Question 1

Hello Doctor, my sperm motility is around 10 percent, which I found out recently after a semen analysis test. I have been feeling depressed since I came to know this. There is no problem with erection or premature ejaculation, but after the semen analysis test, I feel I cannot have a baby. Please advise, Doctors. Thank you in advance. I have attached my semen analysis report.

Question 2

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?

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.

In my semen analysis, my sperm count was nil. I have done a scrotum scan, which was normal. I have also done tests for LH, FSH, and testosterone. What is this issue called, and is it curable?

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