Talk to Urologist on Low Sperm Count (oligospermia)
Asking For Someone else, Husband, Male, 31 Years old, lahore
Husband did a semen analysis last night from chughtai lab .I don’t understand the report exactly but it says low sperm count. I am very dishearten can low sperm count be treated ? What should he do now ? Attaching report
Asst. Prof. Dr. Nabeel Shafi - Urologist
| MBBS | FCPS | BLS | ACLS | MHPE | | Khushab
225 Positive Reviews
Assalamo Alaikum, First of all don't loose hope.
For infertility, work up of both partners should be done,side by side.
Regarding male partner, a good detailed sexual history with semen analysis repeated at least 2 times is essential before any treatment.
In semen analysis we have to look for 3 parameters which are Count, shape and motility and by doing life style changes, behaviour changes and certain drugs, each one of these patameters can be improved, provided testes retain ability and response to hormone triggers.
Regarding this report, we need further work up.
For complete disscussion ,kindly have an online consultation with me via marham.
Need a detailed discussion in opd with your husband and yourself for further planning.
Jazakallah khair
you need to take online appointment via marham.pk thanks
Asst. Prof. Dr. Shaheen Khan Bahadar Awan - Urologist
MBBS, MS (Urology) | Lahore
134 Positive Reviews
visit my clinic for proper treatment and discussion
ur husband has azospermia
it has two types: obstructive and non-obstructive
kindly ask ur husband to go for following labs to find the cause
Doppler Ultrasound Scrotum
Serum FSH
Serum LH
Serum Testosterone
Serum Prolactin
if u want online consultation or physical consultatn then u can book it with me
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
yes it says that oligospeemia which means low count.. but looking at other parameters like motiliy and morphology.. they are 0... it means that those few sperms are almost equal to none...
3 years ago
Patient
Post Owner
No no ,correct me if I am wrong ,it written that few sperms has been seen on liquification slide .vitality ,motility and morphology is not possible to be reported
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
thats what i am saying that sperms are soo less that motility and morphology cannot be assessed. which means that motility and morphology is 0. Which means that those few sperms are of no importance
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
and to look at the cause i have recommended u the tests
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
and the medicine ur husband is using is antiandrogenic which means that it reduces testosterone levels. And reduction in testosterone levels is also one of the cause of disturbed semen parameters
3 years ago
Patient
Post Owner
Sure we will . The other thing is he is taking propecia these days from last 2 weeks , does it has effect on sperm count ? I m so disheartened ,can it be treated ?
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
i told u just now that the medicine he is taking reduces testosterone levels
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
why he is taking finasteride ?
3 years ago
Patient
Post Owner
Sir for hair growth .his dr asked him to take propecia and collagen 30 for - 1 month before PRP. We have been married for 1 ye and 4month and have been trying to conceive from last 3months .
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
is there any previous semen analysis report available ? or this is the first time he has gone for semen analysis?
3 years ago
Patient
Post Owner
And he has done hair transplant 3,4months before our marriage in 2021 after that he was on propecia for 3months till our marriage , also can you tell me how long does it take for propecia to interfere in testosterone ? I mean he has been taking it again from last 2 weeks.
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
as long as he is taking finasteride it will interfere with testosterone
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
but it does not effect the semen analysis to soo much extent that his semen analysis is
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
so we have to find the cause of this so much disturbed semen analysis. Although there r very few sperms but these sperms are equal to zero bcz motility and morphology are 0
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
and to find the cause i have advised the tests
3 years ago
Patient
Post Owner
Ok we will do it ASAP .maybe today .but is this condition treatable ?
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
treatment depends on the cause
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
after the reports i will guide u that how to approach further
3 years ago
Patient
Post Owner
Apart from genetic disorder is oligospermia or Azoospermia treatable? And how much time does a hormonal treatment take ? Plus if surgery is needed how much time does it take to recover?
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
dont panic. just do what i have said. and after that i will explain u all the procedure that how to approach. If u want consultation with any other doctor u can book it.
3 years ago
MBBS, RMP | Lahore | Book Appointment
106 Positive Reviews
and i told u yesterday that treatment depends on the cause. This needs a lot of counselling that cannot be done here thru chat.. thats why i said that if u want consultatn from me then either take it online or physical.
3 years ago
Dr. M Sanaullah Qureshi - General Physician
MBBS, RMP , Diploma In Urology & Sexology | Multan
655 Positive Reviews
detailed history needed for better outcome
https://www.marham.pk/online-consultation/general-physician/khanewal/dr-m-sanaullah-qureshi-26078
Book appointment online or call at
042-34500888, 427,
book consultation for as low as Rs 0 for today
ur issue would be resolved IA
it's azoospermia...it's treatable homeopathically without any side effects just by the help of homeopathic medicines
Patient
Post Owner
How long does this treatment would take ?according to my husbands report?
3 years ago
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Patient
Post Owner
I was searching the entire day , does propecia(finasteride) effect male fertility? My husband is taking propecia from last 10 days .he had taken it for a while before 1,2years .but he hadn’t taken any after we got married ,he just started again before 10days .
3 years ago
| MBBS | FCPS | BLS | ACLS | MHPE | | Khushab | Book Appointment
It can definitely impact but azoospermia is very rare. Kindly have an online discussion via marham for detailed discourse about what to do next
3 years ago
Patient
Post Owner
Ok thank you so much .
3 years ago
Patient
Post Owner
Azoospermia and oligospermia same ? Bcz his test says (occasional sperms seen ) ,oligospermia M/ml?
3 years ago
| MBBS | FCPS | BLS | ACLS | MHPE | | Khushab | Book Appointment
Dear Sister
Azoospermia means near zero counts.
This will require a complete work up including hormones. For a better understanding have an online consultation
3 years ago
Patient
Post Owner
Yeah I will ask my husband to book appointment with you .kindly correct me I am actually really upset right now . Is azoospermia and oligospermia same condition or they are different?
3 years ago
| MBBS | FCPS | BLS | ACLS | MHPE | | Khushab | Book Appointment
Azoospermia means no sperms, oligo means few are present. Both can be treated if testes have ability to produce sperm cells.
3 years ago