What are the tests urologist may order for low testosterone?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

I have gone through the sent reports (attachment removed to protect patient identity). Please mention the months planned for having a baby. All the parameters are fine except for two things. Your serum testosterone is low and semen analysis shows that your sperm count is low. You have 5 million per mL. Usually, it should be more than 50 million per mL. Sperm motility is also less in your semen analysis. Your reports suggest that your testes are not working promptly and so you have low testosterone and abnormal sperm parameters. These factors cause problems in conceiving. It is necessary to find the cause of the low sperm count and testosterone. You need to consult a urologist for a physical examination. It helps to identify the cause of your malfunction of testes. I suggest you do an ultrasound of the scrotum with a color doppler. It helps to determine the size of the testes and other problems like varicocele. You need to do some blood tests like serum FSH (follicle-stimulating hormone) and serum LH (luteinizing hormone) to know whether it is a primary or a secondary testicular failure.

Thank you for consulting me.

You can always reach me at icliniq.com.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Before going for extensive evaluation and treatment, you need to try for six months. We can wait for a year before starting an invasive treatment. Infertility is referred to as failure to conceive after a year of repeated trying. I suggest you do a basic evaluation and wait for some time. Meanwhile, you can take medicines to improve your sperm count. If we cannot find the reason for your low sperm count, then you can undergo ART (assisted reproductive technology). In this, we take good sperms from your semen, or testes and it is injected into your partner. ART is usually done by a gynecologist and requires two to three cycles. It is not done in a month. At present, I suggest you do some basic tests, evaluation and start with medical management. I suggest you take tablets containing Carnitine, Coenzyme Q 10, and zinc thrice daily. Consult your doctor soon and take treatment accordingly.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have gone through the reports, and they seem to be good. You are responding well to the treatment, and you are doing good. You can try for four to six months before doing IVF (in-vitro fertilization). I think that your partner can get conceived naturally. You do not require any tests at present. You need to repeat semen analysis after a month. Continue taking the medicines as prescribed.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Please ask your questions and attach your reports.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have gone through the semen report, and it is very much improved when compared to the first one. Your morphology is also improved a little bit. You need to continue taking Clomid and Thyroxine. Try to take antioxidants in your diet. take a tablet containing Carnitine, Coenzyme Q, and zinc. Really only one sperm is required for pregnancy. Your count is normal, but your morphology is less, and it is not zero. So, continue taking medications and do not lose hope.

Looking forward to your response in order to help you.

Thank you.