By Zaira Salvador BSc, MSc (embryologist).
Last Update: 11/28/2018

Teratozoospermia can be present from birth, in which case it is due to genetic causes, or acquired over time due to hormonal imbalances or trauma. Thus, depending on the cause, the treatment of choice varies.

When teratozoospermia is congenital, finding a cure is considerably difficult. And the same applies when it is a side effect of cancer treatments. Particularly in severe cases of teratozoospermia, turning to Assisted Reproductive Technology (ART) is necessary.

Conversely, when a man has mild-to-moderate teratozoospermia, there exist certain natural remedies or drugs that can help to boost sperm quality.

Natural treatment

Given that discovering the specific cause of teratozoospermia is highly difficult, determining the best treatment option to correct sperm morphology is complicated as well.

Nevertheless, leading a healthy lifestyle can have a very positive impact on sperm morphology. For this reason, it is possible to see improvements in just a few months.

The ideal treatment is one that guarantees an adequate sperm maturation during spermatogenesis. What follows are some tips to help maintain healthy habits that ensure sperm formation occurs successfully.

Diet

A balanced diet improves the overall state of health. Moreover, vitamins and antioxidants present in some foods provide many benefits for sperm quality.

These are some key food components that every man who wishes to improve his sperm quality should add to his diet:

Selenium
This mineral is found in Brazil nuts, nuts, tuna, beef meat, chicken meat, eggs, and cheese. It should be taken in small proportions, since it can turn out to be toxic.
Vitamin C
Present in spinach, mandarins, strawberries, and tomatoes. Vitamin C is a powerful antioxidant that favors the iron absorption process.
Zinc
Oysters, clams, and red meat contain this mineral. Zinc is essential for the proper functioning of enzymes, responsible for providing the body with energy.
Omega-3 fatty acids
In oily fish and seafood. It should be added to one’s diet because the human body itself cannot synthesize it. It has multiple benefits on the cardiovascular, nervous, and immune systems, among others.

Olive oil

Olive oil is an essential ingredient of the Mediterranean diet. Moreover, it has excellent reproductive benefits thanks to its high content in oleic acid.

Oleic acid contributes to reducing the levels of LDL cholesterol or the “bad” cholesterol, which can accumulate in the testes, affecting sperm production.

Olive oil also helps increase the levels of HDL cholesterol (the “good” cholesterol), preventing cardiovascular and brain complications.

In short, olive oil is an ally when it comes to fighting against male infertility, namely teratozoospermia.

If you need to undergo IVF to become a mother, we recommend that you generate your Fertility Report now. In 3 simple steps, it will show you a list of clinics that fit your preferences and meet our strict quality criteria. Moreover, you will receive a report via email with useful tips to visit a fertility clinic for the first time.

Testicular temperature

Prolonged exposure to heat may damage your testicles, affecting sperm production and causing sperm abnormalities.

In other words, males with infertility issues should follow these recommendations:

  • Do not place your laptop on your lap
  • Avoid regular sauna visits
  • Wear boxer briefs and loose clothing
  • Avoid long-term low-to-intensive cycling training

By keeping the testicles cool, they can recover their normal function, and your sperm quality will improve eventually.

Effect of toxins

Exposure to certain common toxic substances on a daily basis can become highly damaging for a man’s reproductive health without even realizing.

Some examples include tobacco, street drugs, marijuana smoke, pesticides, chemical compounds, and excessive alcoholic drink consumption. All these substances can cause deformities in sperm.

So, in conclusion, one should avoid these bad habits at all costs, especially if trying to conceive.

Vitamin supplementation

In some patients with teratozoospermia, urologists recommended that they take vitamin supplements to improve sperm quality faster.

The most common treatment option are vitamin supplements rich in antioxidants.

Antioxidants help diminish the levels of oxidative stress spermatozoa are exposed to. Oxidative stress damages sperm cells, and causes sperm DNA fragmentation.

Some examples of dietary supplements that are beneficial for sperm morphology are vitamin E or essential amino acids like L-carnitine. Treatment with vitamin E is advisable in males undergoing chemotherapy and radiotherapy, too, as it is a powerful antioxidant.

Also, maca root powder is considered highly beneficial due to the multiple benefits it can provide to sperm.

One should note that these natural remedies cannot cure infertility, especially if sperm parameters are severely affected.

FAQs from users

Can abnormal sperm morphology cause miscarriage?

By Zaira Salvador BSc, MSc (embryologist).

In principle, poor sperm morphology doesn’t lead to miscarriage once the egg has been fertilized and the embryo has attached to the womb. However, if the sperm contain a genetic abnormality, miscarriage is likely to occur.

Can severe teratozoospermia be cured?

By Zaira Salvador BSc, MSc (embryologist).

If the amount of normal sperm is fewer than 5%, the truth is that the chances for a natural pregnancy to occur are considerably low, and improving this situation with a natural remedy or medications is unlikely, too. Nonetheless, following healthier habits could improve it eventually.

On the other hand, if teratozoospermia is linked to other pathologies, such as varicocele, it is possible that the semen analysis report shows improved results after undergoing surgery to treat the varicocele.

Can acupuncture help with teratozoospermia?

By Zaira Salvador BSc, MSc (embryologist).

Yes, according to some studies. Broadly speaking, acupuncture increases pregnancy rates in cases of idiopathic or unexplained infertility. Also, there is proof that is can improve sperm quality in cases of oligospermia, asthenospermia, and teratozoospermia.

Can eating more berries improve sperm quality?

By Zaira Salvador BSc, MSc (embryologist).

Yes, berries (including blueberries, strawberries, raspberries, and blackberries) contain antioxidant pigments, in addition to absorbing free radicals of oxygen. In other words, including berries in your diet is a good option to improve or protect sperm quality.

Some studies have shown that pigments found in the skin and seeds of berries have multiple medicinal properties, including flavonoids, anthocyanins, tannins, and other phytochemicals.

In particular, blueberries, blackberries, lingonberries, and strawberries contain high amounts of vitamin C and other nutrients. Vitamin C is a powerful antioxidant that protects cells from cell damage.

Suggested for you

When teratozoospermia is so severe that it prevents natural pregnancy, a man or couple may have no alternative but to undergo a fertility treatment to fulfill their dream of becoming parents. Get more info: Achieving Pregnancy with Teratozoospermia.

Oftentimes, the treatment to fix teratozoospermia is dependent on its causes. Read the following article to learn more: What Are the Causes of Teratozoospermia?

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References

Auger J, Jouannet P, Eustache F. Another look at human sperm morphology. Hum Reprod. 2016;31(1):10-23.

Busetto GM, Agarwal A, Virmani A, Antonini G, Ragonesi G, Del Giudice F, Micic S, Gentile V, De Berardinis E. Effect of metabolic and antioxidant supplementation on sperm parameters in oligo-astheno-teratozoospermia, with and without varicocele: A double-blind placebo-controlled study. Andrologia. 2018;50(3).

Guo J. Thoughts and Approaches of Integrated Chinese and Western Medicine for the Treatment of Oligo-astheno-teratozoospermia. Chin J Integr Med. 2018;24(7):483-486.

Isidori A, Latini M, Romanelli F. Treatment of male infertility. Contraception. 2005;72(4):314-8.

Authors and contributors

 Zaira Salvador
BSc, MSc
Embryologist
Bachelor's Degree in Biotechnology from the Polytechnic University of Valencia (UPV). Embryologist specializing in Assisted Procreation, with a Master's Degree in Biotechnology of Human Assisted Reproduction from the University of Valencia (UV) and the Valencian Infertility Institute (IVI). More information
License: 3185-CV
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17 comments

  1. Featured
    Kelvin

    Hi, I did a sperm test and the count was at 43 million and motility at 73 percent, all good. However my morphology was 3 percent. Should I be worried or does everything balance out? We have been trying to conceive for 2 years, my partner is 39 and we need to make some decisions. Also what vitamins should I take? I take vitamin C, zinc and pine tree bark plus l arginine daily. Will that help or should I not be worried at all?

    • Sandra FernándezBA, MA

      Hello Kelvin,

      Each sperm parameter should be measured separately; therefore, even though sperm count and motility were within the normal values, getting pregnant naturally can turn out to be complicated due to teratozoospermia. It may be a mild case, but if after a whole year TTC you don’t achieve pregnancy, my advice is that you visit a fertility clinic in order to check what the best fertility treatment for you is.

      Best regards

  2. Featured
    Andy

    My sperm count is 25 million but morphological abnormalities is 4%. Any recommended diet or vitamins to boost the abnormal production?

    • Andrea AbbadBSc, MSc

      Dear Andy,

      Generally, sperm quality cannot be enhanced by vitamins or a specific diet. If low quality is caused by the lack of vitamins, amino acids or oxidative stress there is a chance that the incorporation of those elements increases slightly the sperm quality.

      In the following article you can read more about it: Foods to boost sperm quality.

      Best wishes

  3. Featured
    Shamini

    Hi.
    I have been married for 4 years and don’t have a baby yet. Recently my husband did a semen analysis. Found out he has teratozoospermia, with 2% normal and 98% abnormal… Pls do help us… What can we do to conceive?

  4. Featured
    sree

    Can terato sperms lead to down syndrome baby?

  1. Dami

    Im 28, unmarried. I just had a seamen analysis done and my sperm volume was 3.5ml (although I had a spill during sample collection), Motility 68%, sperm count was 20mill/ml. Normal form (morphology) seems to be 1 (with a reference range of 14%-100%). The test results were this Significant Teratozoospermia. That worried me a little.

    I just saw a doctor with complaint about pain in my scrotal sack and upon examination, doctor diagnosed Varicocele which was the reason for having the seamen analysis done.

    Could the Varicocele be the reasons for the poor morphology rates. Do I need to do an urgent surgery with respect to correcting the Varicocele? What do O need to do to improve morphology of my spermatozoa.

    I’d appreciate your response.

  2. Patil

    Hello sir
    I have my semen analysis as below
    Sperm count 60mill/ml
    Motility 60%
    Grade of motility
    Grade I – 10%
    Grade II- 10%
    Grade III – 10%
    Grade IV- 10%
    Nonmotile -60%
    Motility after 3hrs
    Pus cells 4-5hpf
    Epithelial cells absent
    RBCs absent

    Please let me know my reports are ok.
    Or should I consult with doctor.
    Should I make my wife pregnant with this semen report

  3. saraanan

    My semen analysis reports following

    Volume – 1ml
    PH – 6.8
    Liquefaction time – 45 min
    sperm count – 8 million / m
    motility – 20%
    morphology – normal 30% , abnormal 70%.
    fructose – present.
    Moderate oligo astheno teratozoospermia

    Can i have chance for pregancy..
    Can you suggest its normal or any suggestion for improvement…

  4. Nagaraju f n

    Hi, i am 36 year old diabetic, my semen analysis report as follows
    Colour_gray white
    Volume_ 2ML
    PH_7.8
    Sperm concentration_85million/ml
    Total sperm count(millions per ejaculate)_170million/ejaculate
    Progressive_60%
    Non progressive _5%
    Total motility_65

    Sperm morphology
    Normal forms_8%
    Head defect_38%
    Tail defect_42%
    Mid piece defect_12%

    Vitality(live spermatozoa)_60%
    Pus cells_1 -2%pus cells/mod

    Remarks= mad teratospermia. Dead sperms are more.

    Kindly advice me chances of fertility.

  5. Zee

    Kindly tell me, what’s wrong with this report? We hv been ttc for 8 months.
    Morphology 1%

  6. Thabiso

    Did my analysis and normal form is 7% and now I am on my 15th month of TTC. Should we start panicking?

  7. Kumar

    Hi,

    I had my semen analysis and sperm count is 0.3m/ml. And 0% normal sperm. What are the hopes to get treated for this and ways for getting pregnant?

  8. Munira

    Hi doctor, I’m trying to conceive. My husband has teratozoospermia but he has normal forms (13 percent) Is there any chance for me to get pregnant naturally? Please tell mam, I’m waiting

  9. Dr suhel najjar

    Antioxidants are not effective alone in the management of teratozoospermia.