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Suggest Treatment For Acute Low Sperm Count

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Posted on Mon, 19 Jan 2015
Question: i am suffering from acute lower sperm count and erectile problems from earlier periods..initially count was 10-15 p. c.then after lot of medication lost evevn that. now slightly improved..pls advice
doctor
Answered by Dr. Suresh Heijebu (3 hours later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Suresh Heijebu (25 minutes later)
Thank you doctor. I have under gone the TRUS at the advise of urologist last year when treatment was started. After seeing the result uroligost opined no serious conplication . Light vericocile is detected in usgs also. Pls advice me further
doctor
Answered by Dr. Suresh Heijebu (1 hour later)
Brief Answer:
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.



Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Acute Low Sperm Count

Brief Answer: 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.