I assume you mean a fertility report?
Please put in the full report here.
The report alone does not tell the treatment.
A low sperm count alone does not mean you can not get pregnant.
Other aspects of the sperm, such as morphology, also are important.
In addition, to see the problem in clarity, other tests need to be done.
These might include:
post ejaculation urinalysis
And other tests....
Here is a good write up on this.
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He has varicoceles on both sides.
This raises the temperature and lowers sperm counts.
Those need to be fixed.
He has a slightly low testosterone as well.
Weight loss , exercise and diet should be tried first.
Testosterone replacement can be considered.
I believe I just stated this, I will expand:
He needs to see a urologist to get the varicocels fixed.l
First and foremost.
Lose any excess weight.
Have a nutrient dense diet.
Repeat testosterone testing in 3 months.
If still low, replacement can be considered.
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I don't think you have the first one spelled correctly, but I believe it is a testosterone replacement.
And femara lowers estrogen.
So yes, these are appropriate.
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Then come back as needed.
This is HCG.
Some doctors use this to raise testosterone in stead of testosterone, or to give the male a break from testosterone.
So , yes, ok.
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Come back as needed.
Thanks for this question.
I would like to provide another opinion
I don't agree with fixing the varicoceles
I am concerned about his prolactin being high as well
Do we know why this is?
Thanks for this reply
To get pregnant this year, I think he needs to be on actual testosterone and you guys need to just keep trying.
It will happen. sometimes it just takes a little longer
and he needs to see an endocrinologist to see why that prolactin is high
I am a double board certified US doctor.
In clinical medicine and advanced integrative medicine.
I was ranked at the 100th percentile in endocrinology on our Internal medicine Board exams.
IN fact, he might be on the correct medicines.
This protocol is used when there is a problem with converting testosterone to
estrogen. If the doctor know this about him, putting him on testosterone would
not be appropriate.
So, talk to the doctor.
I think that is your next step.
Hi prolactin begs consideration of a scan of the brain to make sure the pituitary gland is OK.
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Thanks fr this question
Testosterone is needed
I recommend regular garden variety testosterone
And he doesn't need IVS yet. keep trying
like androgel or testim
probably 3 months
Please rate positive. Thanks
If he converts to estrogen, which is apparently the case, testosterone alone is not going to work, and will make that problem worse.
He will need more than one medication, even if on testosterone.
He will still need to stay on an aromatase inhinbitor at low dose.
Again, this is not simple.
We can not diagnose or treat him if that is what you are thinking.
This needs to go through his doctor, who knows him, and how knows his configuration.
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