Oligozoospermia means a low sperm count. Any abnormal Semen Analysis needs a second test 1-2 months later for confirmation, ideally through a fertility clinic. Hormonal testing may identify treatable problems, and tablets may improve sperm; hormone shots are needed very rarely. Mild to medium low sperm count is often treated with Intrauterine Inseminations (IUI), where washed sperm is placed inside the woman’s uterus. Severe sperm problems need IVF with ICSI (In Vitro Fertilization with Intracytoplasmic Sperm Injection) or the use of donor sperm.