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Suffering from low sperm count - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :   Dr
User :   Hello doctor
Doctor :   how can i help you, ?
User :   I am suffering from low sperm count
Doctor :   ok
Doctor :   when was the test done and what is your count ?
User :   10ml with 20% grade A and 4ml
User :   it was some 10-15 days back
User :   I have also undergone ultrasonography of the scrotum and color doppler
User :   The report says I am suffering from Bilateral varicocele
Doctor :   ok
Doctor :   actually low counts mean , total sperm count less than 20 million
User :   with dilated veins measuring 2.6mm on right side and 4.3mm on left side on valsalva
User :   per ml I meant
Doctor :   may i know ur age ?
User :   33 yrs
Doctor :   can u mention in millions if u dont mind
Doctor :   if that has been provided in the report
Doctor :   also how many years have you been married ?
User :   10million per ml and a total of 40mn. Of this 20% is of A grade
User :   4.5 years
User :   we were trying since 1.5 years
Doctor :   ok
Doctor :   Have u been treated anytime ?
Doctor :   Injections with HCG can be used to treat low counts
User :   want to know how serious is bilateral varicocele
User :   no doctor
Doctor :   also do u know your testosterone levels ?
User :   not treated
User :   1 min
Doctor :   presence of varicolcele can increase the temperature of the testes
User :   8.46 ng/ml
User :   testrome levels
Doctor :   this causes reduction in sperm count
User :   Ok.
Doctor :   do u know the reason for this to happen in you, and since how long have u had this condition ?
User :   I have taken fertly M and Carnitor for 2.5months, as they were suggested by a doctor initially
User :   Not sure doctor
Doctor :   ok
User :   I do not know, but I feel, I work late hours since last 6-7 years
Doctor :   may i know ur occupation?
User :   outsourcing industry
Doctor :   you mean BPO
User :   KPO
Doctor :   and u work more with laptops ?
User :   No doctor
User :   Now I have quit the job and doing part-time since last 5 months, for this reason
Doctor :   may i know your educational background, if u dont mind ?
User :   I am an MBA
Doctor :   ok
Doctor :   thanks
Doctor :   did the medications help ?
User :   No improvement doctor
Doctor :   ok ,
Doctor :   so is there any specific questions that you have ?
Doctor :   i can help you now
User :   what is the best way to come out of this
Doctor :   since i know some of the history
Doctor :   you might need HCG injections which will help to increase the sperm count
User :   May I know the success ratio
Doctor :   40-50% can have increase in counts
User :   by how much doctor
Doctor :   it depends on the basic issue that is hurting in the first place
User :   ok
Doctor :   first you will need to take care of the varicocele by surgery
Doctor :   this will reduce the temperature of the testes
User :   Ok, but does it has any negatives
Doctor :   and this will help to increase the sperm counts
User :   ok
User :   ok
Doctor :   what do u mean by negatives ?
Doctor :   there is as such no major side effects of surgery
User :   ok, how long does it take me to lead a normal life
Doctor :   u mean post surgery ? In that case less than 3-4 days
User :   I mean after the surgery
Doctor :   this is not a major surgery
User :   ok doctor, do you advice me to stay in the hospital
User :   for these 3 days
Doctor :   you might be able to get out of hospital the next day
Doctor :   or after 2 days
User :   Ok
User :   but after these 3-4 days can I normally wear my trousers and move around
User :   or it may take few more days
Doctor :   yes
User :   ok
Doctor :   u can wear your trousers within 2 days
User :   Doctor, can I know the success rate, I mean the increase in count
Doctor :   once the condition is corrected and you undergo treatment you have have normal counts
Doctor :   and the normal counts is more than 40 million / ml
User :   you mean there is high success ratio after the surgery
Doctor :   yes
Doctor :   the issue with u is due to the varicocele
User :   ok doctor, which surgery method you suggest me as I reading 2-3 varities
Doctor :   it will depend on the cause that is causing the condition
Doctor :   without knowing that, i might not be able to select the procedure for you
User :   ok doctor
User :   what further information you may require to say the exact cause of this
Doctor :   conditions like venous incompetence or ostruction in the renal artery could be the cause
User :   what are the tests that it require
User :   to confirm the cause
Doctor :   doppler of the pelvic vessels will be the first
Doctor :   based on that , the other tests can be done
User :   Doctor, can you tell me how expensive this surgery could be
Doctor :   it will not be more than 15000 in a less expensive hospital
User :   Ok doctor
Doctor :   in corporate, it may go up
User :   ok
User :   Doctor, many thanks for your advice. but just one query, does the surgery has any possible side effects
Doctor :   you are welcome
Doctor :   the surgey has no Side effects ?
Doctor :   yes
Doctor :   there are no sideeffects ,
User :   Many thanks for listening to me patiently. Please pray for me I recover
Doctor :   you are welcome
Doctor :   you will be ok,
Doctor :   no need to worry
User :   thank you doctor
User :   I will end the chat
Doctor :   take care and bye for now
Doctor :   please leave ur feedback
Doctor :   thanks again
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