Suggest Treatment For Acute Low Sperm Count
Get TRUS at the earliest.
Detailed Answer:
Hi Sir,
I understand your query and concern.
Acute low sperm count warrants further thorough investigation in the form of TRUS/transrectal ultrasonography.
This investigation is mandate in your case as it evaluates the patency of the ejaculaory duct with great degree of accuracy.
There seems to be no response to all the important drugs you used as mentioned.
Hence, its very much important to rule out ejaculatory duct obstruction, along with the condition of seminal vesicles.
If obstruction is detected, prompt clearance of the obstruction will cause elevation of the sperm count facilitating the sperm flow.
Further treatment is largely based on the results of the TRUS.
Post your further queries, if any.
Thank you.
Varicocele needs surgical repair.
Detailed Answer:
Hi Sir,
I understand your concern.
In case if the TRUS has ruled out duct obstruction, I advise you to focus more on Varicocele. Though a mild reduction in sperm count even Varicocele has propensity to cause it.
Varicocele correction through surgical procedures or percutaneous embolisation(non invasive procedure) will help to increase your sperm production. We cannot be sure if it improves the sperm count though. Unfortunately there are no proven medications that will improve the sperm count and its motility even after correcting simple causes.
You just have to follow up with your Urologist / XXXXXXX who can guide you with newer therapies if available soon.