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Low sperm count and high prolactin levels - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hi,i am newly married... i have taken semen test... having doubt regarding the report can u guide us
Doctor :   hi
User :   hi
Doctor :  
i shall help you in this
Doctor :  
please provide your semen analysis details and your query
User :   in bio-chemistry report - in serology - VDRL shows NON REACTIVE
Doctor :  
Doctor :  
this is not semen analysis, it is a blood test
Doctor :  
it is a test to detect the disease syphillis
Doctor :  
it is not reactive means the disease is not there in the test sample
User :   ok
User :   in same test CREATININE shows 0.6 mg/dl test value but ref value nust be 0.7-1.5 mg/dl
User :   what it is low? any problem?
Doctor :   it is not of any problem

Doctor :   creatinine if it is low its ok but it should not be high
User :   in Hormone Assay PROLACTIN 24.41 ng/ml but ref value for men must be 1.5-19.0 ng/ml only
User :   fine
User :   how about hormone ?
Doctor :   hormone levels are little high

Doctor :  
it needs further evaulation
User :   i see...
User :   in my semen analysis PH shows 7.0
User :   what is this? is it my sperm count?
Doctor :  
no it is not sperm count it is the acidity test of the semen. the normal range is 7.0 to 8.0
User :   so where can i see sperm count in sperm analysis report
Doctor :  
it will be written as count and expressed as some millions per ml
Doctor :  
like say 20million per ml
Doctor :  
did you find it
User :   they mentioned less than 20 million
Doctor :  
User :   i took sperm analysis first time where i can see total sperm count 0.7 millions / ml
Doctor :   20 million per ml or 20 ml per ejaculate
User :   one of my doctor told me it is too this correct and can it improved by any chance and can i get baby
Doctor :  
yes it is very low
Doctor :  
the average sperm count is around 60 million per ml
User :   ok
Doctor :   you have abnormalities in the prolactin hormone and also the ph is on the lower side 7.0, once the hormone level is corrected
Doctor :   and the reason for the lower side of the ph is corrected
Doctor :  
the sperm count should increase
Doctor :  
did you test for the testosterone levels?
User :   so can u recommend any doctor in apollo hospital greams road
User :   yes testosterone 3.36 ng/ml
User :   men value : 3.0 - 10.6 ng/ml which they mentioned
User :   is this normal or no
Doctor :   on whose advise did you get the above tests done? which doctor recommended this tests ?
User :   one of infertily centre in chennai
User :   but i am not satisfied with their advise after seeing the reports by them
User :   i need to show these report and to get good advise from one of the doctor in apollo
Doctor :   what advise they gave?

User :   they said either i need to rectify my veins to improve count or they said they can do some method...i cant explain u correctly..may be it is IUI
Doctor :   it is not utI

User :   i think they said inse.....something
Doctor :   from the report what you have provided there is no evidence it says it is uti
Doctor :  
may be it is the effect of the UTI which you have suffered in the past
User :   what is UTI
Doctor :  
did you suffer uti in the past
User :   i dont know what is UTI
Doctor :  
UTI is urinary tract infection
User :   not at al
User :   doctor said he can take some good sperm from me and can get baby...
User :   is this a only way
Doctor :   that is the last option
Doctor :  
initiallt methods to correct the prolactin levels and to rectify the sperm count can be tried
Doctor :  
if that fails than the good sperms can be taken from you and than do artificial fertilization
User :   but incase i take methods to improve sperm count..incase if it fails what they will do? IUI
User :   I SEE
User :   also tell me bcoz of LOW SPERM COUNT can i have someother complications in my there any other worry
Doctor :  
low sperm count has only one effect that is not getting a baby, other than that there is no other effects on the body or mind
User :   fine sir
Doctor :  
Doctor :  
the cause for the low sperm count in you seems to me multifactorial
Doctor :   one is the high prolactin levels which will reduce the sperm production
User :   ok...
User :   what is the other one
Doctor :  
secondly the low ph of the semen indicating some amount of dysfunction in the seminal vesicle,
Doctor :  
this will cause reduced life span of the sperms
Doctor :   also there is varicose veins of the left testis
User :   can we cure this thru medicines
Doctor :   this also has adverse effect on the sperm production

Doctor :  
it would be the combination of medicine and surgery
User :   i see
User :   otherwise i can get now baby artificially right
Doctor :   yes

User :   urology??? i need to show these semen and other reports
User :   can i see andrology
Doctor :   andrology is the study of the male infertility
Doctor :  
it is not a department as such
User :   i see
Doctor :  
urologist and endocrinologist will also be andrologist
User :   ok
Doctor :  
the appropriate person in you is urologist
User :   i see...can he also do IUI for us if needed
Doctor :  
no he will treat you for the infertility
User :   i see
Doctor :  
the person who does the ivi is gynecologist
User :   i see...
User :   can u suggest one no.1 gynecologis
Doctor :  
i also recommend to continue your treatment there only
User :   i know that dr...but my question is u can only suggest in apollo or other hospitals too...
User :   can u answer me
Doctor :   i answer your medical queries since you were asking about the doctors in the hospital in apollo i suggested some
User :   ok...
Doctor :  
if you need any info on other places also we can provide
User :   can u provide any one in chennai other than apollo
User :   it must be equal to apollo
Doctor :   you can do it by yourself from our web site WWW.WWWW.WW Doctor :  
find a doctor option
Doctor :  
you can search for the person nearest to you also
User :   i see..i can find many doctors...but i need to go to good gynae...

User :   ok
Doctor :   it is you need to build trust in doctor
User :   ok...ok
User :   thank you so much...can u give me any general adv like some doctor told me i need to bath in cold water
User :   can i continue going to GYM..will it helpful or affect..
Doctor :   gym will not help or harm you in the problem you are facing, you can continue the gym

Doctor :  
like wise the cold bath or wearing cotton under garments
Doctor :   they also will not help you much
User :   food habits
Doctor :  
what is of more help is the varicose vein correction surgery of the left testicle
Doctor :   to be specific the problem in you is not related to food
User :   ok but still give some general adv to keep me good health
User :   2 years back i have undergone clavical bone surgery in apollo - i have metal inside - still can i go to gym and lift weight
Doctor :   yes
Doctor :  
you can do no problem with it
User :   doctor told me i can remove metal after one year or can be like that till life
User :   what do you suggest
Doctor :   i suggest to get it removed
User :   ok...after removing can i able to go to gym again
Doctor :  
User :   fine
Doctor :   is there anything else i can help you with?
User :   yes
User :   why i get this left side vein problem
User :   or hormone problem
User :   why do i get this
Doctor :   hormone problem is increase in the production of the prolaction hormone
User :   why i have problem in varicose vein
User :   why do i get this???
User :   this is from my childhood
Doctor :   why people get varicose veins in the testis, there are may causes
Doctor :  
what is the specific cause in you to find out it require further investigation
Doctor :  
some of the cause i will enumerate here
User :   ok..
Doctor :  
left abberant testicle vein
Doctor :   any mass sitting on the left testicular vein compressing the drainage
Doctor :  
some time there is no cause found
Doctor :  
it is called idiopathic
Doctor :  
and 95 % of the time it is idiopathic only
Doctor :  
are you there?
Question is related to
Diseases and Conditions
Lab Tests
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