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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Erectile Dysfunction, Premature Ejaculation, Nil Sperm Count, Shaky Hands, Legs, Nervous Weakness. Suggestions?

Iam 34 old suffering with ED, Premature ejaculation , Nil count semen and my nerves will shake in hands, legs and back. I undergone tests please check the following. I have taken pubergen nano injections upto 15. Iam having partial erections in early hours. I have good desire about sex. Can u give advice what type of medicine i have to use. Is it cause of hormonal imbalance or nerve weakness. DEPARTMENT OF HAEMATOLOGY Haemoglobin : 14.6 gms% RBC count: 4.8 M/cmm Total WBC COUNT: 7,700 /cu mm DIFFERNTIAL COUNT Neutrophis: 65% Lymphocytes : 31% Eosinophils: 02% Monocytes: 02% Basophils : 00% PLATELET COUNT : 1.79 Lakhs/cu.mm Peripheral smear: normocytic normochromic W.B.C. : within normal limits Platelets: Adequate (automates cellcounter & microscopy ) E.S.R. 1ST HOUR : 08 mm/hr E.S.R. 2ND HOUR : 20 mm/hr DEPARTMENT OF BIOCHEMISTRY RANDOM BLOOD SUGAR : 92 mg/dl RANDOM URINE SUGAR : nil HbA1C% : 6.80% (METHOD: SPECTROPHOTOMETRY ) ENDOCRINOLOGY & SPECIAL INVESTIGATIONS Total Trilodothyronine(TT3) : 112.52 ng/dl Total Thyroxine (TT4) : 9.0 µg/dl Thyroid Stimulating Hormone(TSH) : 3.04 µIU/mL (method: chemiluminescence) FSH: 0.3mIU/ml LH: 0.07mIU/ml Prolactin : 7.69 ng/ml PSA: 0.28 ng/ml Testosterone Total: 855 ng/ml (method: chemiluminescence) Testosterone FREE: 29.78 pg/ml (method: Elisa) DEPARTMENT OF PATHOLOGY SEMEN ANALYSIS Abstinance: 3 days Liquifaction: 30 Mins Quantity: 0.5 C.C. Colour : white Viscosity: Viscid Odour: Seminal Reaction : Alkaline Total Sperm Count: NIL million/ml Pus Cells : 03-04/hpf Epithelial cells: 01-02/hpf COMPLETE URINE EXAMINATION PHYSICAL EXAMINATION Colour: Yellow Apperance: Clear ÇHEMICAL EXAMINATION Ph : 6.0 Specific Gravity: 1.000 Reaction: ACIDIC Albumin: TRACE Sugar: NIL Bile salts: -- Bile Pigments:-- MICROSCOPIC EXAMINATION Pus cells : 03-04 /hpf Epithelial cells : 02-03/hpf RBC, Crystals, Casts, Amorphous Material, Others: NIL
Wed, 2 Jan 2013
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Urologist,  's  Response
Hello

Thanks for your query.Based or reports that you have posted it is clear that you have what is termed as Azoospermia.

It is first to establish the type of Azoospermia.whether you had Pre testicular ,Testicular or Post testicular Azoospermia.

For this you have to get following investigations done

1) Serum levels of Prolactin , F.S.H.and serum Testosterone.this will help to conclude pre testicular Azoospermia.l ,



2) Detail proper examination of the scrotum and Testicles for sizes of the Testis,Presence or absence of Vas

This will help to conclude Testicular Azoospermia.

3) Testicular Biopsy to confirm whether sperms are produced in testis or not.(Spermatogenesis.)



4) Depending on report of Testicular Biopsy ,if there is spermatogenesis you have to undergo some radiological test to determine to rule out blockage of the Vas

All the above test are to be carried out by a specialist so kindly consult some Urologist or Infertility specialist for guidance and further assessment.for treatment of Erectile Dysfunction and Premature Ejaculation.



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Suffering From Erectile Dysfunction, Premature Ejaculation, Nil Sperm Count, Shaky Hands, Legs, Nervous Weakness. Suggestions?

Hello Thanks for your query.Based or reports that you have posted it is clear that you have what is termed as Azoospermia. It is first to establish the type of Azoospermia.whether you had Pre testicular ,Testicular or Post testicular Azoospermia. For this you have to get following investigations done 1) Serum levels of Prolactin , F.S.H.and serum Testosterone.this will help to conclude pre testicular Azoospermia.l , 2) Detail proper examination of the scrotum and Testicles for sizes of the Testis,Presence or absence of Vas This will help to conclude Testicular Azoospermia. 3) Testicular Biopsy to confirm whether sperms are produced in testis or not.(Spermatogenesis.) 4) Depending on report of Testicular Biopsy ,if there is spermatogenesis you have to undergo some radiological test to determine to rule out blockage of the Vas All the above test are to be carried out by a specialist so kindly consult some Urologist or Infertility specialist for guidance and further assessment.for treatment of Erectile Dysfunction and Premature Ejaculation.