What effects do Aswangandha tablets have on the semen analysis?

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I can understand your concern. I checked your report (attachment removed to protect the patient's identity). The reports state that you have low sperm concentration. There are many reasons for low concentration. I have listed them below. Varicocele occurs due to the swelling of veins in the testicle or scrotum. It can be diagnosed by doing an ultrasound. Infection occurs due to sexually transmitted diseases or non-sexually transmitted diseases causing epididymitis or orchitis. It can be diagnosed by ultrasound scrotum, urine test, and CBC (complete blood count). Ejaculation problems include retrograde ejaculation, lack of ejaculation due to diabetes, spinal injuries, and bladder, prostate, or urethra surgery, anti-sperm antibodies, benign or malignant growth blocks the release of sperm, undescended testicles can be diagnosed by ultrasound scrotum, hormonal imbalances, exposure to heavy metals, drugs, and overheating of the scrotum, alcohol and smoking can also cause it. I suggest you take the tablet Carni-Q (Levocarnitine, Coenzyme Q10, Zinc, Lycopene, and Astaxanthin) twice daily after food. Ashwagandha tablets will not reduce the count. Consult a specialist doctor, discuss with them, and take medications with their consent.

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I suggest you recheck your semen sample after ten days. You can also check your partner's fertility status. I suggest her to consult a gynecologist or fertility specialist.