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

Answered by
Dr. Alexander Davis, Md
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Oct 20, 2020

I have an issue with my sexual performance. I masturbate frequently, and I do not get sexually aroused nowadays. I also have hypothyroidism and low sperm count and volume.



I’m very sorry to learn about your issues. Rest assured that I will do my best to help you. Let me address the issues point by point:

1) As to your hypoactive thyroid. You need to get measured (lab) TSH, fT3, fT4 and the three main thyroid antibodies. A sonography is also necessary. With a good hormone replacement therapy you should do fine.

2) As to your sexual issues. You seem to suffer from a disturbed sexual arousal cascade. Therefore you need to refrain from sex for 3 months and from masturbation completely and forever. On top on that I will prescribe you two herbal/mineral medications.

I’m sure you will be better soon!

The Probable causes:

*Thyroid dysfunction
*Sexual arousal cascade disturbance

Investigations to be done:

*Thyroid lab panel (comprehensive)
*Sonography of the thyroid

Differential diagnosis:


Probable diagnosis:

*Hypothyroidism of still unknown cause
*Sexual arousal cascade dysfunction

Treatment plan:

*To be determined for the thyroid by an endocrinologist in person
*Sexual abstinence
*No masturbation

Preventive measures:

In case you’re not married I recommend a physical masturbation prevention device. Get back to me if you want this help.

Regarding follow up:

Whenever you want.

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