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Suggest Treatment For Infertility

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Posted on Tue, 12 Jul 2016
Question: due to ramzan fastings this month no intercourse.
may be her mensuration next cycle will be july 5-10
fertile and ovalution will be around 10-16 july as per average.Pls confirm

since I have lot time I will undergo semen analysis
and bring her to doctor tooo
I will keep in touch still any clarification required



doctor
Answered by Dr. Chintan Solanki (8 hours later)
Brief Answer:
wait for her next period

Detailed Answer:
Hello,

Sorry for delayed response.

Oh yes holy ramzan is going on. Again you have to wait for one month. yes you can use this time for evaluation. You can go for semen analysis. For that if possible do masturbation once and after 3 days of that give sample for analysis. This will give the best results.
You can take her to doctor and basic physical check up as well as ultrasound examination can be done. Also ask doctor for ovulation testing kit.
Her next period can be between 3rd July to 8th July (22 to 27 days) and next possible fertile duration depends on next period. You are now aware that how to calculate fertile period from date of menstruation.

Let me know when her next period comes for confirmation of next fertile period.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (35 hours later)


Dear Mr XXXXXXX
Greetings!
Please find the attached semen analysis report for the subject job.
I done masturbate 3 times to get this volume .
I don’t know abt the test result values are normal or not.still I didn’t met doctor.
Total count is ok.
Other value I am not aware abt the standard limits.
Pls advice
Vat abt ph value and others wbc values missing or different named,

If all the values are ok I avoid to meet doctor since I need to travel a lot.

also I will update u regarding next fertile and confirm it

doctor
Answered by Dr. Chintan Solanki (4 hours later)
Brief Answer:
infection is there

Detailed Answer:
Hello,

Thanks for report.

Average volume is 1-3 ml. You did masturbation 3 times so volume is ok.

Viscosity, liquefaction time is normal.

Sperm count 38 million per ml is also normal.

Motility is normal.

Morphology (shape) should be mentioned in form of normal %. Here abnormal is 25% , so we can assume that others are almost normal and considering that shape is also normal.

Presence of Pus cell and RBCs suggest infection. You need course of antibiotic like ofloxacin or cefixime or suggested by local doctor for that. You need to consult doctor for the same.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (6 minutes later)
It doesnt major pblm right ??
I will consult doctor soon

Hoep it will not be a major impact on getting pregnant
One of doctor friend tols pus cell was normal ams rbc shows minor infection

Nothing to worry
One week taking tablet will cure this

Please advice
doctor
Answered by Dr. Chintan Solanki (11 minutes later)
Brief Answer:
minor issue

Detailed Answer:
Hi,

No it is not at all major problem. It is minor thing. It does not affect your capacity of becoming father. Presence of pus cells always does not mean that there is infection but both RBCs and Pus cells suggest that. Yes one week course of antibiotic is sufficient for this.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (2 hours later)
Dear sir

I met doctor just now and not happy abt this
He s giving treatment for two mins

He told sperm count was abnormal as per report 60 -150 was normal
38 was abnormal

He gave following mediciens and kindly advice for whar
Morning and night one doxydar 100 doxycycline 100 mg
Night only eviy 400 vitamin e 400 mg soft gelatin tablets

All should be taken after food
Above is for infection or to increase sperm count ?

He s very famous doctor and got appointment after long arrangenent

As we are following from intial stage pls convey abt sperm count is normal pr abnormal

Also i would like to discuss with any of ur friend whos s infrertilty specialist as a favour for me

Am trusting u more than this doctor
He s not listening my pblm too

Two times and we spemt 3 mins only due to more crowd
I cant go with any new doctor and dont have time too

Also note that i don masturbrration by thrust method and not by hand .unable to do by han
Am really confused

Also i discussed with frind who gp doctor ans told its normal
Also suggest to dicuss worh inferrtilitu splcialist
For that i tequested u

He told 20 million count is enough to became father
I need ur words ans support to clise tis topic

Thxd
doctor
Answered by Dr. Chintan Solanki (44 minutes later)
Brief Answer:
you can take that treatment, count is normal

Detailed Answer:
Hi,

Thanks for putting faith on me.

Doxycyline is an antibiotic. As discussed in previous communication, for infection you need that.

Vitamin E is just supplement and it is often indicated for improving health and sperm count(though confirm evidences are not about effectiveness in increase in sperm count). You can take it without any problem.

Let me clarify about the sperm count. Most of the criteria suggest that at least 20 million/ml sperms are required to be father. And your count is almost double than that, so no need to worry at all. And you have masturbated thrice so actually your semen is diluted. Your count of first sample can be more than this also. Relax and take these medicines.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Infertility

Brief Answer: wait for her next period Detailed Answer: Hello, Sorry for delayed response. Oh yes holy ramzan is going on. Again you have to wait for one month. yes you can use this time for evaluation. You can go for semen analysis. For that if possible do masturbation once and after 3 days of that give sample for analysis. This will give the best results. You can take her to doctor and basic physical check up as well as ultrasound examination can be done. Also ask doctor for ovulation testing kit. Her next period can be between 3rd July to 8th July (22 to 27 days) and next possible fertile duration depends on next period. You are now aware that how to calculate fertile period from date of menstruation. Let me know when her next period comes for confirmation of next fertile period. Take care.