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No semen production, had erection problems. Treatment?

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Sexologist
Practicing since : 1999
Answered : 127 Questions
Question
good evening doctor
Semen is not producing for last couple of months. Previously I faced erection problems. Currently I am working as a software engineer in Bangalore. How to procedd further for treatment. Please advice me doctor. Thanks in advance
Posted Mon, 30 Apr 2012 in Men Sexual Problems
 
 
Answered by Dr. A. CHAKRAVARTHY 1 hour later
Good evening,

Thanks for the query.

I understood your problem however it would be good if you can answer few of my queries:

1. Whether you have any medical condition like Diabetes / Hypertension?
2. Do you smoke / Consume alcohol?
3. Are you married? If yes for how many years?
4. Do you / used to masturbate?
5. What is the frequency of sexual act / intercourse?
6. Did you get a primary evaluation done by any local doctor?

The answers are important to assess you as I am not able to examine you physically.

Awaiting your answers.



Above answer was peer-reviewed by
 
Follow-up: No semen production, had erection problems. Treatment? 7 hours later
1. Whether you have any medical condition like Diabetes / Hypertension?
No Doctor, I dont have Diabetes / Hypertension
2. Do you smoke / Consume alcohol?
Yes both I have
3. Are you married? If yes for how many years?
I married on 14 years back. I have one child.
4. Do you / used to masturbate?
Yes
5. What is the frequency of sexual act / intercourse?
Not now due to this problem. I am not staying with my wife for last 6 years.
She is in my home town. I use to go home monthly once or twice.
6. Did you get a primary evaluation done by any local doctor?
No
 
 
Answered by Dr. A. CHAKRAVARTHY 2 hours later
Good Morning,
Thanks for the follow up.

1. Smoking can affect your sex life very much. My advise is to stop smoking.

2. Mild alcohol consumption is ok. But Moderate to severe consumption can ruin your sex life.

3. Are you not able to ejaculate while masturbating?

4. What makes you think that semen is not produced?

5. You need to check the hormone levels. Hormone plays an important role in sex life.


Essential hormones to be checked are Serum Testosterone, Free Testosterone & TSH.

If Diabetes status was not checked in last 6 months, better check Fasting as well as PPBS.

Awaiting your answers and am available for follow up

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: No semen production, had erection problems. Treatment? 10 hours later
Goodevening Doctor. Thanks for your reply
1. Smoking can affect your sex life very much. My advise is to stop smoking.
Ok Doctor I will not smoke now after. (I am not a chain smoker per day XXXXXXX 2 cigrettes)
2. Mild alcohol consumption is ok. But Moderate to severe consumption can ruin your sex life.
Ok Doctor I had so much. I will not take now after
3. Are you not able to ejaculate while masturbating?
Now the liquid is not coming
4. What makes you think that semen is not produced?
Normally it will produce. Now it is not happening.
5. You need to check the hormone levels. Hormone plays an important role in sex life.
Please advice me Doctor I will go for tests.
I had taken homeopathy medicine for 20 days some 2 months back. It gave little effect. But not solved.

Essential hormones to be checked are Serum Testosterone, Free Testosterone & TSH.

If Diabetes status was not checked in last 6 months, better check Fasting as well as PPBS.

Please advice me for what are the tests to be done. I will do it and send it by mail. Give all the required tests.
Expecting your reply. Thanks in advance
 
 
Answered by Dr. A. CHAKRAVARTHY 24 hours later
Hello,

Thanks for writing again.

The essential tests to be done are:

1. Serum Testosterone & Free Testosterone.

2. TSH (Thyroid Stimulating Hormone).

3. Fasting Blood Sugar and Post Prandial Blood Sugar.

If any abnormality is seen in these tests, we can go for more extensive investigations.

You can do the investigations and send me the report. You have a feature to upload the reports/image by yourself at the right side of the query page, please utilize that.

I hope this answers your query.

I will be available for follow up queries.

Regards,
Above answer was peer-reviewed by
 
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