How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrRussMD Your Own Question

DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63985
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
DrRussMD is online now

I have reports results to be shared husband. The

Resolved Question:

I have reports results to be shared for my husband . The consetration is only 4 millions . I believe the report will tell which treatment might be done and what's the percentage of having babies
Submitted: 9 months ago.
Category: Medical
Expert:  DrRussMD replied 9 months ago.

Hello

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:

Hormone testing

ultrasound

post ejaculation urinalysis

And other tests....

Here is a good write up on this.

http://www.mayoclinic.org/diseases-conditions/low-sperm-count/basics/tests-diagnosis/con-20033441

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, come back. I am here http://www.justanswer.com/medical/expert-dr-thomas/

Customer: replied 9 months ago.
Medications provided a month ago was the following : overtralli injection and Femara 2.5
Expert:  DrRussMD replied 9 months ago.

OK

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.

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, come back. I am here http://www.justanswer.com/medical/expert-dr-thomas/

Customer: replied 9 months ago.
What sort of treatment is required or actions should be taken immediately .
Expert:  DrRussMD replied 9 months ago.

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.

please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, come back. I am here http://www.justanswer.com/medical/expert-dr-thomas/

Customer: replied 9 months ago.
Is the current medications good or not !
Expert:  DrRussMD replied 9 months ago.

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.

Positive rating at the top of the page please.

Then come back as needed.

Customer: replied 9 months ago.
It's ovitrelle injection
Expert:  DrRussMD replied 9 months ago.

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.

Please click a positive on the rating scale at the top of this page [we are only paid by just answer per rating].

Come back as needed.

Expert:  Dr. Phil, MD replied 9 months ago.

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?

Customer: replied 9 months ago.
No I don't . What kind of threatening is required and how to solve it in order to be pregnant this year .
Expert:  Dr. Phil, MD replied 9 months ago.

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

Customer: replied 9 months ago.
What kind of effective medications you suggest , thanks
Expert:  DrRussMD replied 9 months ago.

Hello

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.

Stick with Dr. Thomas only for correct, up to date answers.

Please click a positive.

See my additional services offer [premium offer] as well.

Customer: replied 9 months ago.
Is IVS required in my husband case !
Expert:  Dr. Phil, MD replied 9 months ago.

Thanks fr this question

Testosterone is needed

I recommend regular garden variety testosterone

And he doesn't need IVS yet. keep trying

Customer: replied 9 months ago.
What medications you suggest to solve the lower in testosterone Harmon ? How long do he needs to solve this Harmon issue !
Expert:  Dr. Phil, MD replied 9 months ago.

testosterone

like androgel or testim

probably 3 months

Please rate positive. Thanks

Expert:  DrRussMD replied 9 months ago.

Hello

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.

Please click a positive rating...we are only paid per rating, and I have seen no ratings on my asnswers.

Good luck, Find Dr. Thomas anytime by request.

DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63985
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions