Get your Health question answered in 3 easy steps

123 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have less moustache and beard on face. Semen analysis done. Do I have any serious illness?

Answered by
Dr. P. T. Patil


Practicing since :1971

Answered : 9745 Questions

Posted on Thu, 7 Feb 2013 in Men's Health
Question: Hello sir,

I 'm facing of low moustache and beard on my face.I consulted an homeo physician,as per his advice went for certain tests.Please refer test results of semen analysis below as :
reaction : alkaline
vol :1.5 ml
liquification time :30 mins
sperm count : 130 million/ml
motile : 80
pus cells : 6-8 /hpf
morphology : 90% normal
testosterone total : 3.67ng/ml CLIA
free testosterone 23.80pg/ml ELISA

Please suggest me is there problem or any weekness as per report in my body ?

Answered by Dr. P. T. Patil 9 hours later
Thanks for writing to us.
Based on the report that you have posted I am rather doubtful about the report that you have posted or there is possibility of typing error while reporting.The normal testosterone levels for your age are between 500 t0 1000 ng/dl. So get it verified and post again.
Will you kindly answer few more questions to come to a proper conclusion
1) Do you have normal libido ? (Desire for Sex)
2) Do you get good erection ?
3) Does your body has normal Physique ?

Since you have low moustache and beard on face this suggest androgen deficiency( Low Testosterone) which may be due to either
1)Inadequate production by Testis itself or
2)Due to deficiency of Hormone Prolactin secreted by Pituitary gland.
Please repeat your Serum Testosterone levels and Serum Prolactin and consult qualified Endocrinologist for proper evaluation and management.You may need to take Testosterone supplements as per his/her advice.
Apart from the pus cells, the semen analysis report looks largely normal
Please feel free to ask if you have any more questions.
Thanks with Regards.
Dr Patil

Above answer was peer-reviewed by : Dr. Aparna Kohli
Follow up: Dr. P. T. Patil 11 hours later
Hi Sir,
First of all thanks a lot for giving your valuable time.I have noticed the figures being mentioned the reports as below :

Investigation Findings Reference Range Method
========= ====== ============ ======
Testosterone Total(Serum) 3.67 Adult 2.8-8.0ng/ml CLIA
Free Testosterone(Serum) 23.60 Adult 8.69-54.69 pg/dl ELISA

As per sex drive is concerned,I will get normal erection,hardness during morning hours.I felt I always have good interest towards sex,normal masturbation (sometimes weekly twice / thrice ). As per physique is concerned,I got weight around 95 kgs.Height : 6 mts (almost),good appetite.
I'm also facing issues related to concentration as it is effecting my work and studies a lot.

You have mentioned apart from pus cells, rest of things are largely normal in semen analysis.Please mention if it has any problem.

I'm completely disturbed because of this issue sir, please guide me shall I continue the homeo medicine which I'm taking right now? Please suggest any good endocrinologist in Bangalore whom I can consult.

Also suggest, Is Apollo Clinic where I got this test done an appropriate place or shall I go for any other lab.

Answered by Dr. P. T. Patil 29 minutes later

Thanks for feedback. Your Testosterone levels are more on the lower side of normal values. Since you do not have any issue regarding erection and sex drive, you need not worry at all.

As regards continuing homeopathy medicine, I am as ignorant as you are about Homoeopathy. But as there is no harm in taking it, you may continue with them. However if they are not helping you much, you may discuss with any homeopathy expert.

Presence of 5-6 pus cells reported in semen analysis suggests infection either in Prostate or Seminal Vesicle; this will get cured with a course of antibiotic like Doxycycline.

Please repeat your Serum Testosterone in Apollo clinic after two weeks preferably in the morning.

You can consult well experienced Endocrinologist in any renowned Hospital in Bangalore. As I do not have any personal reference I am sorry I am unable to help you with this regards.

Please do not get disturbed and be calm and composed and try to allay anxiety. Things will settle down over a period of time.

Please feel free to ask if you have any more queries. I shall try to address the same.


Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. P. T. Patil 16 hours later
Thanks a lot sir.As homeo medicine I'm taking from past 7 months,but I cannot any considerable change in my body.Also as per doctor, I need to to take some more months but as I'm not that satisfied,I will prefer to consult XXXXXXX endocrinologist from Fortis or Jayadeva hospital in Bangalore as suggested by you in coming days.

Normally, Is there any side effects if they recommend to take additional supplements as you mentioned in previous mail ?

I went for test some 6 months before.Do I need to repeat "semen analysis" as well as "serum testosterone" or only "serum testosterone" is enough before meeting a doctor ? Please suggest.

Answered by Dr. P. T. Patil 1 hour later

Please do inform me about the opinion of endocrinologist through XXXXXXX You can repeat both Serum Testosterone and Semen analysis before consulting him.

There are side effects of supplement therapy when it is taken for a long duration and in heavy dosage. However, you need not worry, as you will be under observation of a qualified Endocrinologist.

Please feel free to ask if you have any more questions.

Dr. Patil

Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. P. T. Patil 7 hours later
Will inform you sir about the same.

Thanks and Regards, XXXXXXX
Answered by Dr. P. T. Patil 3 hours later
Thanks for your follow up. I would be waiting for your feedback .
Wish you speedy recovery and Best of luck
Thanks with Regards.
Above answer was peer-reviewed by : Dr. Aparna Kohli

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Lab Tests
Medical Topics

Recent questions on  Neuroendocrinology

doctor1 MD

I was recently told I have empty sella found on a MRI. Also found low testosterone. I feel very fatiuged and can't handle stress very well. This has been going on for 3 to 5 years. Could I have a pituitary problem affecting other hormones such as cortisol. Thanks Jim C.

doctor1 MD

Sir, I am experiencing continuing hair loss (thinning to scalp area) approximately three months after discontinuing the use of Androgel for low testosterone. I am 53 y/o and had a full head of hair before using Androgel for two months. What can I do to stop/reverse hair loss? Thank You.

doctor1 MD

I was born September 1970

I was on

Testosterone Cypionate 200mg/cc. The weekly injection is .75cc



On 6-24-11 my estradol was 69. My total testosterone was 639 , my free testosterone was 149.5.

How long after stopping testosterone will it and estradol go out of my system. In what month will I have normal healthy sperm ready to be used for ICSI IVF.

doctor1 MD

Hi. I am a 34 Male. I am curious about an exercise supplement called DHEA. It is supposed to be a hormone that increases testosterone. Ever heard of it? Also am thinking of injecting some testosterone for a cycle of roids. What drugs do you recommend to get on after the testosterone cycle is over? Something to prevent bulk loss and stimulate normal testosterone production. Or is juicing up a little bit simply a bad idea?

doctor1 MD

Hi. When I was younger I had steroid treatment to increase my height, as steroid is known to increase growth hormones in adolescent boys. Now I have anxiety this treatment had effect on my bone, and the effects are permanent. Do bones renew and...

doctor1 MD

I take.10 synthroid and .15 hydrocortisone daily. I recently had blood test and cortisone without meds was .6 and my Free T4 was low at .98. I have suffered for over 1.5 months with dry mouth syndrome . I saw an ENT who told me to suck on lemon...

doctor1 MD

I, my name is XXXXXXX 45 years old, recently i was diagnosed by my doctor to have mood disorder with depression due to stress and fatigue from work... That result in a 3 1/2 months stop from work. Then he prescrided me this medication you must...