HomeAnswersInfertilityinfertilityI am worried that I may be infertile. How do I confirm it?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 18, 2023
Reviewed AtJune 18, 2023

Patient's Query

Hi doctor,

I have some personal questions about fertility and infertility. I am so worried about this, and I want to get it off my chest as soon as possible because I want to know about this. I want to know if I am alright or not. I often cannot stop thinking about this, so I have to know. I have a problem with my genitals, and it happened when I was younger. I have been damaged so much in my life, and ever since then, it just has me so scared. My genitals are not the same. I do not know if I can satisfy a woman the same when it was normal. No woman will want me if I can not satisfy them like a normal man, or give them a kid, and I too, want at least one kid. I was just young and so naive. I was not thinking, but now I am older and wiser, and I can think more clearly and see things through. Please do not tell me I am ruined for life, lost a testicle, or something like that.

I do not know if I can have a kid or not. I believe everyone deserves to have at least one kid. I am pretty sure any woman I will be with is going to want at least one, preferably a girl, and want a kid a whole lot more than me. No woman is going to want me if I can not give them a kid, at least one, and I will feel like less than a man, not a man at all, incomplete if I find out I can not have one. I do not want to hear bad news, I cannot stand bad news, nobody can. So, how do I determine if I can have a kid or not? Do I have to see a fertility doctor? Is it a matter of if I just have sperm or semen? Is all sperm or semen the same? I know I still have sperm or semen, or is it a matter of if all the parts of my genitals are still intact? I also pee a whole lot now, way more than before I got like this, way more than normal than I supposed to be. Is it anything I can do about that? Are there any tests or X-rays, that I can take to find out if I can have a kid or not, or just try? Do you have any answers to any of my questions? If so, can you please answer them, and can you please help me out? I would appreciate it, thank you.

For the guy, it is a matter of if they have good sperm or not. A guy's sperm count starts decreasing when he is in his 30s, I believe. I think around 32, it gets less, and I am 32 now, and his sperm goes into the woman's something, I am not sure, and then the baby develops, and so forth and so on. I was bleeding from the head of my penis around it. You can see the marks, scars from it, you know what I am saying. There was no blood coming from the hole where I urinate, not in my pee, but I bled from the head of my penis like I said before, so that should not be a problem. After that, that made me circumcised. I do not even know if I knew what circumcised was then. I know what circumcision is now, though. Then after that whole circumcision incident, I was exposed to so much air on my penis. So ever since then, I urinate a lot, so much sometimes that I feel so drained. Can I get my penis normal? Do I need a fertility test? What is involved in it? Is it just a matter of urine, or what? I have acid reflux and constipation sometimes, but nothing too serious that I know of. So, I just try to eat right. I am a health-conscious person who does not eat right if that makes any sense at all. I try to eat right, but it is hard, you know. Is there some kind of pills or medicine that I can take?

Hi,

Welcome to icliniq.com.

I understand your concern.

Your age is no problem. Men are fertile after the 50s also. But to get rid of anxiety about your fertility, I suggest you do semen analysis, and you can also do blood tests, like PP (postprandial) sugar, TSH (thyroid-stimulating hormone), prolactin, and testosterone. These tests will determine if you have any problems that may hamper your sexual performance. If you can masturbate and have erections in sleep or in the morning, then you are fine. From your writing, I understand that you have great anxiety, so relax and unwind, and do exercise.

Hope this helps.

Best regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

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