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By Dr. Hisham's Healthcare · Published 25 September 2026 · 3 min read
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When to seek help

A couple is generally advised to see a doctor if pregnancy has not happened after about a year of regular unprotected intercourse — or after six months if the woman is over 35. Both partners should be checked, because fertility depends on both.

The first test: semen analysis

A semen analysis looks at sperm count, movement (motility) and shape. It is simple, painless and gives a lot of information. Your doctor may add hormone tests or a scrotal scan depending on the result.

Common causes of low sperm count

  • Varicocele — enlarged veins in the scrotum
  • Infections, or past illnesses such as mumps
  • Hormonal or thyroid problems
  • Diabetes, obesity, smoking and heavy alcohol use
  • Long-term stress and poor sleep
  • Heat exposure (very hot baths, laptops on the lap, prolonged tight clothing)
  • Some medicines, and rarely genetic causes

Lifestyle steps that support fertility

  • Stop smoking and limit alcohol
  • Keep a healthy weight and stay active
  • Eat a balanced diet, sleep well and manage stress
  • Avoid prolonged heat exposure to the groin

How homeopathic care fits in

Homeopathic treatment is planned after a detailed history and your reports, and is used to support the underlying cause and overall health while you continue any tests or procedures your case needs. Results vary with the cause, and we give an honest picture. See male infertility and low sperm count treatment. Dr. Hisham Hyder's fee is ₹500, in person or online.

When to see a doctor promptly

Sudden testicular pain or swelling needs urgent medical care. Please also get a scrotal swelling that appears quickly, or one that is painful, examined without delay.

This article is general health information and not a substitute for medical advice. If you have severe symptoms or a medical emergency, go to the nearest hospital.

📞 Book a confidential consultation

Consult in person at our Calicut (Kozhikode) or Wandoor clinic, or online from anywhere — medicines couriered to your door.

Calicut: 9400 920060 · Wandoor: 7306 816060

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