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Orchitis and mumps leading to low sperm count, fertility treatment options - 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 : 2004
Answered : 1773 Questions
User :   hi Doctor
Doctor :   Hi
Doctor :   Dr. XXX here
User :   i have a problem in fertility can you assist me
Doctor :   yes.. please proceed
User :   i had mumps since i was i child
User :   and today i made a seman analysis test and got the following result
User :   color : whitelish
User :   volume 1,.5 ml
Doctor :   your age?
User :   28
Doctor :   ok
User :   sperm concentration ---
Doctor :   color is normal
Doctor :   volume is low
Doctor :   motolyty?
User :   comment and result : Neat sample examinition of human semen . no sperm seen entire ejaculate was centrifuged pallet show 1 sperm / 7 HPF with 50% Motility
User :   Motile Spermatozoa 50%
User :   Progressive MOtile Spermatozoa 3 hrs ND
Doctor :   it 's common after mumps infection to have reduced sperm count and motolyty
Doctor :   There will some considerable damage to seminiferous tubules following infection
Doctor :   The only remedy will be to start on drugs
Doctor :   which stimulate sperm production
Doctor :   Was an scan taken for the same
Doctor :   How long did the infection prevail
Doctor :   The most common complication is the inflammation of the testicles (orchitis) in males
User :   you mean dopler scan
Doctor :   No ultrsound
User :   ultra sound
Doctor :   Yes
User :   yes i made ultra sound for dopler and the result as follows
Doctor :   I could suggest some tips for improving the count
Doctor :   1)Take a regular vitamin and fertility supplement including folic acid
Doctor :   2) Stop smoking because smoking significantly decreases both sperm count and sperm-cell motility.
Doctor :   3) Prevent overheating of the scotum: An increase of scrotal temperature (caused by tight underwear,
Doctor :   4) Prevent excessive stress and perform relaxation exercises
Doctor :   5) Maintain a healthy weight: Not too under or overweight since weight influences estrogen and testosterone levels.
Doctor :   6) Stop Prolonged use of recreational drugs like alcohol, marijuana, cocaine if so4
Doctor :   7)Eat well, get hydrated and sleep well. Malnutrition and anemia can negatively affect your sperm count.
Doctor :   8) Stay away from Environmental hazards and toxins such as pesticides, lead, paint, radiation.
User :   my ultra sound says normal size and left side vericocel
User :   and a bit in right side
User :   i am 183 cm tall and 95 KG weight is this OK
Doctor :   As mentioned there is inflamtion ( orchitis) which results in reduced sperm count
User :   do you advice with the operation for dopler vericocel
Doctor :   The drug CLOMIPINE CITRATE is also helpful in incresing sperm counts
Doctor :   You will require correction of defect
Doctor :   The ciollected fluid is to drained
Doctor :   Was you blood testosterone level measured?
User :   FSH you mean
Doctor :   No
Doctor :   Testosterone
Doctor :   FSH is an hormone which stimulates the production
User :   i dont remeber but i remember i made the LH and FSH
Doctor :   Testosdterone is the hormaone circulating which help in development of testicles
Doctor :   Ok
User :   FSH was 25
Doctor :   ok
User :   and LH was oK
User :   i took 4 medicines for 3 month
Doctor :   There are tests for both free testosterone and testosterone
Doctor :   Can you name them
User :   they were Proviron, clomide, Stresstab zinc, Evion
User :   and there were no good results after that
Doctor :   Yes but will have long term results
Doctor :   Will take considerable time for improvement
User :   i started the medince in march and stoped end of may
Doctor :   Ok
User :   and today i made the examinition
Doctor :   Let me breif you
Doctor :   Though your counts are low and less motile
Doctor :   The fact is only one single sperm is required for preganacy
Doctor :   Taking chances you can be successful
Doctor :   Generally an average of one year of active sex life turns suceesful but in your case might be two #
Doctor :   That wil be the only difference
Doctor :   So just be confident and follow tips suggested and maintain an helathy lifestyle you can sure succedd
Doctor :   I guess you will have to start on clomidine ( clomophine citrate) again for two months course
Doctor :   Do you a appointment with doctor in coming days
Doctor :   I suggest you to get prescribed for the same
User :   i have been married for 4 years now. Do you think i can get children in normal way of thorugh IVF
Doctor :   You can still wait till 30 if not willsuggest for IVF
Doctor :   Which will have better results
Doctor :   That will be done after concentrating the sperm
Doctor :   And a controlled procedure
User :   what does 1 sperm / 7 HPF mean
Doctor :   It means single sperm in 7 fields of focuused fields
User :   but the count of sperm is 0
Doctor :   High power field
Doctor :   That values os considered zero
Doctor :   Because in such minimal values in elabarate search
User :   and the doctor who request the examinition request for sperm banking and sperm pallet
User :   so now for sperm banking as i understant there are non banked right
Doctor :   pardon
Doctor :   They will collect and start concentrating it
User :   they will have colleted any thing from this test
Doctor :   No
Doctor :   You will have some protocols before collection
User :   ok
Doctor :   Sexual abstinence for a week with clomidine dosage for a 3 weeks and then collected
User :   ok
User :   doctor i wnat to restructure the thing again so i am sorry if i will be repeating any questions again ok
Doctor :   No issues
Doctor :   it can be done
User :   Surgery for varicose
Doctor :   But results are better by 50% than before after correction
User :   is this required
Doctor :   Should be your choice
Doctor :   If not interested in interventions
Doctor :   Just go for IVF
User :   i have no problem but from your advice is it required
Doctor :   I would suggest a No
User :   ok
User :   no from the tips you have mentioned above: User :   now from the tips above
User :   what regular vitamin and fertility supplement including folic acid you advice
Doctor :   Its not an OTC will require a prescription, but i can name it for you
User :   ok
Doctor :   Rejunex OD
Doctor :   Folic acid is a seperate supplement
User :   one of the doctore here adviced for proxeed plus
User :   but it is not present in saudi arabia
Doctor :   Even that the same and good
Doctor :   Just varioed trade names
Doctor :   * varied
User :   proxeed plus like Rejunex
Doctor :   No
Doctor :   It more with extra supplements
User :   ok and what about Folic acid
User :   any name you may suggest
Doctor :   Its not there in rejunex but available in proxeed plus
User :   ok
Doctor :   You can contuinue with the same prescribed drug
Doctor :   Thanks for consulting me
Doctor :   Bye for now
Doctor :   Wishing you a speedy recovery
User :   thanks doctor and sure i will come back to you in teh comming days again
Doctor :   Sure
Doctor :   Take care
Doctor :   All the best
User :   i thank you very much for all your suggestions
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