Infertility is defined as diminished
and Sterility as absence of ability to produce an offspring. This
implies both in males as well as females.
The male component of infertility is alarmingly on the raise.
It constitutes nearly 50% cases of primary infertility. Various
reasons have been attributed for this problem. Pesticides, environmental
pollution, diet, occupation, mental stress, drugs, alcohol, smoking,
various major illnesses such as Hypertension, Diabetes, Chronic
Renal Failure, Chronic Liver problems, Endocrinological problems,
Cancer, etc play a major role in infertility. Of all the above
said problems few can be avoided or minimised.
The primary objective of a homoeopath is to assess the level of
problem in an infertile couple. It is always better if both the
partners are screened for the problem and treated even if one
partner is laboratorically normal. This enhances the chances of
conception than treating a single person alone.
When a couple approach the doctor regarding infertility always
start off investigations with semen analysis. The test is easy,
cost effective and non invasive. It is always advisable for the
purpose of accuracy to collect the semen with approximately 3-5
days of abstinence. The sample should be freshly collected in
the laboratory. Patient may also need to test for LH, FSH, Testosterone,
Prolactin and various other battery of tests based on the outcome
of the semen report.
For a good homoeopathic prescription it is imperative that we
need a good case taking and lucky ones like Dr. Adolph Lippe can
cure cases by the drop of their hat with medicines like Lac caninum.
But in most of the cases we fail to get even a single symptom
on which we can base our prescriptions.
At this juncture the semen analysis, blood tests
and ultrasound opens a Pandora’s Box for a homoeopath. A
lot of things can be understood by these investigations.
Homoeo Trust organized a National Seminar “Infertility
Update 2011” at Hotel Le Jardin, Erode.
speaker on the topic “Male Infertility and its Homoeopathic
Perspective ” is given here.
can be contacted at 9841153666.
The physical properties of semen, it’s microscopic,
macroscopic, microbiological and biochemical properties have important
medical relevance and for a homoeopath, it is even more as it
gives us lots of lateral thinking on the application of homoeopathic
philosophy and Materia Medica.
The high and low volume of semen suggests the following medicines
like Phosphoric acid, Selenium, Picric acid, Lyssin and Graphites.
The appearance and viscosity of the semen will make you think
of several medicines. The thin fluid and watery semen makes us
think of medicines like Cannabis sativa, Natrum muriaticum, Natrum
phosphoricum, Selenium and Sepia. While the thick semen indicates
us the remedies like Alumina, Alumen and Medorrhinum. In the highly
viscous semen (Arab gum like) where the liquefaction time is more
than 30 minutes the same remedies can be used effectively. The
thread like semen suggests medicines like Kalium bichromicum,
Hydrastis canadensis and Medorrhinum.
Fructose in Azoospermia: If Negative: This would mean obstruction
of ductal system. Fructose Negative occurs in congenital absence
of vas deferens and seminal vesicles. If vas is present, then
obstruction is at the level of ejaculatory duct. In cases of obstruction
we can always think of medicines like Thiosinaminum, Fel tauri,
Graphitis, Calcarea fluorica, etc. In cases of Azoospermia with
fructose positive we need to check the LH, FSH and Testosterone
levels. For the above said three hormones are normal then we should
suspect a Varicocele or Obstruction.
Varicocele can cause a wide range of problem from Azoospermia,
to low count or low motility of sperms. We have hundreds of medicines
for varicose veins. Medicines like Carduus marianus, Fluoric acid,
Hamamelis virginica, Pulsatilla nigricans, Sulphur, etc., can
instantly correct a mild one (mild varicocele can be ignored)
and at a longer interval a little severe case. Remember surgery
can also solve the problem immediately.
In case of low counts always look for endocrine levels. If FSH
is normal then suggest for testicular biopsy. If LH, FSH and Testosterone
are normal then think of some medicines which will work on the
gland like Calcarea carbonicum, Calcarea iodide, Conium, Iodum,
Phytolacca, Tribulus terrestris, etc.
Suggest the patient for testicular biopsy. In case of testicular
failure with high LH and FSH levels do Karyotyping to rule out
chromosomal abnormalities. If LH and FSH are low then the reason
for testicular failure is at the level of Pituitary. In this case
think of medicines working on the pituitary like Calcarea carbonicum,
Lac caninum, Pituitarinum and other glandular remedies.
If more number of abnormal forms and dead sperms are present then
think of medicines like Syphilinum and Carcinosin. If more number
of dead sperm are present it may be due to infection or due to
insult to the testes. Here Borax, Syphilinum, Zincum metallicum,
etc., will prove the efficacy of homoeopathy once again. Any Liver
problem or problem in cholesterol metabolism may affect the hormone
synthesis. Protect the liver in this case and medicine which can
correct the liver will also be useful.
Obesity and excess fat can cause disturbances in the Testosterone
and SHBG. If the serum Oestrogen and thyroid levels are more then
they can reduce the free testosterone levels. Proper diet, avoiding
alcohol, weight reduction etc., can improve the availability of
testosterone for the gonadal activity. Medicines which can reduce
the fat levels in the body like Allium sativum, Ammonium bromatum,
Calcarea carbonica, Fucus vesiculosus, Lycopodium, Phytolacca,
Urtica urens and medicines which can remove the bad effects of
alcohol such as Angelica archangelica, Calcarea arsenicosa, Nux
vomica, Quercus glandium spiritus, Sterculia, Sulphuric acid,
Syphilinum, etc., should be in our preferred list of medicines.
Testosterone is one of the most important hormone in male life
and is mostly produced by the Leydig cells. Alcohol converts testosterone
into estrogen and this is one of the main reasons for male sexual
If FSH is double than the normal levels better don’t accept
the patient. It is a complete testicular failure. If you obdurately
want to try anything at the expense of the patient then try and
I am not going to suggest you anything. But secretly I want to
tell you that you can try to maintain normal levels of oestrogen
and testosterone so that FSH levels may be corrected. In this
situation think of all the menopausal drugs and also drugs which
can be used for the treatment of benign prostatic hypertrophy.
High Prolactin levels in male can cause low libido
and lower the levels of testosterone. High Prolactin levels may
be due to simple excess production or may be due to micro adenoma
in the Pituitary. Open the repertory and look for medicines which
help to interfere with milk secretion. There is a sure cure in
homoeopathy. Remember Lac caninum first. In allopathy Bromocriptin
is given for high Prolactin and it almost cures the patient without
side effects.(Bromocriptin is derived from Bromium and Secale
cornutum – both are available in homoeopathy) High Prolactin
may be co- existent with low LH and FSH. For low LH and FSH open
repertory and look for Anosmia. It is mostly congenital and difficult
The sperm has to swim across the cervical mucosa hence mucosa
needs to be in oestrogenic phase and without infection. Calcium
is important for coagulation, liquefaction and capacitation and
Zinc in the seminal fluid helps to prevent infection. Borax, Calcarea
carbonicum, Natrum phosphoricum and Zincum metallicum can be given
to the couples anxious to have a child.
Zinc is the primary factor in the seminal fluid having antibacterial
activity. Low zinc levels are noted in azoospermic men. Serum
and seminal zinc levels can be monitored if recurrent pus cells
or dead sperms are noted in the semen. Borax, Ignatia amara, Medorrhinum,
Pyrogenium, Selenium, Sulphur, Zincum metallicum, etc., are ready
Alcohol, Caffeine, Cimitidine, Marijuana, Nicotine, Nitrofurantin,
Pesticides, Sulphasalazine, etc., have been implicated as Gonadotoxic
agents. The same agents as homoeopathic preparation may neutralize
and remove the bad effects. It may be tautopathy / isopathy. Something
is better than nothing.
Infertility due to mumps is common only when mumps is acquired
during puberty. There will be a chronic inflammation in the testicles
due to mumps. Severe oligospermia or azoospermia may result. Now,
are you ready with Parotidinum, Mercurius sol Hahn, Pulsatilla,
Spongia tosta, etc? Can’t we undo the damage?
I am not dealing here with Diabetes, Hypertension, Adrenal and
Thyroid problems, etc., or after effects due to Corticosteroidal
treatment for ulcerative colitis, Rheumatoid arthritis, bronchial
asthma etc., where all these can lead to infertility. I have also
not included various causes of infertility such as work related
hazards, impotency, stress and psychological problems. Above all
I am ignoring the vast list of congenital disorders which being
one of the main reasons for infertility and sterility.
I have also not included any cured case for want of space and
I also solemnly believe that you know very well that miracles
happen in homoeopathy every now and then.
Defying all the above parameters some are fertile and some are
infertile about which I am still in dark.