Hi, Thanks for writing to HCM. Sadly medicine has not come up with such drugs which have dramatic effects on sperm count and motility. Multi vitamin with zinc combination drugs are used with some improvement. I would suggest that you rule out varicocele in you by a doctor. If it is there, get it operated. And do some life style modifications like - - Reduce weight, do exercise. - Stop smoking and alcohol. - Avoid caffeine. - Ware loose under garments. - Healthy diet with multivitamin and zinc. - Avoid trauma to testis. Usually for my patients I prescribe LYCo-Q or paternia tablets. You can discuss this with your doctor. CCQ and oligocare also helps in production of good quality eggs and sperms respectively. No drug gives 100% result and it takes long durtaion to show improvement. With the treatment you should repeat your semen analysis after 3 months. If same state is there then better to go for IUI. It is intrauterine deposition of sperms. Here healthy sperms are selected and placed inside the uterus. Thus increases chances of pregnancy.You can try 4 to 5 cycles of IUI before proceeding to IVF. Hope I have been helpful. Regards Dr. Ashish Verma