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Suggest Treatment For Low Sexual Libido
Question: The problem i m facing from last three months is low interest or no interest in sex, low desire of sexual intercourse, i went to urologist and he asked me to check my testosterone levels and results from lal path labs come out this FSH 1.70 LH - 3.68 Prolactin serum 7.13 and TESTOSTERONE TOTAL SERUM - 371.74 i also checked my semen analysis which are as follows volume 4 ml, appearance viscid opaque, viscosity slight, ph 7.5, sperm concentration 92 ml, motility 55 %, vita pus cells >20 epithelial cells are few and i also did my semen culture as suggested by this doctor which comes out negative with the result no Pathogenic organisms grown after 48 hrs of incubation at 37°c.
then the doctor advised me cernos depot injection as he said your total testosterone level is low because of which your sexual drive or interest is lost. And prescribed medicines tariflox ofloaxcin 200 mg tamgress 0.4 and macofol plus capsules for 30 days for treatment of pus cells i have taken 1 dose of cernos depot injection and next dose will be due on 19 sept 2014.
pls tell me the treatment is sufficient enough for my low sex drive also the treatment side effects and i also came to know that testosterone affect sperm count as well what should i do also suggest me some alternative treatment also i am diabetic also and i am on insulin as well and my age is 35 yrs pls help
then the doctor advised me cernos depot injection as he said your total testosterone level is low because of which your sexual drive or interest is lost. And prescribed medicines tariflox ofloaxcin 200 mg tamgress 0.4 and macofol plus capsules for 30 days for treatment of pus cells i have taken 1 dose of cernos depot injection and next dose will be due on 19 sept 2014.
pls tell me the treatment is sufficient enough for my low sex drive also the treatment side effects and i also came to know that testosterone affect sperm count as well what should i do also suggest me some alternative treatment also i am diabetic also and i am on insulin as well and my age is 35 yrs pls help
Brief Answer:
Needs detail evaluation.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you are known diabetic and have problem of low sex desire (Libido)
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Since ow long you have been facing this problem?
2) Are you married and how many children you have ?
3) Is your diabetes under control.?
4) Are you monitoring your sugar levels at regular intervals? by doing Serum HbA1C.
5) Do you have any psychological problem ? or any relationship problem with your partner?
As regards your FSH ,LH levels these are not related to sex desire .
Your Testosterone levels of 371 is reasonably normal for your age.
Single readings of these hormonal levels can not basis for treatment .One needs to get average of three readings done at the interval of one month before labelling it to be low levels(Hypogonadism).
Your semen analysis suggests infection of either Seminal Vesicle or Prostate .You need to take antibiotics for long term of 3 months and repeat semen analysis after three months.
Your libido could be primarily due to Diabetes .
You have been taking Testosterone depot for libido(Cernos Depot)
Continue taking it and repeat your serum Testosterone levels after 3 months along with any improvement in your symptoms and sex desire.
Prolonged use of Testosterone replacement therapy affects spermatogenesis due to deficiency of endogenous Testosterone .
Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Needs detail evaluation.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you are known diabetic and have problem of low sex desire (Libido)
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Since ow long you have been facing this problem?
2) Are you married and how many children you have ?
3) Is your diabetes under control.?
4) Are you monitoring your sugar levels at regular intervals? by doing Serum HbA1C.
5) Do you have any psychological problem ? or any relationship problem with your partner?
As regards your FSH ,LH levels these are not related to sex desire .
Your Testosterone levels of 371 is reasonably normal for your age.
Single readings of these hormonal levels can not basis for treatment .One needs to get average of three readings done at the interval of one month before labelling it to be low levels(Hypogonadism).
Your semen analysis suggests infection of either Seminal Vesicle or Prostate .You need to take antibiotics for long term of 3 months and repeat semen analysis after three months.
Your libido could be primarily due to Diabetes .
You have been taking Testosterone depot for libido(Cernos Depot)
Continue taking it and repeat your serum Testosterone levels after 3 months along with any improvement in your symptoms and sex desire.
Prolonged use of Testosterone replacement therapy affects spermatogenesis due to deficiency of endogenous Testosterone .
Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir thanks for your reply
i have been diabetic since aug 2012 till date and i m on insulin mixtard 30 hm since then. i m married and have one baby girl from ivf. i m testing my sugar level weekly at home by accucheck device it ranges from 100-117 fasting. no psychological issues as such i m planning to have another child normally and not by IVF.and u said prolonged testosterone TRT affect sperm count.will it not affect my fertility if i continue with testosterone inj.i have taken only one dose and next will be due on sept2014I. There is improvement in my libido after onedose but my greatest worry of sperm health if i continue with testosterone.
i have been diabetic since aug 2012 till date and i m on insulin mixtard 30 hm since then. i m married and have one baby girl from ivf. i m testing my sugar level weekly at home by accucheck device it ranges from 100-117 fasting. no psychological issues as such i m planning to have another child normally and not by IVF.and u said prolonged testosterone TRT affect sperm count.will it not affect my fertility if i continue with testosterone inj.i have taken only one dose and next will be due on sept2014I. There is improvement in my libido after onedose but my greatest worry of sperm health if i continue with testosterone.
Brief Answer:
Single dose will not affect spermatogenesis.
Detailed Answer:
Hello
Thanks for feedback.
Single dose of testosterone will not affect spermatogenesis..Testosterone taken over a long period affects spermatogenesis .
You have to do your semen analysis before you take Inj Testosterone,
Continue taking antibiotics that you are taking now and repeat your semen analysis after 2-3 months regarding status of infection .
Thanks and Regards.
Dr.Patil.
Single dose will not affect spermatogenesis.
Detailed Answer:
Hello
Thanks for feedback.
Single dose of testosterone will not affect spermatogenesis..Testosterone taken over a long period affects spermatogenesis .
You have to do your semen analysis before you take Inj Testosterone,
Continue taking antibiotics that you are taking now and repeat your semen analysis after 2-3 months regarding status of infection .
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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