificially induced will this egg match with the egg which a female produces naturally? Here one theory states that the fertility drugs which stimulate egg production can lead to poorer quality eggs, which nature would usually weed out. By this we can rationalize the success rate of such ART treatment.

Egg retrieval is again a surgically done procedure; therefore it’s like putting a normal healthy female to unnecessary investigations, procedures, surgical interventions and physical and mental suffering. By inducing the normal healthy female for such higher production of eggs, chances for ovarian cancer, uterine cancer, and cervical cancer are high. Another side effect of inducing such high number of eggs is hormone oestrogen gets excessively produced in the body leading to high chance of breast cancer. Many breast cancers have proteins called oestrogen receptors on the surface of their cells. Oestrogen attaches itself to the receptors and makes the cancer cells grow and divide. Because infertility drugs stimulate the ovaries to produce oestrogen, it seems to increase the person's susceptibility to breast cancer. Thus putting your loved one to the risk of Cancer is highly not acceptable. Even if the conception takes place by ART, there are high chances for severe complications in pregnancy which can end in spontaneous abortion, miscarriage, ectopic pregnancy, multiple birth like twins triplet and more which has highest risk in pregnancy which lands up the female in hospital for the entire period of pregnancy with physical and mental trauma along with exorbitant hospital bills. Therefore first suffer the mental and physical trauma of ART treatments then suffer the entire period of pregnancy if the conception takes place. It’s like spending a major chunk of your livelihood and income in such artificial treatment. Thus manipulation of the egg, sperm and embryo outside of the human body is still a big question whether it will lead to a normal healthily pregnancy and a healthy normal baby.


Serious Congenital Birth defects, genetic diseases, Autism and IVF makes children more vulnerable to certain cognitive or mental retardation and brain developmental defects. Couples are warned an IVF pregnancy increases the risk of birth defects by up to 30 per cent according to latest research. It means that the one in six couples estimated to be infertile will have to balance their desire for a child against concerns that IVF methods could lead to life-threatening defects or long-term disabilities. The scientists from the U.S. Centres for Disease Control and Prevention in Atlanta looked at more than 13,500 births and a further 5,000 control cases using data from the National Birth Defects Prevention Study. They found that IVF babies suffer from a range of conditions, including heart valve defects, cleft lip and palate, and digestive system abnormalities due to the bowel or oesophagus failing to form properly, birth defects including genital and urological abnormalities, kidney problems and deformities of the stomach and intestines were also reported. In addition, IVF babies have a small but increased risk of rare genetic disorders including Angelman Syndrome, which leads to delays in development, and Beckwith-Wiedemann Syndrome, which can lead to a hole in the abdomen and learning diffculties. IVF specialist Richard Kennedy, of the British Fertility Society, said: 'We have known for some time that there is a slightly increased risk of abnormalities for all IVF treatments, not just ICSI. Josephine Quintavalle, of the campaign group Comment on Reproductive Ethics, said: 'IVF should never be the first port of call for someone trying to conceive and we need a lot more money to go into research to help restore fertility for natural conception. Code of practice says that clinicians must tell patients about the possible side effects and risks of treatment, including any risks for the child which most of the time is not followed today.

A word of caution for Males with low sperm count and motility undergoing ICSI

ICSI adopts various surgical and micro surgical methods to extract sperm either from epididymis or from the testis. Now when such surgical and micro surgical procedures are done, there is significant and permanent damage to the testicular cells.


  1. SEMINEFEROUS TUBULES: where the sperms are produced through the process of Spermatogenesis.
  2. LEYDIG CELLS:which are very important for production Male Sex hormone testosterone. Testosterone plays very crucial role in sexual desire, erection, and is responsible for other manly characters. It is also responsible in sperm production.
  3. SERTOLI CELLS:These cells are also very important and work as supporting cells in the process of spermatogenesis and also secret important hormone and work as hormone regulation from the pituitary and hypothalamus for optimum spermatogenesis.

    When various surgical and micro surgical methods are done for the extraction of the sperm in an attempt to procure the sperm, there are high chances of injury to the nearby surrounding cells like Leydig cells and Sertoli cells leading to scarring of these tissues, and ultimately causing atrophy to the testis. Testicular size gets reduced drastically and when the Leydig cells are injured, then the release of important Male sex hormone testosterone gets severely hampered leading to severe loss of libido, Erectile Dysfunction and complete failure in sexual performance. The process of sperm production gets hampered permanently worsening Infertility. Thus Males with low sperm count and motility should never undergo ICSI procedures and should only look for genuine result oriented medical treatment.

    Now an important question arises in common mans mind, why is that he is forced to undergo IVF AND ICSI treatment if his sperm count and motility is low. Why is he not given a good medical management? The answer for this is Allopathic system of medicine does not have any direct and successful medicine till date to counter the problem of Male Sperm count, Motility and other parameters. Generally used medicines in allopathy is clomiphene, HMG and HCG ,Proxeed, testosterone, Vitamin E, Vitamin C, anti-oxidants, high-protein diets, grape seed extract based multivitamin, folic acid, zinc based multivitamin, ARGININE , CARNITINE ETC, which are just supplements and not effective medicines. Generally these medicines are prescribed initially to the Man who is suffering from low sperm count and motility for 3 months, and after taking these medicines for 3 months majority of individuals do not respond positively, and when they approach the doctor again, they commonly say, see there is no improvement with medicine, so let’s go for ICSI and IVF. No allopath or Infertility specialist openly says that, there is no effective medicine today for Male Infertility because they fear they will lose a potential client for IVF treatments. Majority of IVF clinic today, advertise as, don’t go for any medicine or don’t consult any urologist or Infertility specialist who is giving you all these kind of Multi vitamin based medicines, because it’s not going to work in you and you are wasting your precious time, just go directly for IVF and ICSI. This is the propaganda of one such famous IVF clinic.


ICSI (Intra Cytoplasmic Sperm Injection which means extracting the sperm from the testis surgically and injecting the sperm directly into the egg in the lab. When a man produces very few sperm or no sperms at all, generally ICSI is advised instead of IVF, because when the total sperm is very low it cannot fertilize the egg in the lab when the sperm and the egg is placed in the dish for conception to take place. Therefore such individuals are advised for ICSI which means surgical extraction of sperm from the testis, and washing the sperm in the lab and directly injecting into the egg.


  1. BASIC SPERM WASH: This technique uses dilution and centrifugation. A sperm wash solution containing antibiotics and protein supplements is added to the ejaculate. After repeated centrifugation, the seminal fluid is eliminated from the sample and the sperm cells are concentrated for insemination. This procedure takes 20 to 40 minutes.
  2. PREMIUM WASH:This method uses density gradient centrifugation to isolate and purify the motile sperm in order to obtain a sperm sample with a motility of at least 90%, depending on the initial quality of the sample. Different concentrations of isolate (extremely dense fluid) are layered in a test tube in an ascending order of density (heaviest layer at the bottom). When a semen sample is placed upon the upper-most isolate layer and centrifuged, any debris, round cells, non-motile and poor quality sperm remain in the top layers. Only the motile sperm are able to get through to the bottom layer and are then concentrated for use in artificial insemination. This procedure takes 1 hour. The premium sperm wash technique is excellent for fresh or frozen sperm and can help assess male factor fertility.
  3. SWIM-UP TECHNIQUE: This technique uses sperm self-migration to obtain a sperm sample with a motility of at least 90%, depending on the initial quality of the sample. A layer of fresh media is gently added to the semen sample in such a way that most of the motile sperm will swim out of the sample and upward into the added media. These harvested motile sperm are subsequently used for insemination. This procedure takes 2 hours. Oligozoospermic men (men with low sperm counts), men with poorly motile sperm as well as men with male-factor infertility are not suitable candidates for this technique. Their sperm will have difficulty swimming up out of the pellet into the nutrient medium. Sometimes depending upon the procedure of sperm extraction, sperm washing is not done.
Procedures of sperm collection in ICSI
PESA: Sperm can be collected directly from the epididymis (a narrow highly coiled tube inside the scrotum, where sperm are stored and matured) using a type of fine syringe. This is known as ‘percutaneous epididymal sperm aspiration ‘or PESA.
TESA: Sperm can also be retrieved from the testicles, a process known as ‘testicular sperm aspiration’ or TESA.
TESE: It is also possible to remove tiny quantities of testicular tissue from which sperm can be extracted. This procedure is called ‘testicular sperm extraction’ or TESE
MESE: Microsurgical epididymal sperm aspiration: Its a surgical procedure where Sperms are extracted by micro puncture to the epididymal tubule. If you have a zero sperm count the chances of retrieving sperm surgically by PESA, TESA or TESE may be very low or at least uncertain.


If in a male with normal secondary sexual characters and normal sex life, repeated semen analysis shows 0 sperm count, and hormonal investigation reveals high FSH, it means that there are very high chances of testicular failure which means spermatogenesis not taking place. In such individuals a tiny section of the testis is taken surgically and seen for any sperm present and also histology of that sample is done to see whether there are sperm producing cells. This is called as testicular biopsy.


With the various processes explained above for the Sperm collection using surgical techniques, it has to be noted and cautioned that only if you have the sperm producing cells, or only if there is spermatogenesis happening inside the testis, then only the sperm can be extracted. If there is no sperm production, or in case of testicular failure, any of the above procedure will never retrieve a single sperm. Therefore diagnostic testicular biopsy should be done to check whether there is sperm production. But instead of giving the right picture to the patients, today all major IVF clinics openly misguide the common man that azoopermic man can also have his own child with IVF and sperm extraction methods. Majority of such individuals end up in more complex problem by undergoing sperm extractions which in turn causes damage to the testicular cells leading to loss of libido and Erectile Dysfunction thus ruining their normal sex life even.

Good news and hope for a patient suffering from Non Obstructive Azospermia NO need to undergo any biopsy and other Surgical Sperm Extraction techniques (ICSI)

If in a individual there is no hormonal displace or if the FSH, testicular size and other parameters are normal and such individual presents with repeated 0 sperm count in Semen Analysis (Azospermia), then there are high chances to revive and regenerate the sperm production by the right combination of result oriented medicine. But instead of reviving or stimulating the sperm production, sperm extraction techniques are directly done to retrieve a normal sperm. What should be understood here is, if the sperm extraction is done without proper revival or stimulation of sperm production, how will a normal sperm be retrieved? Before proper production of the sperm or before proper spermatogenesis happening, directly injecting and taking out sperm in anticipation to get sperm, will this reveal any normal sperm? This is what is presently been abused in all major IVF clinics and as said above such unnecessary retrieval techniques can cause injury and scarring to the healthy testicular cells causing severe loss of libido, Erectile Dysfunction, atrophy of the testis and other complication.

This is a request and word of caution to all Males with Azospermia; don’t go for sperm extraction techniques without even asking or knowing whether you have any sperm production happening inside or not.

If your hormone FSH is high and if you have low testicular size then most probably you will have a condition called as testicular failure which means that you do not have sperm production or maybe you do not have sperm producing seminiferous tubules. Such condition is called as Sertoli cell only syndrome or Maturation arrest. Presently the only confirmative investigation of this condition is called as Testicular Biopsy where a small section of the testicular tissue is taken surgically and histology done to look for any sperm producing cells in it.


Testicular tissue has to be excised surgically which causes damage and scarring to normal healthy testis.

Its a surgical procedure where just for investigation you have to undergo a surgery to remove your testicular section.

Today various researches tells us that, biopsy is not 100 % confirmative and does not give confirmative diagnosis of Sertoli cells only syndrome or maturation arrest because the section which is taken from one small part of the testis might be different from the other parts of the testis, thus if one biopsy show no sperm producing cells then there are chances that sperm producing cells can be present in other parts of testis. Thus various researches tells us that, there might be patchy and different scattered areas present in the testis which might have the sperm producing cells, therefore just taking a section from one small part of the testis for biopsy will not reveal 100 % confirmatory diagnosis.

Thus patients with 0 sperm count / azoospermia, don’t have to worry and undergo unnecessary biopsy or sperm extraction techniques, they can go in for Cell Detoxification and Regeneration Therapy (CDRT) based on Ayurveda Rasa Shatra, Rasayana and Vajeekarana science, which can effectively revive and regenerate the scattered sperm producing cells in the different parts of the testis. Therefore with the right CDRT treatment sperms can be effectively be regenerated and revived thus giving you peace of mind and freedom from surgical and damaging procedures.

RASA SHASTRA CHIKITSA:Indian Medical Vedic Alchemy is a Sophisticated and Specialized branch of Ayurveda that deals with purified Minerals and Metals for specific therapeutic usage. Herbal compounds are effective, but in cases of chronic diseases, Ayurveda conveys solution to this problem which is called as Rasa Shastra, an alchemical fusion between rigorously purified minerals, Metals, active Herbs and organic compounds. These medicines are found to be 10 to 20 times more potent that plain Herbal medicines and can replace surgeries in certain diseases. The science of Rasa Shastra contradicts the common notion” Ayurveda Medicine acts slowly” as medicine acts very fast and is most potent. Therefore Ayurveda Herbo Mineral Medicines are in par with modern allopathic system.
RASAYANA CHIKITSA:Rasayana chikitsa means the essence of all tissues and organs of the entire system of our body is nourished to its most purest and potent form. Rasayana also means the purification of all tissues from Rasa to Shukra, which means purification starting from the blood covering the entire tissues and organs of our body to the formation of healthiest most potent Male and female sex hormones, sex organs functioning, and products of sex organs like Sperm cell and Ovum. Rasayana Chikitsa improves the metabolic process, which results in the best possible Biotransformation, and produce the best quality bodily tissues and organs including Sex Organs, and eradicates Senility and other diseases of Old age. It also has marked effect on reproductive organs and help in making most potent and healthy sperm and Ovum. It invigorates the body as a whole by sustaining the required balance between anabolism and catabolism. It also aims at giving strength to senses, mind and intellect. Hence Rasayana or rejuvenation is such a form of treatment in which all the tissues are nourished and enhanced. The nourishment of vital tissues helps in stopping old age. Thus it is useful for enhancement of qualities of life, span of life, increased intellect and enhanced physical strength.
VAJEEKARANA CHIKITSA:Vaajikaran rasayan is the special category of rasayana chikitsa, which improve the reproductive system and enhance sexual functions. It acts on higher centre of the brain, i.e., the hypothalamus limbic system and neuro-endocrino-immune system. Vajikarana Chikitsa is an important treatment modality as per Ayurveda and proposed benefits are manifold including increased sexual capacity, healthy future progeny as well as in treatment of many common Male- Female Sexual Disorders and Infertility. A boon to infertile couples and an effective, result oriented, scientifically documented alternative to today’s modern Infertility treatments like IVF, ICSI etc. Various studies have showed that administration of vajikarana rasayana chikitsa corrects the level of various important hormones like FSH, LH, testosterone, prolactin, Progesterone, estrogens, which plays a very important role in normal functioning and production of healthy Sperm and Ovum which in turn is a boon to Infertile couples.


A varicocele is an enlargement of the veins within the scrotum. A varicocele is similar to a varicose vein that can occur in your leg. In males attending the Infertility clinics Varicocele are over diagnosed because a small varicocele is also considered to be the main reason for Low sperm count and motility. In addition, men might have one or two abnormal semen analyses with no other obvious clinical cause.
Thus, the physician in an attempt to find a cause for the infertility might subconsciously exaggerate on the varicocele diagnosis. There is still an ongoing debate among researchers as to if and to what extend varicocele affects semen parameters.
Varicocele is one of the most debatable issues in the field of male infertility mainly with regard to surgical intervention. Many scientists believe that the surgical repair of varicocele should include a very narrow group of infertile men. Nevertheless, there are no widely accepted criteria regarding the selection of this group of men.
Varicocele surgery and Male Infertility is yet again a controversy and abused topic. Majority of urologist and infertility specialist advice males to undergo varicocele surgery, if they are suffering from low sperm count and motility. However till date there is controversy for this claim and till today it’s not proved whether varicocele surgery improves the Male Sperm count and Motility.
In few patients there can be some difference after surgery for a short period of time and later again the chances for low sperm count and motility arises. Thus there are various researches saying that Varicocele surgery is an unnecessary procedure and it does no good for Male Fertility factor. Instead chances of infection and hydrocele arise after the surgery.
Therefore small and medium sized Varicocele and most important symptom less Varicocele requires no treatment at all and it’s just over diagnosed and surgery advised. Only when the varicocele is large and it’s causing symptoms like dull aching pain throughout the day or sharp pain then only treatment should be thought about.