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Hi Doc I Have Been With My Partner Since XXXXXXX

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Posted on Fri, 21 Feb 2020
Question: Hi doc
I have been with my partner since XXXXXXX 19. And had some sexual encounters, I wouldn’t say we are trying for a baby. But when we have sex I have ejaculated inside her maybe 4 to 5 times on a medium chance or even once on a high chance.

We do not have sex frequently maybe once every 2 weeks or once a week. But I have a bit of anxiety to what if I a fertility issue.

You hear story about one night stands. I just get scared I’m perfectly well.

I do worry as I have written in before. I have a spermaotcele and a slight hydrocele which the doctor on examination said had gone. I did have a infection of the prostate for many years but that has resolved.

I have done home tests which have given me different results. I am in a bad circle and mentally just constantly stressed about the same thing.
My head is constantly worrying about the same thing .

Does stress effect sperm count and healthy sperm.

How constantly do I have to have intercourse to Impregnare her
Please help as my head feels like it’s going to explode with worry.
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
Hi doc
I have been with my partner since XXXXXXX 19. And had some sexual encounters, I wouldn’t say we are trying for a baby. But when we have sex I have ejaculated inside her maybe 4 to 5 times on a medium chance or even once on a high chance.

We do not have sex frequently maybe once every 2 weeks or once a week. But I have a bit of anxiety to what if I a fertility issue.

You hear story about one night stands. I just get scared I’m perfectly well.

I do worry as I have written in before. I have a spermaotcele and a slight hydrocele which the doctor on examination said had gone. I did have a infection of the prostate for many years but that has resolved.

I have done home tests which have given me different results. I am in a bad circle and mentally just constantly stressed about the same thing.
My head is constantly worrying about the same thing .

Does stress effect sperm count and healthy sperm.

How constantly do I have to have intercourse to Impregnare her
Please help as my head feels like it’s going to explode with worry.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Get your Semen Analysis done

Detailed Answer:
Hello
Thanks for query
I have gone through your statement and would state that anxiety and stress does play important role in sperm count and morphology of sperm

It is not the only frequency off intercourses but the fertilisation results when a fully matured female egg unites with good quality and grade one motile sperm

I would suggest you to get your Semen analysis done to fully explore sperm count,morphology and motility of sperm. These are the main important parameters that give idea about fertility of an individual

Following general measure help to improve quality of Semen and fertility
1) Stress free life
2)Regular exercise
3)No smoking
4)No alcohol
5) High protein diet with vitamins

Hope this will help you allay your anxiety

Thanks and Regards
DrPatil
















Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. P. T. Patil (0 minute later)
Brief Answer:
Get your Semen Analysis done

Detailed Answer:
Hello
Thanks for query
I have gone through your statement and would state that anxiety and stress does play important role in sperm count and morphology of sperm

It is not the only frequency off intercourses but the fertilisation results when a fully matured female egg unites with good quality and grade one motile sperm

I would suggest you to get your Semen analysis done to fully explore sperm count,morphology and motility of sperm. These are the main important parameters that give idea about fertility of an individual

Following general measure help to improve quality of Semen and fertility
1) Stress free life
2)Regular exercise
3)No smoking
4)No alcohol
5) High protein diet with vitamins

Hope this will help you allay your anxiety

Thanks and Regards
DrPatil
















Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. P. T. Patil (27 minutes later)
Based on your experience.

In ur clinic have you ever studied sperm count of individuals with a spermatocele and a hydrocele how sure are you that theee don’t effect fertility?

Also how does stress effect sperm. Is there any way of naturally increasing sperm count? Or does stress effect production? I have read online that you can get sperm healthy but can’t increase count is this true?

Also when I am having sex I do masterbate quite reg, don’t usually wait 2-3 days for count to get back to normal can this have a effect?

I also had a infection of the prostate for many years and I didn’t go do a doctor. Do these things effect fertility it is fully cleared and the CRP and ESR are all good.


Finally sir I am 30 years old. I’m not even married yet, I don’t really want to get it checked yet. Do you reckon I am worrying about nothing?

As it can take couples a while to conceive we are not even married.

What are your opinions in in house testing kits do they give wrong results.
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
Based on your experience.

In ur clinic have you ever studied sperm count of individuals with a spermatocele and a hydrocele how sure are you that theee don’t effect fertility?

Also how does stress effect sperm. Is there any way of naturally increasing sperm count? Or does stress effect production? I have read online that you can get sperm healthy but can’t increase count is this true?

Also when I am having sex I do masterbate quite reg, don’t usually wait 2-3 days for count to get back to normal can this have a effect?

I also had a infection of the prostate for many years and I didn’t go do a doctor. Do these things effect fertility it is fully cleared and the CRP and ESR are all good.


Finally sir I am 30 years old. I’m not even married yet, I don’t really want to get it checked yet. Do you reckon I am worrying about nothing?

As it can take couples a while to conceive we are not even married.

What are your opinions in in house testing kits do they give wrong results.
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Follow up: Dr. Dr. P. T. Patil (15 minutes later)
Did u suggest a semen analysis becase of my anxiety
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
Did u suggest a semen analysis becase of my anxiety
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Spermatocele or Hydrocele do not affect sperm count

Detailed Answer:
Hello,
Thanks for the follow-up,

Anxiety and stress and do affect sperm count, motility of sperms and morphology of sperm.

It is always better to get Semen analysis done so that one can take necessary measures to improve the quality of sperms resulting in pregnancy.

I have explained general measures in my reply to help to improve sperm quality.

As regards the effect of your previous episode of Prostatitis, it is better to get Semen analysis and culture done to assess any residual effect on Semen.

As for your doubt about masturbation, it does not have any negative effect on fertility provided it does not exceed more than thrice a week

Thanks and Regards
Dr. Patil



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. P. T. Patil (0 minute later)
Brief Answer:
Spermatocele or Hydrocele do not affect sperm count

Detailed Answer:
Hello,
Thanks for the follow-up,

Anxiety and stress and do affect sperm count, motility of sperms and morphology of sperm.

It is always better to get Semen analysis done so that one can take necessary measures to improve the quality of sperms resulting in pregnancy.

I have explained general measures in my reply to help to improve sperm quality.

As regards the effect of your previous episode of Prostatitis, it is better to get Semen analysis and culture done to assess any residual effect on Semen.

As for your doubt about masturbation, it does not have any negative effect on fertility provided it does not exceed more than thrice a week

Thanks and Regards
Dr. Patil



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. P. T. Patil (48 minutes later)
Dr XXXXXXX in the past you have told me prostatitis will not effect fertility? Even if it has been around for years.

A doctor told me - if I can ejaculate there is nothing wrong with my prostate.

I sent in pictures of my ejaculate and he said that there wouldn’t be any blockage because the volume is there.

In the past you have said my blood tests are normal and there isn’t anything to worry about. Now you are saying do a semen analysis. I don’t feel any damage.
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
Dr XXXXXXX in the past you have told me prostatitis will not effect fertility? Even if it has been around for years.

A doctor told me - if I can ejaculate there is nothing wrong with my prostate.

I sent in pictures of my ejaculate and he said that there wouldn’t be any blockage because the volume is there.

In the past you have said my blood tests are normal and there isn’t anything to worry about. Now you are saying do a semen analysis. I don’t feel any damage.
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Follow up: Dr. Dr. P. T. Patil (2 minutes later)
What would be the purpose of the culture. I really doubt anything will come up, as you told me previously it is nothing to worry about.

Why would my prostate be effected? It was only a infection which Ciprofloxacin sorted. I must say your opionon has differed slightly.
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
What would be the purpose of the culture. I really doubt anything will come up, as you told me previously it is nothing to worry about.

Why would my prostate be effected? It was only a infection which Ciprofloxacin sorted. I must say your opionon has differed slightly.
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Follow up: Dr. Dr. P. T. Patil (1 minute later)
In regard to masterbation. Growing up I masterbated around 3 times a day and at times have done that for a number of days
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
In regard to masterbation. Growing up I masterbated around 3 times a day and at times have done that for a number of days
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Follow up: Dr. Dr. P. T. Patil (3 minutes later)
In the past u told me that with the prostate the semen just passed through it. Why would it have a residual effect on semen? When my blood tests ESR and CRP are normal. Showing there’s no active inflammation? In the past u have said it’s nothing to worry about.

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Follow up: Dr. Dr. P. T. Patil (0 minute later)
In the past u told me that with the prostate the semen just passed through it. Why would it have a residual effect on semen? When my blood tests ESR and CRP are normal. Showing there’s no active inflammation? In the past u have said it’s nothing to worry about.

doctor
Answered by Dr. Dr. P. T. Patil (8 hours later)
Brief Answer:
Infection of Prostate affects quality of sperms

Detailed Answer:
Hello
Thanks for follow up
Prostate secretes fluid which is alkaline in nature and is necessary for survival of sperms in acidic vaginal fluid so that sperm can move forward into uterus to fertilise female egg to effect into pregnancy. So it is always essential to confirm whether there is residual infection that would affect sperms quality to result in to pregnancy. One may have normal ejaculation after having prostatitis but it is advisable to confirm absence of infection in Semen as far as when we deal with fertility or pregnancy.

Doing Semen culture and analysis gives answers about questions related to count, motility and morphology of sperms which are important in effective fertilisation.

Hope this will clarify your doubts.

Thanks and Regards
Dr. Patil








Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. P. T. Patil (0 minute later)
Brief Answer:
Infection of Prostate affects quality of sperms

Detailed Answer:
Hello
Thanks for follow up
Prostate secretes fluid which is alkaline in nature and is necessary for survival of sperms in acidic vaginal fluid so that sperm can move forward into uterus to fertilise female egg to effect into pregnancy. So it is always essential to confirm whether there is residual infection that would affect sperms quality to result in to pregnancy. One may have normal ejaculation after having prostatitis but it is advisable to confirm absence of infection in Semen as far as when we deal with fertility or pregnancy.

Doing Semen culture and analysis gives answers about questions related to count, motility and morphology of sperms which are important in effective fertilisation.

Hope this will clarify your doubts.

Thanks and Regards
Dr. Patil








Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. P. T. Patil (1 hour later)
mr XXXXXXX the infection cleared up around 5 years ago. They gave me some ciprofloxacin tablets for around 2 months, I am confused as my CRP and ESR are normal. Are you trying to say that there is still possibility of infection?

If there is a residual infection will they give me a antibiotic? Can I just take any antibiotics as precaution which will help deal with this? I still may have some tablets please confirm
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
mr XXXXXXX the infection cleared up around 5 years ago. They gave me some ciprofloxacin tablets for around 2 months, I am confused as my CRP and ESR are normal. Are you trying to say that there is still possibility of infection?

If there is a residual infection will they give me a antibiotic? Can I just take any antibiotics as precaution which will help deal with this? I still may have some tablets please confirm
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Follow up: Dr. Dr. P. T. Patil (1 minute later)
Let’s just say I had a infection, and it cleared up as I had pain etc which i do not have. Anymore
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Follow up: Dr. Dr. P. T. Patil (0 minute later)
Let’s just say I had a infection, and it cleared up as I had pain etc which i do not have. Anymore
doctor
Answered by Dr. Dr. P. T. Patil (4 minutes later)
Brief Answer:
Take Ciprofloxacin for a week

Detailed Answer:
Hello
Thanks for follow up
Take Ciprofloxacin twice daily for a week
Thanks and Regards
DrPatil


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. P. T. Patil (0 minute later)
Brief Answer:
Take Ciprofloxacin for a week

Detailed Answer:
Hello
Thanks for follow up
Take Ciprofloxacin twice daily for a week
Thanks and Regards
DrPatil

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Hi Doc I Have Been With My Partner Since XXXXXXX

Hi doc I have been with my partner since XXXXXXX 19. And had some sexual encounters, I wouldn’t say we are trying for a baby. But when we have sex I have ejaculated inside her maybe 4 to 5 times on a medium chance or even once on a high chance. We do not have sex frequently maybe once every 2 weeks or once a week. But I have a bit of anxiety to what if I a fertility issue. You hear story about one night stands. I just get scared I’m perfectly well. I do worry as I have written in before. I have a spermaotcele and a slight hydrocele which the doctor on examination said had gone. I did have a infection of the prostate for many years but that has resolved. I have done home tests which have given me different results. I am in a bad circle and mentally just constantly stressed about the same thing. My head is constantly worrying about the same thing . Does stress effect sperm count and healthy sperm. How constantly do I have to have intercourse to Impregnare her Please help as my head feels like it’s going to explode with worry.