Semen Report is Abnormal?
If a single semen analysis report is abnormal, that does not mean that there is great problem. You need to repeat it from authentic laboratory.

What are different types of abnormal sperm reports seen?
Sperm count low (Oligospermia)

Abnormal Sperm Motility (Asthenozoospermia)

Azoospermia (Zero Sperm Count)

Abnormal Morphology (Terayozoospermia)

Pus Cell very high

Should you take any medicines?
Medicines work ONLY in mild to moderate cases. Even then if you want to continue medicine WITHOUT active treatment, sperm counts may decrease further.

Can any Injections help?
ONLY if there is hormonal imbalance, gonadotrophin injections can help. But please DO NOT TAKE TESTOSTERONE injection or tablet, because it will further lower down sperm count. Testosterone should NOT be taken even if your blood level of Testosterone hormone is low.

Are any other tests needed?
If the report is severely abnormal, you may need some tests to find out the cause. These include

Physical examination- Doctor may examine your private areas including testicles and penis.
Ultrasound- of scrotum and prostate gland
Hormone tests in blood- Testosterone, FSH, LH, sugar etc.
Chromosomal tests- Karyotype, Y chromosome microdeletion etc.
When to go for IUI, IVF or ICSI?
It depends on severity of the abnormalities in sperms and the condition of your wife's fallopian tubes and ovaries. In mild cases, IUI can be tried. In severe cases, you should NOT delay IVF-ICSI.

Do you need TESA/ TESE?
Even when there is no sperms in semen, sperms can be collected from your body, from your testicles by inserting fine needle and that can be used for ICSI.

When Donor Sperm is required?
In most cases donor sperm is not needed. It is used when no sperms can be obtained or when you cannot afford ICSI.