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This Is My Semen Analysis Pls Help Me What Is

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Posted on Sun, 19 May 2019
Question: this is my semen analysis pls help me what is right and wrong about this tes,how fertile am i?
doctor
Answered by Dr. Manuel C See IV (2 hours later)
Brief Answer:
You have no problems with fertility. All are within the normal range.

Detailed Answer:
Good day, and thank you for being with 'Ask A Doctor' service!

I have pleasant news, according to your semen analysis you have normal results and all your semen parameters are within the normal range.

You have no problem in terms in of fertility.
Good luck and have a great day.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Manuel C See IV (2 hours later)
Brief Answer:
Testosterone is a little low but I think it is still normal.

Detailed Answer:
Thank you for your follow up question.

Your testosterone level is a little lower than normal but it's very near to the normal range what time did you take the blood sample when you got the testosterone so this should be taken at early morning before 10 a.m. because that is where there is the peak of testosterone.

I suggest you repeat the testosterone examination going for hormonal replacement or testosterone therapy because this may affect the cement parameters making it abnormal.

You seem to have a perfectly normal semen analysis and I don't think you have low testosterone it may be that at that time you may have low testosterone so I suggest you repeat the examination. Testosterone level in the body fluctuates throughout the day that's why the range is very wide.

Things you can do if you are overweight then you must lose weight and adopt a healthy lifestyle and diet. Cardiovascular exercise would also help increase testosterone levels in the body.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Manuel C See IV (1 minute later)
my testesterone levels are very low for a 23 years old right?
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Follow up: Dr. Manuel C See IV (2 days later)
i have prolactine and hypothyroidism ,

i think i have to handle this first and maybe my testesterone would be balanced

from the doctors it says i need a thyroid homone therapy or i didnt know he mentioned a treatment for hypothyroidism which involves a deug which i have to use for some time

do you think my testesterone and prolactine should be back to normal od the cause of my low testesterone is prolactine and hypothyroisdism ,after treatement?
doctor
Answered by Dr. Manuel C See IV (50 minutes later)
Brief Answer:
You have a normal thyroid hormone and slightly elevated prolactin.

Detailed Answer:
thank you for your follow up question. according to the laboratory results you have normal thyroid hormones and a high normal tsh. your prolactin level is elevated and might be the cause why you have a low normal testosterone. i suggest you repeat the prolactin test getting an early morning sample around 2 hours after waking up in the morning and that's the only time that we could say that you really have an abnormal prolactin level. one side elevated prolactin level determination is not sufficient to label a patient as hyperprolactinemia.

if you don't have symptoms of hyperthyroidism then i don't think you need thyroid hormone replacement but this will all depend on the endocrine consult and his physical examination.

an elevated prolactin hormone will definitely cause a decrease in testosterone because it has a negative feedback on a gnrh hormone. if the second prolactin level is still elevated then an endocrine consult is needed to determine why you have an elevated prolactin level. remind me to do a ct scan or an mri of the brain to rule out a nodule in the pituitary gland.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Manuel C See IV (25 minutes later)
please any numbet i can call to reach you directly
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Answered by Dr. Manuel C See IV (1 hour later)
Brief Answer:
We are not allowed to give our numbers.

Detailed Answer:
i am very sorry but we are not allowed to give our cellphone or office numbers as indicated in the policy of healthcare magic. i will be very happy to answer your question through this platform.
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. Nagamani Ng
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Answered by
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Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

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This Is My Semen Analysis Pls Help Me What Is

Brief Answer: You have no problems with fertility. All are within the normal range. Detailed Answer: Good day, and thank you for being with 'Ask A Doctor' service! I have pleasant news, according to your semen analysis you have normal results and all your semen parameters are within the normal range. You have no problem in terms in of fertility. Good luck and have a great day.