Question 1

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 2

Doctor, please check my semen analysis result below and tell me what I should do? I get good erections, but I ejaculate within one minute. Time of liquefaction is 30 minutes. Colour is greyish white. Consistency is thick. pH is 8.0. Volume is 2.5 ml. Total sperm count is 84 million/ml. Morphology is 55 percent normal, 15 percent head defect, 15 percent midpiece defect, and 15 percent tail defect. Motility is 15 percent active, 30 percent sluggish, 55 percent non motile. WBC is 8 to 10 per HPF.

Question 3

Hi Doctor, I recently had a blood test done and found that my androstenedione levels are low, and my other hormone levels are closer to the lower limit of normal. I have been experiencing several health issues including premature ejaculation, hair loss, weight gain, fatty liver, vitamin deficiencies, weakness, and infertility (low sperm count). Please advise me on what this could mean and what treatment options I should consider.

10 percent motility is low, but treatment can improve it. Causes: stress, heat exposure, smoking, infections. Lifestyle changes and meds can help. Do Repeat Semen Analysis, Hormone Profile, Scrotal USG. See andrologist or fertility specialist.

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