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This is Dr. David
saw palmetto is a mild plant estrogen sold as an over the counter herb to possibly help with symptoms of enlarged prostate or difficulty with urination
it most likely is not potent enough to cause low sperm count or cause osteoporosis or weak bones in men with normal testosterone levels.
I have a low sperm count 2 million per ml and I have been taking saw palmetto for many years and thought this may be a contributing factor
the chances are small
but you need more testing to check your testosterone level
and your LH and FSH levels to see if they are normal.
have you had these levels checked?
What are LH AND FSH levels
LH is leutinizing hormone and is the hormone from your pituitary gland that tells your testicles to make testosterone.
FSH is follicle stimulating hormone and is the hormone from your pituitary gland which tells your testicles to make sperm.
I am due to have a ultrasound on my testicles and another semen analysis
I have testicular microlithiasis could this be a factor for a low sperm count
yes, that could cause low sperm count
you should stop taking saw palmetto.
really no need for you to take that.
i am going to stop the only reason i started taking it was because i had a inflamed prostate and thought it would help
no, that would not help an inflamed prostate.
usually antibiotics are what is needed for prostatitis inflammation.
ask your doctor also for blood testing to check your testosterone level and FSH and LH levels as well
good luck to you
also don't smoke
So i took saw palmetto for no reason
smoking can cause low sperm counts.
I researched it
I don't think it helped calm down the prostate.
and thought it was good for your prostate
would taking saw palmetto interfere with my testosterone levels
testicular microlithiasisis is this dangerous
are my risks of testicular cancer raised because of testicular microlithiasis
because i have been taking saw palmetto for many years have I damaged my health in any way
and damaged my testosterone levels/fertility
no, there would be no permanent damage.
once you stop, your levels should be fine.
it is really a mild plant estrogen
its long term use hasn't really been well studied.
here is one study which showed that saw palmetto could affect sperm motility.
what about my bone density
your bone density should be fine.
if you get your bone density checked, I bet it is fine.
you should continue to drink calcium and eat vitamin D and exercise
these are the best things for your bones.
because my bones do click on a daily basis
clicking bones is a not a sign of weak bones.
could saw palmetto weaken your bones?
no, it wouldn't weaken your bones.
no, these are just small stones in your testicle.
this is not dangerous.
testicular cancer risk?
is there a link
In studies of healthy men there is, however, no association between TM and development of cancer
so there is no link
Have i got a increased risk of testicular cancer because i have testicular microlithiasisis
I dont understand why i have a low sperm count
i thought becuase i have been taking saw palmetto and becuase i got testicular microlithiasisis
this may be why
you need to get your blood levels checked
to check testosterone and FSH and LH before we can find out why your sperm count is low
and you need to get that testicular ultrasound as well.
I had a blood test last time i was at the hospital
will this show my testosterone and FSH and LH
these are specific blood tests.
that have to be ordered by your doctor
not all blood test will contain these results.
Ok. He did order these blood tests when i went to see him and it was about my sperm count
Do you think he would of included testosterone and FSH and LH
in the blood tests
I hope he included these in your blood test.
talk to your doctor about it.
I can't read your doctor's mind about what test he ordered.
let me know if you have other questions.
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But do you think taking saw palmetto has caused any of this
So taking saw palmetto has not really done anything for me
what are the benefits of taking saw palmetto
when you are in your 50s and 60s and you have benign prostate enlargement, some men use it as a natural plant estrogen which could help decrease the size of their enlarged prostate gland.
So i didnt really need to take it
no, you don't need to take it.
I have been taking for about 4 to 5 years
so you can stop taking it.
what do you think i have done to my body
you haven't done anything.
it is fine.
how long will it take to get out my system
once you stop, it goes out of your system quickly.
So taking saw palmetto has not damaged my health in any way?
do you think i have a chance of having children
yes, of course.
but have i not got a very low sperm count 2 million per ml
you can still have children with those levels.
yes, very possibly naturally.
have i caused any temporary damage by taking saw palmetto
you have asked this already.
I said no.
you seem to keep asking the same questions.
yes, I can tell.
i just want to confirm
no, it would not damage your health in any way.
taking saw palmetto would it have made my bones weak
I have answered this for you already.
can you confirm for me again please
you need to quit smoking.
saw palmetto would not cause weak bones.
I have quit smoking Dr. David
thank you for your help
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You said once you stop, your levels should be fine
does this mean that taking saw palmetto did interfere with my levels
most likely the saw palmetto has not interfered with your testosterone level.
what about fertility
only time can tell about your fertility.
you don't need to be stressing about your fertility until you are ready to have children.
and it doesn't sound like you are ready to have children at this point.
but would you say saw palmetto has interfered with my fertility
and if my sperm count was low now wouldn't it decline over time
no, it may not decline over time.
you can get healthy and exercise and eat healthy and your sperm counts can improve
I have said already you need blood testing.
most likely the saw palmetto has not interfered with your fertility and sperm count.
Ok Dr. David
you are welcome
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