Hello
Thanks for your consult at DoctorSpring.com. I appreciate the clarity and directness in your query.

The sperm count is definitely low in your husband's case. Also , what you mean is the sperm morphology ( percentage of normal looking and normally formed sperm ) that is very low. Could you upload the report as follow-up.

Now, your question basically boils down to this - is the abnormal semen analysis treatable ? And my answer would be - it depends on the cause. A lot of times, an abnormal semen analysis is caused by factors such as ageing, stress, recent surgery, fever or illness, heat exposure locally, alcohol, tobacco, drugs, radiation etc.

In certain conditions, removal of the offending factor can reverse the abnormal results. Such as , stopping drugs , tobacco or alcohol, maintaining an ideal weight, limiting exposure to hot tubs or saunas , minimizing work and personal life stress.

Other reasons for a low count could be - genetic causes ( generally untreatable ), hormonal deficiencies ( responds well to clomid or gonadotropin supplementation from outside ), blockage of the ducts ( reversible surgically ). Thus, the cause determines whether medication would improve the count.

You need to tell me if a diagnosis for the low count was established. This is generally done by a detailed semen analysis ( generally repeated twice at suitable intervals), semen culture, hormonal level measurements, ultrasound and Doppler of scrotum, physical examination and other complementary tests.
Offhand, without knowing the cause, it is impossible to say if medications and antioxidants / vitamins would help.

Also, for a low count, IUI / IVF generally DO yield good results, especially IUI is a viable option since it is less invasive / less expensive too.

All the best.
Do feel free to write back for a further discussion.
Take care.