Hormonal imbalances in men — including low testosterone or high oestrogen — reduce sperm production and can often be corrected medically.
Sperm production is tightly regulated by a hormonal cascade: GnRH from the hypothalamus drives LH and FSH from the pituitary, which in turn stimulate testosterone production and spermatogenesis in the testes. Disruption at any level — low testosterone, elevated oestradiol, elevated prolactin, or hypogonadotrophic hypogonadism — reduces sperm production and quality.
Our andrologists tailor hormonal therapy using clomiphene citrate, hMG, FSH injections, or dopamine agonists to restore the hormonal axis and improve sperm parameters, often making IVF unnecessary.
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