Hello.
Thanks for writing to us.
Coumadin and toprol do not affect the sperm health but atacand if taken on long term might decrease the sperm count to some extent.
Toprol might affect the ability to perform mildly and may be associated with decreased libido.
These are some of the unavoidable drugs at your age and for your problems.
Some suggestions for your good sperm health:
1) Have a healthy nutritious diet comprising fruits, veggies, salads etc. Include bananas, avocados, nuts, tomatoes, oysters as they help in increasing sperm count.
2) Take a Zinc, selenium, l-carnitine, vitamins C and E supplementation once daily for few months.
3) Abstain from smoking and alcohol.
4) Do some form of exercise daily.
5) Avoid stress and practice meditation.
I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Regards.

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