It's a condition characterized by reduced sperm motility or poor sperm movement.


Asthenozoospermia, also known as asthenospermia, is a condition characterized by reduced sperm motility or poor sperm movement. It is one of the common causes of male infertility. Sperm motility refers to the ability of sperm to move forward and swim effectively to reach and fertilize an egg.

In asthenozoospermia, the percentage of sperm with normal motility may be lower than the reference values, which can decrease the chances of successful fertilization. The World Health Organization (WHO) defines asthenozoospermia as having less than 32% of sperm with progressive motility or less than 40% with total motility.

Causes of Asthenozoospermia: Asthenozoospermia can have various underlying causes, including:

  1. Genetic Factors: Genetic abnormalities or mutations can affect the structure and function of the sperm, leading to reduced motility.

  2. Hormonal Imbalances: Hormonal disorders, such as deficiencies in testosterone or thyroid hormones, can impact sperm motility.

  3. Testicular Factors: Testicular conditions like testicular atrophy, varicocele (enlarged veins in the scrotum), or testicular infections can affect sperm production and quality.

  4. Reproductive Tract Obstructions: Obstructions in the reproductive tract, such as ejaculatory duct obstruction or congenital abnormalities, can prevent sperm from reaching the semen or cause semen to flow backward into the bladder.

  5. Infections and Inflammation: Infections in the reproductive system, including sexually transmitted infections, can affect sperm motility.

  6. Lifestyle Factors: Certain lifestyle factors like smoking, excessive alcohol consumption, drug use, obesity, and exposure to environmental toxins can contribute to reduced sperm motility.

Treatment and Management: The treatment and management of asthenozoospermia depend on the underlying cause and the severity of the condition. Possible approaches include:

  1. Lifestyle Modifications: Adopting a healthy lifestyle, including regular exercise, maintaining a balanced diet, avoiding smoking and excessive alcohol consumption, and managing stress, can positively impact sperm motility.

  2. Medications: Depending on the cause, hormonal treatments or medications may be prescribed to address underlying hormonal imbalances or infections.

  3. Surgical Interventions: In cases where obstructive factors, such as varicocele or ejaculatory duct obstruction, are causing asthenozoospermia, surgical interventions may be considered to correct the issue.

  4. Assisted Reproductive Techniques: In more severe cases or when other treatments are not successful, assisted reproductive techniques such as intrauterine insemination (IUI) or in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) may be recommended to bypass low sperm motility and increase the chances of fertilization.

If you or your partner are experiencing difficulties conceiving and suspect asthenozoospermia or any other fertility-related concerns, it is recommended to consult with a healthcare professional specializing in male reproductive health, such as a urologist or reproductive endocrinologist. They can perform a comprehensive evaluation, diagnose the underlying cause, and provide appropriate treatment options tailored to your specific situation.


Dr. Indu Madhusudhan

MBBS, MD - Obstetrics & Gynaecology

Speciality : Infertility Specialist, Gynecologist, Obstetrician Experience : 22+ Years Experience
Languages spoken : English, Kannada ,Hindi , Marathi


Dr. Madhusudhan H.R

MS - General Surgery, MCh - Urology/Genito-Urinary Surgery, DNB - Urology/Genito - Urinary Surgery, MNAMS - General Surgery, FRCS - General Surgery, MBBS

Speciality : Infertility Specialist, Gynecologist, Obstetrician Experience : 22+ Years Experience
Languages spoken : English, Kannada ,Hindi , Marathi

Sushma Dasari
Sushma Dasari
It's a gods grace to meet Dr.Indu Madhusudhan, our life has changed completly because of her advices, I am conceived now and expecting a baby in few days. She is extremely patient friendly, polite and smiling in addressing all our concerns. More to it she also made us feel comfortable in communicating freely during the appointments. I would say she is one of the top most gynaecologist with impeccable knowledge. Thank you mam for utmost care and advices.
Suseela kurakula
Suseela kurakula
Very good consultation...and preferable
vinutha prabhakar
vinutha prabhakar
I have known Dr.Indu for over a year now. She is extremely kind and helpful. Patiently addressed all our concerns. She has such a positive aura which is calming. She has been of great support in my pregnancy journey! I am so glad to have consulted her. Thank you, Doctor.
Srujana Banjagere
Srujana Banjagere
Extremely kind and empathetic. carefully investigates your entire history and explains the options available. Doctor is very transparent and knowledgeable. She also has a soothing aura. Definitely recommend to anyone trying for a baby.
sonali manure
sonali manure
Doctor is very professional and friendly. I am so grateful to have met her. 🙂🙏
Pratibha Kulkarni
Pratibha Kulkarni
We are thankful to Dr.Indu for always being there for us. Throughout our infertility journey she gave us hope and encouraged us to not give up. We really appreciate her knowledge, friendliness and frankness. Her calm demeanour and constant guidance helped us keep calm through our challenging pregnancy and emergency c-section. She has not just been our doctor but also a friend and a guide.

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Before your first appointment, one of our clinical care coordinators will call you to discuss your case and review what appointments to expect. The clinical care coordinator will make sure all appointments are arranged in a timely fashion. Each of our patients is unique and treated individually, and the schedule of doctors you see will be tailored specifically to your needs. The doctors will discuss your care options with you and answer any questions that you may have regarding your diagnosis and management.

We are dedicated to helping pregnant women and their families after a significant birth defect or genetic condition has been detected. Specialists from both obstetrics and pediatrics work together as a team to determine the best way to care for you and your unborn baby, both during and after your pregnancy.

Whenever possible, we create an integrated appointment plan, so that you can meet with the multiple subspecialists involved in your case. Some patients come here for a second opinion and go back to their obstetrician. Other patients transfer their care to Columbia as their delivery date approaches to make sure their baby immediately receives the necessary specialized pediatric care after birth.


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