Do antifungal medications affect the sperm count?

Hello,

Welcome to icliniq.com.

Thanks for the query.

Antifungals have also been attributed to some effect on sperm production. Considering that the life span of a sperm cell is 120 days and that you had balanitis and yeast infection three months ago, there are chances that there would have been epididymal infection. The infection would have affected the sperm growth inside the testis. However, in the presence of infection, the number and motility of the sperms will be severely affected.

In your case, as you mentioned, there have been many immature sperms, which indicates that your treatment is the reason for the derangement in sperm count. Hence it is advisable to repeat the semen analysis test once your infection is controlled.

Regards.

Hello,

Welcome back to icliniq.com.

Thanks for the follow-up. Yes, you can upload the video, and also please share the semen analysis written report for reference. I am here to assist you. Regards.

Hello,

Welcome back to icliniq.com.

Thanks for sharing the example video clip. It shows:

1. Severe Oligospermia.

2. Only 10 to 15 % motile sperms - Of which only 20 % were actively motile and the rest remain sluggishly motile.

3. 80 to 85% immotile or dead sperms.

4. Plenty of cellular debris present.

5. Morphological defects such as head defects and tail defects in sperms can be appreciated.

I would be happy if you could share your semen analysis video for an opinion as well. I am sure the laboratory records can be shared with the client when demanded. You may share your subsequent reports on Friday. How is the local infection remain now? Does the circumcised wound got healed well? Regards.

Hello,

Welcome back to icliniq.com.

Good to learn that you are recovering well. The video shows Oligo-astheno-teratozoospermia, which means, low count, slow sperms, and morphologically defective sperms. The presence of cellular debris can be attributed to the presence of pus cells secondary to infection. But it is difficult to attribute it to candida alone, as the cause is often bacterial. Antifungals only help in the treatment and do not cause low sperm counts directly. This is definitely treatable if the cause is infection alone, which it seems to be in your case, but as I said earlier, keeping in view of the sperm cycle of 120 days along with 90 days of treatment would give results. Regards.