Clinical Cases

Severe Oligospermia in a Man of 27

Kavita R. Chandak
Written by Kavita R. Chandak

Dr. Kavita Chandak shares a case of severe oligosperma in a man of 27. Hyperacidity, intolerance to noise and reserved but irritable in nature were symptoms leading to the simillimum.


A gentleman 27 years old consulted me with his wife for primary Infertility at 24th October 2018. He was married just 2 years ago.  His semen test done on 22 august 2017 was showing sperm count 8 lakhs i.e. 0.8 million.

Sperm morphology – 0.5% Normal form, 95% Abnormal form.

He tried some allopathic treatment as well. When he didn’t get any benefit, he became depressed and stopped all medications in February 2018. He started fasting and worshipping God as he felt now only God could help him. Later on he visited me unwillingly, referred by his brother in law, who was my old patient for bronchitis.

The case was taken as per homeopathic method. He was operated on for undescended testis and hernia in childhood. He was a lean delicate man, had tendency of flatulence with frequent stomach upset. He stopped consuming Indian Ready Tea as milk increased his acidity and flatulence. For that he used to consume antacids on a daily basis. There was a complaint of tiredness of mind, possibly due to mental exertion. Noise was totally intolerable for him. He was irritable and reserved. As a child he suffered frequent attacks of cold and coryza with herpes zoaster. Thermally chilly. Skin dry with cracks in heels.

These symptoms were enough to find the simillimum!

Method-  Individualised homeopathic case taking.

Choice of Remedy-

I didn’t prescribe Damiana to improve sperm count as many homeopaths do in their usual practice. I gave him his constitutional remedy Natrum Carbonicum 200 one dose on 24 october 2018.


December 2018- Flatulence and frequency of stomach upset reduced.

Placebo given.

March 2019-  Little weight gain; digestion good.

Natrum carb 200 one dose aqua.

June 2019- Reported that he started Indian tea again as milk tolerance is improved. His wife said that he could  comfortably interact with others.

Natrum carb 1M one dose given.

August 2019- Laboratory semen test done.

Sperm count reached up to 8 million [from 0.8 million] in the duration of 10 months with constitutional homeopathic treatment.

Sperm Morphology-60% normal form, Abnormal form 40%.

Comments on selection of remedy– Sometimes the patient himself talks about his material medica. As mentioned in the aphorism 5&6 by our master- A physician with unprejudiced mind can really feel the soul of his patient.

Let us discuss the Materia Medica of Natrum Carb-

Natrum carb. patients are always complaining of flatulence, heartburn, eructations; and they are acutely conscious of a very spoiled stomach. Usually there is a history of having taken one of the antacid preparations, and of taking it in quite large doses.

These patients are usually rather pale, sometimes definitely sallow, with a tendency to yellowish blotches on the skin. They tend to be rather underweight and of poor physique.

They are always tired-out people; very often with a history of having had a long spell of overwork, and they are exhausted nervously and physically. They complain of inability to work or to concentrate, of a sensation of confusion and a general feeling of brain fog. Most Natrum carb. patients are depressed, and occasionally the depression goes on to a definite religious melancholia.

There is dislike of meeting strangers or having to talk to people; and a marked aversion to certain people. Natrum carb. people are always nervous, and they have a general trepidation which is very much aggravated by any sudden noise.

In addition to being sensitive to noise, most of their senses tend to be over acute; they are over sensitive to light, their sense of taste is over acute. Their sense of smell, too, is always disturbed – sometimes it is over acute but, more commonly, it is entirely absent.

They are always chilly patients, very sensitive to cold, particularly to cold draughts, and yet they are aggravated by extreme heat and are very sensitive to exposure to the sun – they nearly always suffer from sun headaches. They are extremely sensitive to any atmospheric electrical storms.

They have a complete intolerance of milk. It increases the flatulence and is very likely to bring on an attack of diarrhoea.

Drinks water frequently after meals.

Natrum carb. patients frequently get a period of extreme hunger late in the evening about 11 p.m. , and again in the early morning about 5 a.m.

The hunger may wake them.

Natrum carb. is very useful in many of the digestive disorders of pregnancy when these are associated with hunger during the night. Patients who tend to have these recurring attacks of diarrhoea may also have a certain amount of enlargement of the liver, and be slightly jaundiced.

-Natrum carb. patients tend to suffer from recurring attacks of catarrh in various situations; it may be a recurring leucorrhoea, a recurring nasal discharge, or an old otitis. The constant characteristic about these catarrhs is that, no matter where they are situated, they are always accompanied by very thick yellow discharges.

-Natrum carb. patients usually have diffuse rheumatic pains; complaining of creaking sensations in the cervical region, pains in their backs, weakness of the ankles and sensitiveness of the soles of the feet.

They all tend to have very dry skins, and they frequently complain of painful, dry cracks on the fingers, particularly the fingertips, and of the same sort of thing on the toes.

-Many of these patients, in spite of their general emaciation or loss of weight, get odema about the ankles in the evenings, when they are tired.

They are all susceptible to herpetic attacks. They get eruptions round about the hair. They may get herpetic patches on the lips, and are liable – particularly the older patients – to suffer from attacks of thrush.

For children with milk upsets and milk diarrhoea accompanied by thrush, Natrum carb. is one of the important remedies.

-The drug that is most commonly confused with Natrum carb. is Sepia, and many of the patients who appear to need Sepia really require Natrum carb.


Skillful application of deep knowledge of Materia Medica can transform lives! Homeopathy is not mathematics! It is not necessary to collect rubrics and do the mechanical repertorization in every case. Every case requires a different approach.

About the author

Kavita R. Chandak

Kavita R. Chandak

Prof. Dr. Kavita R. Chandak (BHMS, PGNIH, PG(HOM) London, MD [HOM] PHD(France), Prof. Repertory, P.D. Jain HMC. She is an international speaker and trainer in homeopathy. Dr. Chandak is advisory board member at Turkey clinical journal and Board of Directors, Afghanistan Homeopathic Association. She has presented research papers in India and at international conferencess. Her book Health vs Disease was released in America and is available on Amazon as kindle. Dr. Chandak runs two clinics at Nagpur and a web clinic for the last 19 yrs. Her speciality areas are psychiatry, autism, infertility, allergies and cancer. She is the Director of the Padmaja Welfare Foundation NGO working for health awareness in society. Her articles has been published in various magazines, including Homeopathy 4 Everyone, Homeo Horizon Journal, CleverH magzine and Heritage Magazine. Her name is in the Golden Book Of World Records for homeopathy She has participated in 700 talk shows for non medicos with the theme” Prevention is better than Cure.” For more information, visit her website:


Leave a Comment