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question:45 year old healthy male with low test, my doctor put me on testim gel for 2.5 years and didn t check my psa levels for 2 years. when he did check it went from 0.34 to 4.1 . He took me off testim and had me tested for 4 consecutive months where my numbers went down from 4.1 to 2.7 to 2.1 to 1.8 to 1.6 where it has stayed. after doing some research I asked him to put me on clomid since he took me off testim cold turkey and I am now suffering all sorts of withdrawal symtoms. I guess my question is do you believe clomid can raise my psa or cause prostate cancer. thank you
answer:Higreetings. What was the reason for low testosterone ? Do you have any other medical problems ? Any issues with testicles or hormones.? I presume that there must have been a reason for low testosterone and hence you were prescribed.NOW,clomifene can increase a pituitary hormone called LH which indirectly can stimulate testis to produce more testosterone if your LH was low previously .There should have been a low response from your pituitary gland and clomifene would have stimulated it.This possibility can be confirmed by testing your testosterone. hope you are convinced. Regards
question:Hi there, I have noticed that I have lost sensitivity in my penis over the last few years. I find it difficult to climax and most times have to masturbate in order to climax. I have always masturbated alot and wondered if I have damaged nerves at all, and if it the situation can be reversed at all. I was recently tested for Diabeties, but that came back all clear
answer:Hi,A little penile insensitivity may occur with age, you have not mentioned your age so could not be stated, other wise it may be momentary or if you are on any kind of medication esp on steroids. Due to excess masturbation or sex, threshold of the nerves to excite increases, which means it needs more stimulation.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Suresh Singh, Ayurveda Specialist
question:hi doctor im a guy , 30 years old i did test for testosterone and shbg both are low from the scal shbg is 4,63 nmol/l from 13 to 71 testosterone 5.12 nmol/l from 8.64 to 29 does that effect free testosterone and sperm counting... on the other hand the doctor told me to use hcg and nolvadex for 30 days also if i take testosterone replacement im gonna get back mu sec drive but my wife cant get pregnent??!! cause the outside testosterone would shutdown my natural test??!! thanx
answer:Higreetings. Your question is very relevant. outside testosterone will suppress the sperm production. NOWwe have to find out why your testosterone is low.Is there any other hormonal problems or not.For that we have to do your pituitary hormones level FSH AND LH along with prolactin.If they are low then supplementing with hcg will help.We should also check the female hormone Oestrogen if you are very obese, so that decreasing it will increase your natural testosterone. Before all this get your SEMEN ANALYSIS DONE.So either discuss this with an andrologist or an infertility specialist..hope my answer helps you. Regards
question:Hi doctor....I am john.....I accidentally spilled hot water over my penis 5 days back,it pains badly while intercourse...am a known case of diabetes....there is mild odema at the tip of my penis plus oozing...there are cracks on it...skin peeling too....kindly help.....
answer:Higreetings. Visibly there may not be any infection.But in uncircumcised Penis when the skin cannot be retracted completly beyond the rim there can be collection of spegma causing infection and soreness. So make sure that your skin can be retracted completely in normal Penis and clean the area.Now try retracting the foreskin completly during erection.If it is not retractable then consult a surgeon and take his opinion.hope my answer helps you. Regards
question:i have 2 deformed testis of which have been checked and all ok 1 of them according to the consultant appears to have grown in on itself. i am now 40 what are the chances of having a low sperm count i have had 4 operations down they 1st time to have my testis dropped and the other have been to remove cysts
answer:Hello and .As an Urologist,i can understand your concern.If the testis are deformed,semen test must be done, to know sperm count.After 2 days abstinence, semen test should be done, for accurate report.As surgery has been done on the testis,a scrotal doppler scan, must be done.Also,if the scan and semen test are abnormal,hormones should be tested.If you've any doubts,send it to me,as a direct question,with reports.Dr.Matthew J. Mangat.
question:Helo DoctorThis is Mohammed and as Prescribed by my doctor iam taking MAXOZA -L Powder 5mg twice a dailt (Morning & evening) , my question is will it work for me to make my wife pregnant and my sperm count increaseIf you reply me now i will be very grateful to u sir/ mam
answer:Higreetings. maxoza is an antioxidant given to you to improve sperm production.To give a you a better answer we should know your semen analysis report and any problems you are having.Esply we should know the size of testis and any evidence of infections or varicocele. If there is a treatable causes semen parameters will improve after taking maxoza.hope you are convinced. Regards