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Prostatis and Infertility - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3268 Questions
User :   hi
i have prostatis from the age of 19 and i am 29 now, i take one alfuzosin hydrochloride tablet evey day which helps. the problem now is for the past 8 months i have had a cold evey month and i am wondering the two could be linked. once i get ride of a cold i seem to get another.
i try to eat a varied diet with making home made soups, red meat and white meat through the week with roast chicken dinner on the sunday,
i take 1000mg vit C and zink drink every morning and still getting colds,
last time i went to the doctor they took blood and when i had the cold/flu my white blood were a bit down and a month later they took blood again as they were worried but it went back to normal but i did not have a cold then at that point.
Doctor :   hi
User :   hi
Doctor :   please give me few moments to read what you have typed.
Doctor :   what symptoms do you have currently?
User :   what as a cold
Doctor :   were eoisinophil counts and absolute eosinophil counts done for you?
User :   dont know, all i was told after blood test were taken was the white blood cells were down and they had to run another test
Doctor :   few medications can affect immunity making you susceptible to having flu like symptoms. get these tests done to identify
Doctor :   if your symptoms are allergic symptoms
User :   at the minute i have sore troat, hot and cold and can,t sleep as coughing as i just woke
Doctor :   when are your symptoms worse during the day?
User :   what test, the one above and can i get them done on the NHS
Doctor :   ok. and along the above mentioned tests, get an allergen patch testing done.
Doctor :   it will help you to identify if there is any particular allergen that is causing your symptoms
User :   ok i will try this, last time i ask the doctor for that they refused due to the large scale of test
Doctor :   since you have on and off symptoms, you should get this done
User :   i have been on this medical for about 8-10 years
Doctor :   it will help in avoiding the allergen and be symptom free
Doctor :   with taking antiallergic mild doses daily for somtime
Doctor :   or if any allergen is found to be teh cause, then even immunotherapy can be tried
Doctor :   which is long term treatment and with best results
User :   so tell me what i should the doctor for a allergen test
User :   ask the doctor
Doctor :   ask for AEC count and allergen patch test to rule out any allergic cause for your symptoms
User :   can prostatis lower your immu system
Doctor :   AEC= absolute eosinophil count
User :   ok i will ask the doctor
Doctor :   prostitis is ongoing inflammation and infection. it can cause some amount of drop in immunity levels
Doctor :   making the white blood cells come down
User :   are they anything i can get to help this
Doctor :   once the cause is established, definitive treatment can be started to give you long time relief
Doctor :   so focus on getting the root cause for your problems
User :   ok
Doctor :   did you follow what I have said?
User :   ya i go to the doctor and ask for absolute eosinophil count and patch test to find the root problem
Doctor :   is there anything else i can help you with?
User :   so i will go and see the doc tomorroe
User :   can i ask so more questions about prostatis if that ok
Doctor :   yes you can proceed
User :   when you have prostatis does that lower your changes of fathering kids
Doctor :   no, it does not lower the fertility levels, if the gland in enlarged, it can press on the duct through which semen passes leading to some affection
Doctor :   but it does not affect production of sperms
User :   me and my partner being trying for a year and 3 month but she has her period every month on time
Doctor :   prolonged infection can cause spread to seminal vesicles
User :   i tell you the full story if i have time
Doctor :   sure. please go ahead. i will try to help you to the best of my ability
User :   i was getting infection from my fore skin, not had sex. went to the doc and finally got it the fore skin removed. i got pain killer for the pain but no anti bonics and i last about a week before i was taken in to hospital as i was being sick and having problems standing up eg i could walk a bit then fall over
User :   still a bit of the story left
Doctor :   yes. please continue
Doctor :   do you mean to say you had balanitis or infection of head of penis?
User :   the doctor said i had a server bladder infection come from the (head of penis) fore skin op and they were not sure how bad it was a
User :   bad it was. i got fixed and it was after the head of penis fore skin removal infection i started getting problems with the prostate
Doctor :   ok.
User :   i got putting down to where they ran test after a year in server pain and dicharge coming from end of penis ( clear slim and clear lums from anal passage and the tubes from the testical getting really large at base of tesical where the tube and testcial meet) are you still with me
User :   the had said all the tubes from the penis trough to the prostate had to be stretch and they were scare tish in all the tubes, in the prostate and down to ths testicals but never said if the scar tish was in the tescials
User :   i got put on the alfuzosin hydrochloride
Doctor :   ok
Doctor :   now what symptoms do you have related to the sexual life?
Doctor :   have you got semen tested anytime during this period?
Doctor :   to see if there is any infection and difference in counts?
User :   no the doctor just said i may have a limited time to have kids but no semen test done
Doctor :   as the presence of scar tissue in the tubes can lead to obstruction and low counts due to obstruction.
User :   actually they did something like that where the rub the prostate until ejactlation
Doctor :   i would recommend you to go ahead with a semen analysis first to see if quality and quantity of sperms are fine and to make sure that there is no infection in the seminal fluid
Doctor :   if any abnormality is found in counts, then further tests to rule out obstruction should be done
Doctor :   if obstruction is found, correction should be aimed, and repeat counts done to see for improvement
Doctor :   if no obstruction is found and still counts are low, then biopsy should be needed to see if production is going on fine
Doctor :   if any infection is detected, treatment should be aimed in treating infection
Doctor :   all this will help to find out if fertility is fine and help you in having a baby with your partner
Doctor :   meanwhile get tests done for your partner too to make sure she doe snot have hormonal/ovulation problem
Doctor :   and an ultrasound scan to look for reproductive structure inside
User :   i have to masturebate most evey three days which helps stop the enlarge tubes from the testical if i dont i have to got to hospital as in so much pain. it feel like the tibes are going to split. it the enlarge lumps do come in the tubes from the testical it takes day to get ride of the lumps in the tubes and i get really hot tempuratue
Doctor :   ok. then there could be some obstruction present. consider getting a full evaluation and tests done by an Urologist/andrologist
Doctor :   to look for the obstruction and to get it corrected
Doctor :   did you follow what I have said?
User :   do you have any idea why the fuild lumps appear in the tubes next to the tbase of the testical
Doctor :   it could be most likely due to obstruction issues. it needs further evaluation
User :   ya go and ask the doctor about full evaluation and tests done by an Urologist/andrologist
Doctor :   is there anything else you would like to ask me?
User :   what time do i have left
Doctor :   let me check
Doctor :   you have some 3-5 minutes left
User :   ok thank you for your help you made alot of sense thanks again
User :   bye
Doctor :   is there anything else you would like to ask me?
User :   what is the best way to get over server bully when i was at school
Doctor :   could you please explain what you mean by "server bully'?
User :   i got bullied for 10 years really badly and went in to my self with real friends and i would like to get over this problems and be able to socialise
Doctor :   ok.let me explain
Doctor :   you need to keep socialising more
Doctor :   and if stil yuo feel effects are present
Doctor :   then a counseling session with psychologist will help
Doctor :   to find meaning and ways to overcome your feelings and thoughts
Doctor :   and guide you in having anormal life
Doctor :   past is past. enjoy your present and plan your future
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