<s>[INST] Dear Sir , I am Bangladeshi i am 40years old, i married august 2005, my sperm count low, my wife has no problem his all test result good, but try to baby before five years till date we not successful . we visit many doctors in bangladesh and we take IVF to square hospital in bangladesh 2oth September 2011 but no result then my sperm count was 10. now i what to do. pls pls suggest me. email no. YYYY@YYYY [/INST] Hi, Normally sperm count is 60 millions (6 crores) Out of which only one spermatozoa is going to fertilize the egg. There are so many factors to be considered, out of which the percentage of1) Actively Mobile sperm2)Morphology of sperm are important. If there is VERY fewer sperm count Injections & Tabs are available to improve the sperm count. But for normal way of fertilization 60 millions are needed. If the sperm count is less than 50 millions and % of actively mobile sperms are to a reasonable number we can filter the semen and separate the actively motile sperms which are used for insemination or IVF. So before IVF everything has to be taken into account. I hope that what you have mentioned is 10 millions instead of 10. Even if it is 10 millions it is difficult to separate the actively motile sperm. I hope you understand. As your life partner is 100% alright if it is agreeable for your artificial insemination is possible (from the semen bank.) Best wishes </s>