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Suggest Treatment For Low Sperm Count

Posted on Mon, 6 Jul 2015

Question: My age is 40 and got operated for torsion some 10 years back. My sperm count is very low and from couple of years i am sleeping down to impotency, condition is becoming bad to worse. This is impacting my will to have sex because, first getting errection is a problem and XXXXXXX sustaining is another.

Please advise

Answered by Dr. Mahesh Koregol (4 hours later)

Brief Answer:
Details required

Detailed Answer:
Hi,

I need few more details before answering your questions:

1. Please attach a copy of your semen analysis report.

2. Do you have children ? How long have you been married ?

3. You have less interest in sex or you have no erection though interested in sex.

4. Was the testis removed after torsion ?
One or both testis ?

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

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

Hi

1 my sperm count was arround 4 millon in 2010 and so we had to go for test tube baby and by fos grace it was sucessful at first attempt. I have a baby girl

2 i have been married since 7 years

3 my interest in sex is not a issue but proper erretion ans sustainability is a prob

4 nothing was removed, only the sac was open to aling the testis

Answered by Dr. Mahesh Koregol (5 hours later)

Brief Answer:
Psychological Causes

Detailed Answer:
Hi,

If your testis is not removed, then the problem of erection is mostly psychological. This happens when you are in high pressure job or dealing with family problems or any such problems. Try to sit down and think about things that are bothering you and way to find a permanent solution for them.

Majority of problems of erectile dysfunction arise due to psychological reasons and hence you need to let me know if there is something.

If you are planning to have another child, ICSI ( test tube baby) if the only way).

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

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

Hi Doctor

Thanks for the advise, but I think it is not only psychological but more of some deficiency. I work later part of the day and as such not have such mental burden. But I am definitely not a easy going guy and do lots of analysis on past present and future. I am a deep thinker and sometimes think which ever is not required or need of the moment. I comparatively more anxious on anything happening in and around me.

Please advise on any medications or supplements

Thanks and regards

XXXX

Answered by Dr. Mahesh Koregol (5 hours later)

Brief Answer:
Its all in head !!

Detailed Answer:
Hi XXXX,

I dont think you need medicine. I still feel this is your thought related ED.

Anyway you can take tablet Penegra 50 mg half an hour before sex only ( with prescription) to see if it benefits you.

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

Follow up: Dr. Mahesh Koregol (40 minutes later)

Thanks

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Wish you good and stressfree health

Detailed Answer:
Hi XXXX,

Next time you can directly contact me by pasting following link in your browser:

http://bit.ly/askdrmaheshkoregol

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