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What Causes Lack Of Semen Production During Intercourse?

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Posted on Mon, 2 May 2016
Question: I have a 2 years old kid. Sudden i stooped producing seemens.
doctor
Answered by Dr. Ivo Ditah (3 hours later)
Brief Answer:
Do you mean you do not ejaculate at all?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this sudden stop of semen production. To be sure that we are talking of the same thing, is this supposed to mean no semen during ejaculation or examination shows the absence of spermatozoa in the semen?

Please, provide this clarification so that I can get back to you with personalized and helpful response. I promise to respond as soon as I hear back from you.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ivo Ditah (45 hours later)
Hi

Below is the letter we received from the urologist

We went through your blood test results today; these unfortunately show that you have a significantly elevated FSH at 27.7 and an LH of 11.7. Your testosterone is at the lower limit of normal for a man at 11.5.
I have explained to you that these results suggest that you are under primary testicular failure and the reason for your semen analysis not having any sperm in it is because your testes have prematurely failed and are not producing sperm. As a result of this your brain is producing high levels of FSH and LH to try and stimulate the testes but this is obviously not resulting in any benefit in terms of sperm production. There are two possible causes for this, it can either be unexplained and sometimes happens without any clear cause, alternatively there are some genetic conditions and genes that you may carry which put you at a higher risk of this condition.
doctor
Answered by Dr. Ivo Ditah (3 hours later)
Brief Answer:
It means the testes have stopped. Cause often not clearly identified!

Detailed Answer:
Hi and thanks for this follow up text from your physician.

This means that for some reasons your testes can no longer produce sperms and that is why there are no sperms in your semen. The causes are often not very clear and require much testing to map out the exact cause. Your urologist can do so if you want. Also, what's your profession and have you had any recent exposures to radiation?

Unfortunately, you can no longer have a child. With no sperms, there is no way even assisted reproduction can help with this. I understand this is a serious blow and certainly not the best information to relay but professional ethics demand so. Look at the other baby and stay positive.

I hope this makes it clearer. I wish you well and above all, show courage and composure as this is certainly something difficult to deal with.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ivo Ditah (34 minutes later)
Thank you for your email

I work in the office siting down most of the time.
No radiation exposure

Is this situation permanent than?

Regards XXXXXXX
doctor
Answered by Dr. Ivo Ditah (7 hours later)
Brief Answer:
Yes, this is permanent and irreversible!

Detailed Answer:
Hi,

This is permanent and irreversible. I am really sorry for this unfortunate incident.

I wish you well.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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What Causes Lack Of Semen Production During Intercourse?

Brief Answer: Do you mean you do not ejaculate at all? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this sudden stop of semen production. To be sure that we are talking of the same thing, is this supposed to mean no semen during ejaculation or examination shows the absence of spermatozoa in the semen? Please, provide this clarification so that I can get back to you with personalized and helpful response. I promise to respond as soon as I hear back from you.