What Should You Do If You Have Poor Sperm Quality? Planning IVF in the U.S., Mexico, and Japan

2026-09-02 16:44:46，浏览量： 0次

 

When pregnancy does not occur despite trying for some time, many couples tend to look for causes related to female ovulation, ovarian function, and the fallopian tubes, while male fertility can easily be overlooked. In fact, factors such as sperm count, motility, morphology, and genetic material can all affect conception and embryo development.

 

When Preparing for Pregnancy, Start by Assessing Sperm Quality

 

Male fertility evaluation usually begins with a semen analysis. Semen testing can provide information about sperm concentration, total count, motility, and morphology. If the results are abnormal, further evaluation should be combined with medical history, lifestyle factors, and other relevant tests to determine the underlying cause.

 

For couples who are trying to conceive, if pregnancy has not occurred after a period of regular attempts, having both partners undergo fertility evaluations at the same time is more efficient. Simply relying on nutritional supplements or extending the time spent trying to conceive cannot resolve all fertility problems caused by male factors.

 

What Male Infertility Situations Is IUI Suitable For?

 

If sperm count or motility has only mildly decreased, while the woman has good ovulation and fallopian tube conditions, intrauterine insemination (IUI) can be considered as an assisted reproductive option.

 

IUI first involves laboratory processing of the semen to select sperm with better motility, and the processed sperm are then injected directly into the uterine cavity, reducing the impact of movement through the reproductive tract. Compared with natural conception, IUI can optimize the sperm-related stage before fertilization to a certain extent.

 

However, if sperm quality has declined significantly, relying solely on artificial insemination may make it difficult to achieve the desired results. In such cases, IVF can be considered.

 

IVF and ICSI for Different Degrees of Male Fertility Issues

 

IVF involves fertilizing the egg and sperm outside the body, followed by embryo culture and transfer. For some conception difficulties caused by male factors, IVF can bypass certain limitations involved in natural fertilization. If there is severe oligospermia, asthenozoospermia, or even a very limited number of usable sperm, ICSI (intracytoplasmic sperm injection) can directly select a single sperm and inject it into the egg to help achieve fertilization.

 

The IVF USA team founded by Dr. Nathan Zhang has been providing overseas assisted reproductive consulting services for more than ten years, offering U.S. egg freezing, U.S. IVF, and third-party assisted reproduction services to those in need. With nearly 20 years of experience in the overseas assisted reproduction field, IVF USA recognized the growing diversity and personalization of reproductive needs and entered the Mexico market early, becoming the Chinese agent for Power Fertility Center Mexico (POWER IVF). Dr. Nathan Zhang’s services have now expanded beyond the United States to include IVF and egg freezing in Mexico, IVF and egg freezing in Japan and Thailand, as well as services in Taiwan and Hong Kong. For those who are reconsidering their fertility timeline, clarifying sperm quality and both partners’ fertility conditions first, then determining the appropriate pathway based on whether egg freezing, IVF, or embryo screening may be involved in the future, can provide a clearer basis for each subsequent step.