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