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my husband had hyperprolactonemia beacuse of that he had issues regarding erection and orgasm but after taking cabergolin and paternia he started improving his sperm count increased from 1-2 sperms to 12 million and testesterone increased to 530 but now again his count has decreased to less than 1 million and testestrone to 372 can u tell what is the reason and what should we do to improve the count??

Category: Endocrinologist

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Category: Diabetologist
 20 Doctors Online

Thank you for your query at
I will need to know some details:
What was the initial levels of Prolactin?
Was the cause of high prolactin found?
After stopping Cabergolin, was prolatin re-tested?
Please answer and then i will be able to help you.

Patient replied :

Intial prolactin was 233 now prolactin level is. 64 He has pituitary adenoma and he is still taking cabergolin. 25 mg twice in a week. Since oct 2013 he is taking cabergolin.

In case the Prolactin is high, the Cabergolin should not be stopped, but the dose increased to 0.5mg twice a week.
What was the size of the adenoma, micro or macro?
The dose and duration of cabergolin will depend on this.
Once the prolactin is normal, things should improve.

Patient replied :

Prolactin is already normal everything start improving but from last month sperm count is again decreasing and he is continue taking cabergolin. Adenoma was small. I has been 1 year since we came to know about the adenoma. I just want to know what should we do to improve the sperm count. Our doc has examined his testis they are normal.

If everything is normal, he may benefit with Clomiphene to improve sperm counts.
Let me know if i can help you further,

Patient replied :

He has already taken fertomid for 3-4 months but it dint work positively so he stopped taking it. Doctor i want to know is there any way to improve the count so that we can go for iui.

If there is any infection in the sperm culture analysis test, treating it will definitely help.

Dr. J Muthukrishnan
Category: Diabetologist
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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