Hi there ~
I understand your concerns. I do not think that you have it right when you say that your sperm is in your urine and the noises in your knee and wrist may be due to arthritis
which are very common complaints of using heroin
. I also believe that you may have infertility
due to many reasons the biggest being the fact that you are not exercising and you are doing all that you can to reverse that. I commend you for that. I also believe that going off of the heroin will help tremendously. I also think that you will benefit from using medications prescribed by the doctor you choose to consult.
I hope this helps. Take care and have a lovely day!