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Treating male infertlity - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   My husband and I have been trying to conceive for the past 3 years with no success. We have recently found out that my husband has a very low sperm count. First tests was 16 million, second test 0.9 million! He also has very high viscosity and his WBC is between 2-4, is his WBC normal? Also what can we do to increase the sperm count and to reduce the viscosity?
Doctor :   hello
User :   Hello
Doctor :   give me a min, let me go thru your query
User :   ok
Doctor :   may i know your husbands age please ?
User :   he is 43
Doctor :   Improving sperm counts and promoting overall male fertility health is something all men can achieve through simple changes in diet and/or lifestyle
Doctor :   does he has any medical problems ?
User :   no medical probs
Doctor :   like high blood pressure or diabetes ?
User :   no
User :   Is the WBC within normal range?
Doctor :   yes it is normal
User :   ok, thats good to know. Any brilliant ideas on how to reduce the viscosity
Doctor :   sure i will tell you all that is possible
Doctor :   to begin with
Doctor :   1)He should take a multivitamin that includes zinc. Balancing nutrients can help to boost semen production.
User :   already doing that as well as Vit E, selenium, multi vitamin, grape seed, gingseng etc etc
Doctor :   2) Avoid diuretics, such as caffeine, nicotine and alcohol. These substances cause dehydration, and when consumed in large quantities can interrupt hydration necessary for semen production. Make sure you are avoiding these substances and are drinking enough water---6 to 8 glasses per day---for proper hydration.
User :   he drinks copious amounts of tea and litres of water every day
Doctor :   3) Guaifenesin, an expectorant, can be found in over-the-counter cold and cough medications. The expectorant loosens and frees mucus, allowing it to flow freely.
Doctor :   has he undergone a prostate exam?
Doctor :   An infected prostate can prevent semen from liquefying properly; this can be treated with antibiotic therapy.
User :   Ok, we have bought this and are going to try it next cycle. When exactly should he start to take this? yes he has had a prostrate exam
Doctor :   he can start as soon as possible
User :   okay, so not 5 or so days before I am fertile?
Doctor :   no it does not matter
Doctor :   as it will cause long term benefit that will stay
User :   okay, we will start on this immediately. How much and how often should he take this. We have the liquid version
Doctor :   the dose is written on the medicine depending on what brand you have taken , it should be taken in the same dosage with no changes
Doctor :   actually there is no specific cure for it
Doctor :   If these fail, assisted reproduction (specifically IUI) can bypass the problem.
User :   Okay we will follow directions on package. How successful is IUI with a low sperm count?
Doctor :   its got a very high success rate
Doctor :   The sperm will be prepped so that the viscosity will not be an issue
User :   His Dr has suggested he go on clomid. Do you think this will help with sperm count?
User :   Clomid does not get very positive press on internet!
Doctor :   clomid is used to jumpstart ovulation
Doctor :   and about 40% to 45% of women using Clomid will get pregnant within six cycles of use.
User :   The clomid is not for me but for him
Doctor :   Using Clomid for more than six cycles is not generally recommended. If six cycles go by, and pregnancy is not achieved, other alternatives may be considered.
Doctor :   in men it can cause stimulation of testosterone
User :   so its worth trying?
Doctor :   the use is still limited
Doctor :   but you should give it a try
Doctor :   Stimulating the pituitary gland in men who have either a low sperm count or sperm with poor motility can increase the production of good sperm. Since Clomid increases the effect of the pituitary gland on male hormones, it makes sense that treating male fertility with Clomid may work
Doctor :   but like i said the research is limited
User :   Okay, hopefully this works. I think that is all of my questions answered so I will end our chat. Thanks for your help
Doctor :   your most welcome
Doctor :   take care of your self and yes keep clomid as the last option
Doctor :   take care
Doctor :   good bye
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