Azoospermia (absence of sperm) along with high FSH (18.1) and moderate testosterone (317.5) suggests testicular dysfunction, possibly due to Sertoli cell failure or obstructive causes. Ayurveda views this as an imbalance in Shukra Dhatu (reproductive tissue), often caused by excess Pitta and Vata, oxidative stress, or poor testicular function. Ayurvedic herbs like Ashwagandha, Shatavari, Kapikacchu (Mucuna pruriens), and Shilajit are known to enhance testicular health, improve hormonal balance, and support spermatogenesis. Rasayanas like Chyawanprash and Vajikarana therapy (aphrodisiac treatment) also help rejuvenate reproductive tissues. Panchakarma therapies like Virechana (detoxification) and Basti (medicated enema with sesame oil or Ashwagandha decoction) can aid in hormonal balance and improve testicular function naturally. Panchakarma is particularly beneficial in cases of non-obstructive azoospermia, as it helps remove toxins, rejuvenate testicular function, and stimulate spermatogenesis. Uttara Basti (medicated enema through the urethra) and Shirodhara (oil therapy for stress reduction) can be useful if stress-related hormonal imbalances contribute to the issue. Ayurvedic treatment for improving sperm production typically takes 3-6 months depending on the severity, consistency of treatment, and underlying cause. It’s important to have realistic expectations, as Ayurveda focuses on natural regeneration rather than instant results. Diet and lifestyle play a key role in improving testicular function and sperm health. Ayurveda recommends warm, nourishing foods rich in zinc, healthy fats, and antioxidants, such as ghee, soaked almonds, walnuts, pumpkin seeds, and dates. Avoiding spicy, processed, and excessive salty foods prevents Pitta aggravation, which can damage sperm quality. Regular Abhyanga (self-massage with sesame oil), yoga (Sarvangasana, Vajrasana), and stress management techniques like meditation and pranayama (Anulom Vilom, Bhastrika) help optimize reproductive health. With a consistent Ayurvedic treatment approach, dietary adjustments, and Panchakarma therapy, natural sperm production may improve over time.

Azoospermia with high FSH and moderate testosterone often points to testicular dysfunction, possibly linked to Sertoli cell failure or blockage. Ayurveda sees this as an imbalance in Shukra Dhatu (reproductive tissue), often caused by excess Pitta and Vata, oxidative stress, or poor testicular health. Key herbs like Ashwagandha, Shatavari, Kapikacchu, and Shilajit can help improve sperm production, hormone balance, and testicular function. Chyawanprash and Vajikarana therapy are also beneficial for rejuvenating reproductive tissues. Panchakarma therapies like Virechana (detox), Basti (medicated enema), and Uttara Basti (urethral enema) can improve hormonal balance and stimulate sperm production, especially in non-obstructive azoospermia. A nourishing diet rich in ghee, almonds, walnuts, and pumpkin seeds supports sperm health, while spicy and processed foods should be minimized. Practices like Abhyanga (oil massage), yoga, and pranayama can further enhance fertility. With consistent Ayurvedic care, lifestyle changes, and patience, there’s potential for natural sperm production to improve.