Question 1

Hey doc, I've been feeling a bit worried lately. My partner and I have been trying to conceive for a while with no luck. I recently started reading about sperm count issues, and now I'm anxious if that could be my problem. Could you give me some advice on how I might increase my sperm count naturally? Are there lifestyle changes or specific foods that might help? I'd appreciate any guidance you can offer.

Accepted Answer

Here are some evidence-based ways to increase sperm count:

*Lifestyle Changes*

1. *Maintain a healthy weight*: Excess weight can lead to hormonal imbalances, affecting sperm count.
2. *Exercise regularly*: Regular exercise can improve sperm quality and count.
3. *Reduce stress*: High stress levels can negatively impact sperm count. Practice stress-reducing techniques like yoga or meditation.
4. *Get enough sleep*: Aim for 7-8 hours of sleep per night to help regulate hormones and sperm production.

*Dietary Changes*

1. *Eat foods rich in antioxidants*: Foods high in antioxidants, such as fruits, vegetables, and nuts, can help protect sperm from damage.
2. *Include zinc-rich foods*: Zinc is essential for sperm production. Include zinc-rich foods like oysters, beef, and chicken in your diet.
3. *Increase omega-3 intake*: Omega-3 fatty acids, found in fatty fish, nuts, and seeds, can help improve sperm quality.

*Supplements*

1. *Vitamin D*: Vitamin D deficiency has been linked to low sperm count. Consider taking a vitamin D supplement after consulting with your doctor.
2. *Zinc supplements*: If you're not getting enough zinc from your diet, consider taking a zinc supplement.
3. *Folic acid*: Folic acid can help improve sperm quality and count.

*Avoid*

1. *Smoking*: Smoking can significantly reduce sperm count and quality.
2. *Excessive alcohol consumption*: Limit your alcohol intake to moderate levels (1-2 drinks per day).
3. *Tight clothing*: Wearing tight clothing can increase scrotal temperature, potentially harming sperm production.
4. *Hot tubs and saunas*: Avoid frequent use of hot tubs and saunas, as they can increase scrotal temperature.

Question 2

I'm dealing with a bad smell coming from under my foreskin, and it's making me a bit worried. There's also some mild itching going on. I've tried washing it, but the smell just keeps coming back the next day. Could you please give me some advice on what might be happening and how to fix it?

Accepted Answer

It sounds like you may have a yeast infection or balanitis. I recommend using an antifungal cream like Clotrimazole 1% cream. Apply a thin layer to the affected area twice a day for 1-2 weeks. Make sure to keep the area clean and dry. If the symptoms persist, consult a doctor for further evaluation.

Question 3

I've been having this pain on the left side of my butt for over a month now and even after visiting the doctor, who said it'll be fine and gave me some painkillers, it's still there. I decided to get an MRI and CT scan, but those came back normal too. Now it's super frustrating because in the last five days, I've started feeling this sharp pain on my right side as well. Plus, I've been needing to pee a lot more often. Could all these be connected somehow? I'm seriously worried and just want to find out what might be going on.

Accepted Answer

_Azithral Side Effects: Diarrhea and Bloody Mucus in Stool_

Given your symptoms, it's essential to assess the situation and determine the best course of action.

_Possible Causes:_

1. _Antibiotic-associated diarrhea_: Azithral (azithromycin) can cause diarrhea, especially when taken for an extended period.
2. _Clostridioides difficile (C. diff) infection_: Antibiotics like azithromycin can disrupt the gut microbiome, increasing the risk of C. diff infection, which can cause diarrhea and bloody stools.
3. _Other gastrointestinal issues_: Underlying gastrointestinal conditions, such as inflammatory bowel disease (IBD), can be exacerbated by antibiotics.

_Recommendations:_

1. _Consult your doctor*: Immediately inform your doctor about the diarrhea and bloody mucus in your stool. They may recommend:
    - Stopping the antibiotic and switching to an alternative treatment
    - Continuing the antibiotic with close monitoring of your symptoms
    - Adding medications to manage diarrhea and prevent dehydration
2. _Fluid replacement*: Drink plenty of fluids, such as water, clear broths, or electrolyte-rich beverages like coconut water or sports drinks, to replace lost fluids and electrolytes.
3. _Stool tests*: Your doctor may order stool tests to check for C. diff infection or other gastrointestinal pathogens.

_Important Notes:_

1. _Don't stop antibiotics without consulting your doctor*: Stopping antibiotics abruptly can lead to treatment failure, antibiotic resistance, or worsening of the underlying infection.
2. _Seek medical attention if*: You experience severe diarrhea, bloody stools, abdominal pain, fever above 101.5F (38.6C), or signs of dehydration, such as excessive thirst, dark urine, or decreased urine output.

Is it possible to increase panis size by 2 inch without surgery. Please help me i am very depressed

Many pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis. But, there's little scientific support for nonsurgical methods to enlarge the penis. And no trusted medical organization endorses penis surgery for purely cosmetic reasons.

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I'm dealing with a bad smell coming from under my foreskin, and it's making me a bit worried. There's also some mild itching going on. I've tried washing it, but the smell just keeps coming back the next day. Could you please give me some advice on what might be happening and how to fix it?

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