Sperm Count is Very Low or Nil: Can You Still Do IVF With Your Own Sperm or Do You Need a Donor?

Read this informative article by IVF experts of the best IVF centre in Delhi on what to do when you have low or nil sperm count

Struggling with male infertility can feel overwhelming, especially when semen analysis shows a very low sperm count or nil sperm count. At Gunjan IVF World, the IVF center in Janakpuri, we walk you through every step of your treatment and provide clear medical insight, compassionate support, and advanced reproductive options.

Understanding male infertility and low/zero sperm count

“A low sperm count or absent sperm can arise from multiple male infertility causes. Hormonal issues, genetic factors, obstruction of the sperm pathway, varicoceles (enlarged veins in the scrotum), past infections or surgeries, and lifestyle factors like smoking, stress, or toxins can all play a role,” said Dr Gunjan Gupta, best IVF specialist Janakpuri and the Medical Director & Founder of Gunjan IVF World – a well-known IVF hospital in Delhi. Gunjan IVF World is the third time winner of North India’s best IVF clinic chain award by Economic Times and has four highly advanced clinics at Indirapuram, Janakpuri, Noida and Meerut.

“In some men, especially those with azoospermia (zero sperm in ejaculate), it’s not that sperm isn’t being made rather, it may not be reaching the ejaculate due to blockage, or production may be so low that standard testing cannot detect it,” added Dr Gunjan,

IVF with own sperm — Is it possible?

The simple answer is yes, in many cases, IVF for low sperm count can be done, even if counts are extremely low. All thanks to modern reproductive techniques.

“When sperm is very few or their motility is poor, Intracytoplasmic Sperm Injection – ICSI for male infertility is often the preferred method. ICSI involves injecting a single healthy sperm directly into the egg under a microscope, bypassing the need for large numbers of sperm to achieve fertilisation. It’s frequently used when patients are looking for nil sperm count cure,” stated Dr Garima Sharma, an IVF specialist doctor near me at Gunjan IVF World, Janakpuri.

Even when there’s nil sperm in ejaculate, surgical sperm retrieval techniques can sometimes find viable sperm directly from the testes or epididymis.

Procedures like TESA (Testicular Sperm Aspiration), PESA (Percutaneous Epididymal Sperm Aspiration) and TESE (Testicular Sperm Extraction) allow embryologists to find sperm that would otherwise never reach the semen sample. These cells can then be used in IVF for azoospermia treatment Delhi, giving many men the chance to conceive with their own sperm.

When a donor is considered?

In cases where no viable sperm can be found through retrieval techniques, or where repeated attempts yield no fertilisation, a donor sperm option may be recommended. This doesn’t mean giving up. It’s simply another path to parenthood that allows you to become parents sooner when biological sperm use isn’t feasible.

At Gunjan IVF World, the best IVF clinic near me with experienced doctors our specialists discuss every option with you including ethical, emotional, and success‐rate aspects so you can make informed decisions with confidence.

What about success rates?

The own sperm success rate depends on why the sperm count is low or absent, overall male and female fertility health, and how early you seek help. IVF with ICSI, especially when supported by surgical retrieval procedures, has dramatically improved outcomes for men who once had very limited options. Many clinics now report excellent fertilisation and pregnancy rates even in severe male factor infertility.

Choosing the right fertility centre

If you’re in the region, choosing a fertility clinic in Janakpuri with a strong team and advanced techniques can make a meaningful difference in your fertility journey. Our fertility clinic in Janakpuri is recognised as the best fertility clinic near my location with experienced fertility specialists and embryologists.

Final Thoughts

Low or nil sperm count is not the end of your fertility hopes. With detailed evaluation, personalised treatment planning, and access to cutting-edge sperm retrieval techniques, many couples still achieve pregnancy with their own sperm. Every case is unique, and guidance from the best fertility specialist near me can help tailor the right path forward for you.

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