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I have low sperm count and volume and problems with my sexual performance. What to do?

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

Medically reviewed by

Dr. Sneha Kannan

Published At October 20, 2020
Reviewed AtJanuary 10, 2024

Patient's Query

Hi doctor,

I have an issue with my sexual performance. I masturbate frequently and I am not getting sexual arousal nowadays. I have hypothyroidism with low sperm count and volume.

Hi,

Welcome to icliniq.com.

As you have hypoactive thyroid, you need to investigate TSH (thyroid-stimulating hormone), FT3 (free triiodothyronine), FT4 (free thyroxine), and the other three main thyroid antibodies. Sonography can be done. A good hormone replacement therapy can help you. For sexual issues, you seem to suffer from a disturbed sexual arousal cascade. So you need to refrain from sex for three months and refrain from masturbation completely. I prescribe you two herbal or mineral medications and you will become better soon.

The Probable causes

You have thyroid dysfunction and sexual arousal cascade disturbance.

Investigations to be done

You have to do a thyroid lab panel (comprehensive) and sonography of the thyroid.

Differential diagnosis

The causes are various.

Probable diagnosis

You have hypothyroidism of still unknown cause and sexual arousal cascade dysfunction.

Treatment plan

You have to investigate thyroid hormones by an endocrinologist and refrain from sex and masturbation.

Preventive measures

In case if you are not married, I recommend a physical masturbation prevention device. You can get back to me if you want this help.

Regarding follow up

Revert me whenever you want.

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

Dr. Alexander Davis
Dr. Alexander Davis

General Practitioner

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