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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Improve Sperm Motility

My sperm motile is not more then 5%. I did my bilateral Varicocle operation and the varicocle is removed, Prostate was normal in size and shape measuring 3,8x3,4cm no focal lesion seen. Both testes was normal in size and shape measuring 3,8x3,6cm no focal lesion a small cyst seen in right epididymis measuring 7,1x6mm which is not medically or surgically important, both epididymis, scrotom cavity, and seminal vesical appears normal measuring 2.5 right and 2.6 left.Conclusion: Right epididymis simple cyst. Normal Scrotal Ultrasound.1st April 2008.Parameter:          Result          Normal Range.TSH:               1.67               0.34-5.6 Prolactin          9.22               2.64 – 13.13 ng/ml Testosterone      2.38               1.75 – 7.81 FSH               3.67               1.27 - 19.26 what can I do? I hope I received possitive respond. Regard, Jamaluddin from Afghanistan
Fri, 23 Sep 2016
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General & Family Physician,  's  Response
Hi Mr.Jamaluddin,
Thanks for posting in HCM.
I understand your concern.
Based on the laboratory report you have enclosed, the following inferences can be drawn.
Ultrasound of scrotum states that the testis and epididymis on the left side is anatomically normal. Prostate gland is also normal. There is a simple cyst present in the right epididymis, which generally does not cause much problems.
Biochemical parameters namely TSH, Prolactin, Testosterone and FSH levels are within reference range and hence your hormone status can be considered to be normal.
Since you had bilateral varicocele, it might have contributed to sperm motility being around 5%.
Now that it has been operated upon, kindly take medications containing L-carnitine, alpha lipoic acid, CoQ10, Lecithin, Vitamin E, Selenium and Zinc for a month, as these substances act as nutrient for the sperms.
You need to repeat semen analysis to know for the improvement.
Kindly consult Infertility specialist with the report for appropriate management.
Hope the information provided would be helpful.
All the best.
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Suggest Remedy To Improve Sperm Motility

Hi Mr.Jamaluddin, Thanks for posting in HCM. I understand your concern. Based on the laboratory report you have enclosed, the following inferences can be drawn. Ultrasound of scrotum states that the testis and epididymis on the left side is anatomically normal. Prostate gland is also normal. There is a simple cyst present in the right epididymis, which generally does not cause much problems. Biochemical parameters namely TSH, Prolactin, Testosterone and FSH levels are within reference range and hence your hormone status can be considered to be normal. Since you had bilateral varicocele, it might have contributed to sperm motility being around 5%. Now that it has been operated upon, kindly take medications containing L-carnitine, alpha lipoic acid, CoQ10, Lecithin, Vitamin E, Selenium and Zinc for a month, as these substances act as nutrient for the sperms. You need to repeat semen analysis to know for the improvement. Kindly consult Infertility specialist with the report for appropriate management. Hope the information provided would be helpful. All the best.