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Query on testosterone test,semen analysis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   HI,
User :   hi
User :   i need clarification on certain things
Doctor :   yes please
User :   this is regarding the testosterone test,semen analysis
Doctor :   Ok,
User :   4.2ng/ml testosterone
User :   is this normal?
User :   and also want to know will this test differ from lab to lab everytime
User :   r u there?
Doctor :   Yes,I am with you
Doctor :   My i know your age ?
User :   30
Doctor :   oK, The levels are below normal
User :   what should be the normal value
Doctor :   yes, there will be difference from one lab to another based on the unit of measurements they use and also the procedure involved
Doctor :   for you age it should be above 8 and below 13
User :   can u specify with units
User :   ng/ml or something different
Doctor :   its in ng/dl
Doctor :   other units are nanomol/L
User :   my lab results shows 4.2ng/ml (total testosterone)
User :   and the doctor said it is normal.i have a doubt so i am raising this query
Doctor :   May i know the procedure or the lab name where you got the test done please ?
User :   procedure means
Doctor :   the technique involved in measuring , most of the labs do write it on the report
Doctor :   the normal range for some labs using the measurable unit nanograms per Millileter would be 2.5 to 8
Doctor :   Please reconfirm its the same unit used
Doctor :   i mean ng/ml ?
User :   i dont know that and they took blood sample and done that. yes,it is in ng/ml only
Doctor :   ok, fine i get it now
User :   do u want me to go for someother lab for the test?
Doctor :   if you are sure about the ng/ml then the values are absolutely normal
Doctor :   there are many diversities in the units used and the procedures involved
Doctor :   No , there would be no need for a retest
User :   s,it is testosterone - total 4.2 ng/ml.Sure. he said everything is normal
User :   but still i want to get the clarity
Doctor :   yes, i agree . The ng/ml values range between 2.5 to 7
Doctor :   and I am sure of it
Doctor :   your values are normal
User :   Fine....if required i can even do the test once again..and be frank
User :   and also 1 more thing,i have undergone medical test
Doctor :   ok,
User :   in that they took blood and urine and bp everything
User :   and in which way they say as impotent. because i didnt feel anything
Doctor :   Impotency is a subjective symptom
Doctor :   you should be knowing it better than the one who examines
User :   i didnt get u
Doctor :   only some signs can be elicited like bulbourethral reflex to examine the nervous system ( to rule out peripheral nerve lesions )
Doctor :   Impotency cannot be elicited by tests
User :   actually they didnt tell me correctly
Doctor :   its a symptom which a patient experiences
Doctor :   Can you maintain good erections ?
User :   but they assume,that i know everything and i am not telling the truth
User :   but really not
User :   this happen before 4months
User :   last week i met another doctor
Doctor :   ok,
User :   and i have erection problems and it is not normal
User :   so he ask me to undergo certain test
Doctor :   ok,
User :   but he also said no problem
User :   i want to know exactly
User :   to get it treated soon
Doctor :   Ok, do you have any backache ?
User :   No i dont have headache.i am not using drugs,alcohols,drinks.
User :   no smoking
Doctor :   Do you any nerve defects like numbness , pins and needles in the penile area ?
User :   pins and needles means ?
Doctor :   Sensation as though there are pins being stabbed
User :   no not like that
Doctor :   ok,this rules out any nerve defects
Doctor :   and also your testosterone levels are good
User :   will mastuburation cause this.
Doctor :   if more frequent yes,
Doctor :   and thats reversible
User :   what test to find that
User :   any lab test required
Doctor :   no , there are no lab tests
Doctor :   but you can evaluate it by yourself
User :   then how to solve this
Doctor :   by taking a pil of VIAGRA
User :   no can it be done naturally without taking pills
Doctor :   yes,'
Doctor :   but if the viagra works it means that the blood supply and the capacity to contaion blood will be low
Doctor :   this can be treated with DUROIL
Doctor :   its a massage oil which really helps in many cases of erection defects
User :   what r the ways to cure and one more thing my colestrol level is ldl 153mg/dl;;total colestrol is 208 mg/dl
User :   fine will try with any one of that
Doctor :   cholesterol is fine
User :   they said colestroll is higher limit
User :   noraml value is to be LDL
Doctor :   marginal increase is ok
Doctor :   and that could be due to prior days meal
User :   oh..ok i took non veg the previous day..suppose if i am undergoing medical test in my office
User :   will these mastuburation and those will be seen by the tests
Doctor :   you may have to get a retest on cholesterol
Doctor :   no , the effects of masturbation cannot be evaluated by any tests
Doctor :   its just by the history the , its considered as a cause
User :   ok will do the same test again for colestrol.and how come they concluded that he is impotent and the reason could be high mastuburation.(This is my guess) i didnt do anything wrong apart from that
Doctor :   thats a guess
User :   is there anything means plz let me know..hope you will understand my position.They said some drug test reveled this(not sure) .i dont know medical terminology
Doctor :   no , i do not agree
Doctor :   Use Duroil , also go for Viagra occasionally both will help to regain naturality in the erections
User :   so only thing they can find is with testosterone totla right ? anything else? this effects my life both professionaly and personally.
Doctor :   thats it
Doctor :   its very difficult to diagnose one impotent
Doctor :   it needs many sessions to even come to a differential diagnosis like that one
User :   Thanks doctor.oh god,they turned my life to hell.
Doctor :   Do not worry , meet a sexologist he will help you well
Doctor :   Are you there ?
User :   s
User :   i am here
User :   so i want to meet sexologist
Doctor :   yes,
Doctor :   He would be the best to deal it
User :   does urologist and sexologist are same
User :   or different?
Doctor :   no they are different
User :   i met urologist
User :   where r u from
User :   can u help in finding doctor
User :   which state
Doctor :   Sure
User :   can u suggest some hospital with docto
Doctor :   you see a green pop up in the right , you proceed clicking that to consult the doctor over e mail or via phone
Doctor :   Whe do you want me to find one for you ?
User :   anywhere
User :   r u there?
Doctor :   ok, i will
Doctor :   Its
User :   fine doctor it with herbal treatment or something other? becoz herbal treatement will take more time to cure if there is something
Doctor :   he is well versed with both herbal and allopathic interventions
User :   ok fine
Doctor :   is there anything i can help you with ?
User :   ok doctor
User :   fine
User :   thanks
Doctor :   You are welcome
Doctor :   Thanks for consulting me
User :   thanks
User :   bye
Doctor :   Bye
Doctor :   have good times ahead
Doctor :   Take care
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