So, I've been advised to take a B12 injection weekly for six weeks and then once a month for the next six months. I'm just wondering, is there a specific time of day that's best to get these injections? Also, I'm currently taking Zitten 20mg in the morning for diabetes and Razel 5mg at night. Should I be concerned about any side effects or interactions with these medications?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

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Masturbation Frequency and Infertility_

Masturbating 2-3 times a day is considered a normal and healthy frequency. Research suggests that masturbation has no direct link to infertility.

The American Society for Reproductive Medicine (ASRM) states that "masturbation does not affect fertility."

Sperm Count and Semen Analysis

If you're concerned about your fertility, consider consulting a urologist or an andrologist for a semen analysis. This test evaluates:

1. Sperm count (concentration)
2. Sperm motility (movement)
3. Sperm morphology (shape)
4. Semen volume
5. pH levels

A semen analysis can help identify potential issues, but it's essential to note that:

• Sperm count can fluctuate due to various factors, such as stress, temperature, and frequency of ejaculation.
• A single semen analysis may not provide a complete picture of your fertility.

To ensure accurate results, follow these guidelines:

1. Abstain from ejaculation for 2-5 days before the test.
2. Provide a fresh semen sample.
3. Repeat the test after 2-3 months to confirm results.

Answered 04/07/2025