apollo
  • Male
  • 35 Years
  • 23/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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.

Dr. Dr Khaleel Suggests...

Consult a Endocrinologist

Answered 04/07/2025

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Surgery opinion is advised at apollo hospital.

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I'm noticing that my body always feels warm and seems to emit heat, even though I don't have a fever. My urine is also warm. This has been going on for quite a while. Any ideas on what might be causing this or how I can address it would be really appreciated. I've been diagnosed with low vitamin D and B12 levels and am currently taking supplements for those.

Your persistent bodily warmth, heat emission, and warm urine without fever could be related to various factors, including hyperthyroidism, hormonal imbalances, or increased metabolism, and it's good that you're addressing low vitamin D and B12 levels, but consider consulting an endocrinologist to rule out underlying conditions, and in the meantime, stay hydrated, avoid spicy foods, and dress comfortably to manage your body temperature.

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I'm really concerned about my journey trying to conceive - it's been 23 months of trying, and I'm getting worried. My periods are regular, and all my blood tests, like TSH and prolactin, have come back normal. The only thing is my blood sugar is in the pre-diabetic range. Now I've found out about this myometrial cyst, and I'm wondering if it could be affecting my ability to conceive. Could this be a reason for the delay, and what should I do about it?

A myometrial cyst is a benign fluid-filled cyst in the muscle layer of the uterus, usually not related to fertility issues. Since your periods are regular and other tests are normal, it's a good sign, but pre-diabetes can affect fertility. It's a good idea to manage your blood sugar levels for better chances of conception.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.