Question 1

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.

Question 2

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 3

I recently received my semen analysis report, which shows the following:
Physical examination: Color is creamy white, Viscosity is semi viscous, Volume is 1 mL, pH is alkaline, Liquefaction time is 40 minutes.
Microscopic examination: Total sperm count is 45 million/mL, Pus cells is 0 to 1/hpf, RBCs is nil, Epithelial cells is 2 to 3/hpf.
Motility: Good active motile is 15percent, Sluggish motile is 10percent, Non motile is 75percent.
Could you please explain what these results indicate and what solutions or treatments are recommended?

What are the ways to boost testosterone level after age 30?

Exercising and improving diet

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