Hi,

Thanks for posting your query

For analysis of semen the sample should be fresh after sexual abstinence of 2 to 4 days to give accurate results.

Let me interpret your results:
The volume of semen less than 1 ml is abnormal.The liquefaction of the semen should occur in 10 to 30 minutes and ph should indicate it to be alkaline(between 7.2 and 7.8). Sperm count is the total number of sperms in a sample and should not be less than 10 million. Motility is the movement of the sperms and in sample at least 50% of the sperms should be motile from which at least 20% of the sperms should progress rapidly. Pus cells can vary and 5 or 6 are normal in a sample.

Your report is almost normal and reproductive capability is present. Since this report is 2 years old I will suggest to get a repeat test done along with the hormonal analysis and see the current results. I will surely be able to help you with the recent reports.

Some suggestions for you:
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 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.

Consider visiting an Infertility Specialist for thorough evaluation.

Hope I have answered your query. I will be available for folllow up if any.

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Hi,

Thanks for the follow up.

Semen analysis report determines the male fertility and reproductive capability which I had explained in detail and your hormonal levels are too normal.

Regarding the penis size an average non erect penis of 3 inches can satisfy a woman and also help in reproductive capability. There is no way to increase its size and the premature ejaculation is because of various other factors as stress, performance anxiety or any diseases like Diabetes, Blood pressure etc... In young males performance anxiety is the most common cause and that can be dealt by increasing the foreplay time and by following "Start and Stop technique" after penetration, lubricants and fingering to satisfy the partner.

The steroids which you have been taking as supplements have various detrimental effects on the body and it was not a good idea to have them for a prolonged period. And working out in gym too reduces the capability as most of the male hormone that is testosterone is utilized during exercises and the same hormone too is required for Erections.

You can follow these measures which might help you:
1. Do regular exercises but avoid any extra supplements and over strenuous exercises.
2. Consume lots of XXXXXXX leafy vegetables and fruits.
3. Do not be depressed and spend time with family and friends.
4. If you need you can take counseling sessions for depression.
5. Indulge in activities as listening music, dancing, swimming etc.
6. Consider getting your Blood sugars and Blood Pressure evaluated to rule out any other diseases and a repeat Hormonal evaluation(the previous hormonal reports are fine).

If you are still too worried about the perfomance, it would be better to see a sexologist and get it examined and evaluated to know the exact cause of your condition.

Hope this answers your query.

Wish you a good health.

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