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. -Wear loose under garments. -Healthy diet with multivitamin and zinc. Maxoza is a nutritional support . You can try it but there are no excellent results. Also it take time for count to improve with all drugs. 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. You can try 4 to 5 cycles of IUI before proceeding to IVF. Regarding food intake you need to take healthy foods rich in vitamins and minerals like walnuts, pomegranate,garlic,banana, beef, avocado are some of food that increase blood supply and may help in increase in count. Hope I have been helpful Regards Dr. Ashish Verma