Consider lifestyle modifications. Weight loss, if overweight or obese, and regular exercise improve sperm parameters in many men. Dietary changes focusing on antioxidants and reducing processed foods can also be beneficial.
Hormone therapy beyond clomiphene citrate includes human chorionic gonadotropin (hCG) which stimulates testosterone production, or human menopausal gonadotropin (hMG) that affects both testosterone and sperm production. Your doctor will determine the appropriate choice based on your specific hormonal profile.
Assisted Reproductive Technologies (ART) offer a direct approach. Intrauterine insemination (IUI) or in-vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) bypass some fertility challenges. ICSI directly injects a single sperm into an egg, circumventing sperm motility problems.
Surgery may be necessary to correct anatomical issues. Varicocele repair, for example, addresses enlarged veins in the scrotum that can impair sperm production. A blockage in the reproductive tract may require surgical intervention.
Alternative therapies like acupuncture or herbal remedies lack robust scientific evidence of effectiveness for male infertility. Discuss any complementary therapies with your doctor before using them.


