Q. I have a low testosterone level and some issues in the sperm analysis report. What should I do?

# Dear Bhargav,

I can very well understand that you’re worried.

Your test results show reduced numbers of sperm, a slight anomaly of a vein in your scrotum (not important), a minimal size difference of your testicles (needs follow-up), low testosterone and an infectious inflammation (important).

So the first aspect that should be tackled is the infection/inflammation mentioned in your sperm quality result (last sentence). Unless this is fixed it could even be dangerous to take other measure (e.g. treating you with testosterone patches or injections).

I’m wondering why this has not yet been the case. Your urologist should have noted that specific aspect (infection) from the report and acted accordingly. Why hasn’t that happened yet?

If your issues persist even after the eradication of the infectious/inflammatory aspect (must be checked for success by re-testing) we can look deeper into the case. But I am optimistic that you’ll do great once the underlying condition is healed.

Your testicles should undergo sonography every three to six months to make sure that there is no other reason for the size difference hidden.

Get well soon!

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The Probable causes:

Infectious process in the reproductive organs.

Investigations to be done:

*Searching for the reason of the infection signs the lab found in the sperm analysis.
*Re-testing after therapy.
*Control sonography of the testicles every 3 to 6 months to safely rule out testicular cancer.

Differential diagnosis:

various

Probable diagnosis:

Inflammation of the reproductive organs, reason yet to be found.

Treatment plan:

No therapy before a proper diagnosis after further tests!

Regarding follow up:

Ant time you need me.

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