Treatment for poor sperm motility depends on its cause, and this chapter outlines the main approaches. It covers lifestyle changes such as stopping smoking, limiting alcohol, managing weight and stress and avoiding heat, followed by dietary advice on a balanced diet, hydration and the possible role of zinc supplementation. Medical treatments are explained by condition, including antibiotics for infections, hormone therapy for imbalances and surgery such as varicocele repair. The chapter also describes assisted reproductive technologies, including intrauterine insemination and, for severe cases, ICSI, and ends on the reassurance that effective help is available.