Question 1

I recently received my semen analysis report, which shows the following:
Physical examination: Color is creamy white, Viscosity is semi viscous, Volume is 1 mL, pH is alkaline, Liquefaction time is 40 minutes.
Microscopic examination: Total sperm count is 45 million/mL, Pus cells is 0 to 1/hpf, RBCs is nil, Epithelial cells is 2 to 3/hpf.
Motility: Good active motile is 15percent, Sluggish motile is 10percent, Non motile is 75percent.
Could you please explain what these results indicate and what solutions or treatments are recommended?

Question 2

Hello, I have had varicocele for many years and sometimes I thought of getting it corrected but I came to know about complications as well. I do not have pain or discomfort but it occurs only if I do intense workout, so I stopped that and started doing light workout. My main issue is reduced fertility as I do not feel as aroused as before varicocele. I do get nightfall once or twice in a week. Reduced fertility and mental disturbances bother me and I sometimes feel underconfident while speaking with someone. Please check my report and advise based on the report?

Question 3

Hi Doctor, I took Saw Palmetto and Beta Sitosterol 500 mg to reduce my DHT. Since then, I have been experiencing sexual problems. I consulted a urologist who found my testicles are slightly small in size and volume by USG and Doppler. My testosterone level is 3.38 ng/ml. SHBG and diabetes levels are normal. I do not have anxiety. I can get an erection during masturbation, but the problem is that my testicles are small, I have no libido, and I do not ejaculate properly, it is just one drop. I have been facing this problem since I took Saw Palmetto. I stopped taking it, but the side effects are still the same. Should I go for hCG therapy or TRT? Whom should I consult, a urologist or an endocrinologist?

How do I increase the testosterone level in a male body?

Exercising and improving diet

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