Unless there is a structural or anatomical issue effecting sperm quality, western medicine often has little to offer. Acupuncture is important but Chinese herbal formulas truly shine in regards to improving count, quality and even morphology. Most patients are seen only once or twice for a consult and then a protocol of high grade antioxidants and powdered herbal decoctions is prescribed. Focus is on breaking up stagnation, improving blood flow and general detox. Sperm quality usually improves within some parameters in as little as 90 days.