Hi, Thanks for posting in HCM. I understand your concern. Fertyl M and CoQ forte are the medications which are administered for improvement in sperm count. However, from your description, it appears that it has not worked positively. Maxoza L contains Citric Acid, Coenzyme Q10, Elemental selenium, Elemental zinc, Folic acid, Fructose, Levocarnitine, Lycopene and Vitamin B12, which are essential antioxidant substances known to promote sperm production and improve sperm count. Kindly take the medication as advised and do the necessary follow-up as suggested. Apart from this, doing regular exercise, taking foods like eggs, sea foods, milk products, meat and nuts like almonds will help in increasing testosterone of body and contribute to increased sperm production. Taking green leafy vegetables, guava and citrus fruits also helps in getting enough antioxidants which is also helpful. Wearing loose underwear, avoid bathing in hot water and cooling testes by washing in cold water would also be helpful. Hope the information provided would be helpful. All the best.