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Are Paternia And Penegra Right Medicines For Low Sperm Count?

Posted on Fri, 27 Mar 2015

Question: Hi -
I did my sperm analysis and have found that my DFI=50% and my normal sperm is 2%. Doctor is advising Paternia and Penegra. I have done 2 cycles of IUI but not successful and going to do the 3rd one. Please advise, if i am going in the right direction.

Answered by Dr. Mahesh Koregol (13 minutes later)

Brief Answer:
You dont need penegra

Detailed Answer:
Hi

I understand your concerns about high DFI and low morphology.

You dont penegra as it wont help you . You can continue paterna.

Make some lifestyle changes as below

1. Stop smoking and alcohol if you have any habit.

2. Lose weight if you are overweight.

3. Please follow regular exercise regimen under a trainer in a gym.

4. I suggest you have low calorie diet.

5.Repeat semen analysis after 3 months to see improvement.

6. Meanwhile you can go ahead with another IUI cycle.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (48 hours later)

Thanks Doctor.

Just thought of asking for my wife. After 2 IUI, she was given Recagon - 50 and the follicle didn't grow and the next month, they prescribed Menodac -75, but after taking 6 injections, the follicle is not growing.

Previously she was responding to all these injection, but over the last 2 months, where we are trying for the 3rd IUI, her follicle is not growing.

Can you please suggest what we should do? Should we give a gap?

Answered by Dr. Mahesh Koregol (45 minutes later)

Brief Answer:
Give gap

Detailed Answer:
Hello,

You are right. Give gap of about 2 months and then try again.

Next time ask doctor to increase the dose

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Thanks Doctor.

Any clue why it's not responding and do we need to do something so that we don't face this kind of problem.

Answered by Dr. Mahesh Koregol (4 minutes later)

Brief Answer:
Needs increase in dose

Detailed Answer:
Hello,

This needs increase in dose of injections. Nothing else is needed.

Dont worry. You will conceive soon.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (13 days later)

Hi Doctor,

Below are some of my statistics, can you please look at them and suggest me the best suitable remedy to my problem.

Sperm Count - 46 Million
Total Motility (P + NP) - 30% (1hr) & 10%(2hrs)
Normal Form - 2%
ERC - 10%
Pus Cell - 05/hpf
DFI = 50%
Left Varicocele. (dilated veins measuring 4.5 mm)

regards

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Please refer to first response

Detailed Answer:
Hi

I had adviced you about changes in life style, diet, weight loss and exercise program in the first reply.

Please follow the same advice. Do it regularly for 3 months and then repeat semen analysis to check improvement.

Regards
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (25 minutes later)

Thanks Doctor.

I dont smoke and very rarely have alcohol(occasionally). Started doing exercise, but the only issue is with weight. I am over weight and trying to lose weight.

Do i need to take any medication? Or should i look at operating my varicocele? I consulted urologist earlier and they advised to operate the varicocele and that will improve.

Please suggest.

regards
XXXXXX

Answered by Dr. Mahesh Koregol (11 minutes later)

Brief Answer:
No need to operate for varicocele

Detailed Answer:
Hi

Follow low calorie diet and exercise regimen continuously for next 3 months to lose weight.

There is no need to operate for varicocele.

Lose weight first. If no improvement seen in 3 months you can think about varicocele surgery.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar