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SPERM COUNT is decreasing weak by weak. Reason?

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Hello, This is Kalyan, My sperm count is decreasing week by week. I am 28years old and recently married. My sperm count on sep 2014 is 65million, now it is 35 million. I am healthly and non smoker/drunker. but why my sperm count is decreasing?. please suggest what is happening in my body.

Category: Infertility Specialist

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Category: Infertility Specialist
 23 Doctors Online

Hello,
Thanks for posting your query at DoctorSpring.com
Please upload both the semen analysis reports done so far.
Also, let me know a few things -
1. What is your height and weight ?
2. Are you married / sexually active - any sexual issues ?
3. Are you stressed out / personally or profesionally ?
4. Are you exposed to heat / sauna / hot tub baths / toxins / chemicals / radiation ?
5. Are you taking any drugs or medications ?
6. Are you having prolonged periods of abstinence without ejaculation ?
7. Any recent surgery, illness, fever etc ?
Please write back with the requested details and uploaded reports.
All the best
Please feel free to discuss further.
Regards.


Patient replied :

Hello,
Thanks for Immediate reply,
Please find the attached Old & latest semen analysis report.
1. What is your height and weight : Weight:64 Kgs, height:5.3 Inches 2. Are you married / sexually active - any sexual issues : Married, No Sexual issues, Some time I will no get good mood, while participating in intercourse 3. Are you stressed out / personally or profesionally : Little Bit stresses(because my office shift starts 05:30PM IST to 02:30AM IST) 4. Are you exposed to heat / sauna / hot tub baths / toxins / chemicals / radiation : yes, I feel my body temperature high than the normal. 5. Are you taking any drugs or medications :No, But my wife Gyno suggested me to take Confido tablest(Himalaya's Company),2 tablets daily 6. Are you having prolonged periods of abstinence without ejaculation : No 7. Any recent surgery, illness, fever : No recent sugery,Illness, Fever.


Hello Mr. Kalyan
Thank you for the follow up.
I have gone through the reports.
Could you upload the report of September 2014 also ?


Patient replied :

Hello Doc, Please find the attached September 2014 report.
I forgot to say. I feel some itching sensation under my testris skin. I went to a dermotologist and found that my skin is very sensative and dermotologist suggested some ointment(Venusia)/oil(Olemessa) to apply on the skin area.


Hello
Thank you for the latest update.
Here are my suggestions -
1. The semen analysis in September is showing pus cells. Was a semen culture done ?
2. You should consult a proper Andrologist / Urologist instead of your wife's gynecologist.
Get the following workup done
- Complete physical exam ( genital exam )
- Hormonal evaluation
- Sonography of the genitals.
That should reveal a cause.
If the above mentioned factors ( stress, ageing, heat, abstinence, chemicals, tight fitting clothes ) are ruled out, then other causes should be evaluated.
Reasons could include - hormonal deficiency, chromosomal abnormalities, infections, blockages of tubes etc.
The treatment is then tailored accordingly.
Hope this helps,


Patient replied :

Hello Doc,
Can you suggest a good Andrologist / Urologist in Noida and can I go and have the Hormonal evaluation test in a good lab or it need to be suggested by any doctor?


Hello,
Although in no way i am trying to suggest you that some center is better than the other, since i am not aware of all the doctors in noida, i will advise you to go to fortis, explain your condition to an urologist and he will guide you about what tests need to be done. Dr. Dushyant is one of their urology department heads in fortis healthcare in noida, you can try getting his consultation.
Regards.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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